A nurse suspects postpartum sepsis. Which finding is most concerning and requires immediate escalation?

Which postpartum client is at greatest risk for endometritis?

A client presents with unilateral breast pain, erythema, fever, and flu-like symptoms 10 days postpartum. Which intervention is priority?

Which assessment finding differentiates mastitis from engorgement?

A postpartum client has suprapubic pain, urinary urgency, cloudy urine, and fever. Which diagnostic test should the nurse anticipate?

Which complication is most associated with untreated postpartum urinary tract infection?

A client with postpartum hemorrhage continues to bleed despite a firm uterus. Which cause should the nurse suspect?

Which finding is most characteristic of a postpartum hematoma?

A nurse palpates a firm uterus with ongoing bright-red bleeding. What is the priority nursing action?

Which laboratory test is critical when severe postpartum hemorrhage is suspected?

Which finding indicates early postpartum hemorrhage?

A client develops heavy bleeding 3 weeks postpartum with an enlarged, boggy uterus. Which condition is most likely?

Which risk factor is associated with uterine atony?

Which nursing action is appropriate when uterine atony is suspected?

A postpartum client experiences sudden hemorrhage and a smooth mass is visible at the introitus. Which condition is suspected?

Which medication is administered before manual replacement of an inverted uterus?

A placenta fails to deliver within 30 minutes after birth. This is documented as:

Placenta percreta is best described as:

Which intervention is expected for severe postpartum hemorrhage unresponsive to uterotonics?

Which uterotonic is contraindicated in a client with hypertension?

Tranexamic acid treats postpartum hemorrhage by:

Which finding supports a diagnosis of late postpartum hemorrhage?

A client with Von Willebrand disease is postpartum. What complication is the nurse most concerned about?

Which statement correctly describes Von Willebrand disease Type 3?

A postpartum client has fever >38°C after the first 24 hr and tachycardia. The nurse identifies the major complication of puerperal infection as which condition?

A postpartum client has dark, profuse lochia and uterine tenderness on day 4 with fever. Which disorder is most consistent?

A breastfeeding client develops unilateral breast pain, a reddened area, flu-like symptoms, and fever. Which organism is typically the cause?

A nurse assesses a cesarean incision that is warm with erythema, pain, edema, and seropurulent drainage. Which complication is most likely?

A client is postpartum and reports pelvic discomfort, urgency, dysuria, and cloudy malodorous urine. Which diagnostic procedure should the nurse anticipate?

A nurse is prioritizing teaching for postpartum infection prevention. Which instruction is most appropriate?

A client with mastitis asks what action best helps prevent milk stasis. Which teaching should the nurse include?

A postpartum client has mastitis and reports pain with breastfeeding. Which action is appropriate per the teaching points?

A postpartum client has suspected puerperal infection. Which medication approach is expected?

A postpartum client with suspected endometritis has pain and fever. Which nursing action is appropriate?

A postpartum client has a UTI. Which medication is used to reduce discomfort and pain associated with the infection?

A nurse reinforces UTI management teaching. Which instruction is appropriate?

A nurse is reviewing postpartum infection risk factors. Which client history increases risk as listed?

A postpartum client reports uterine tenderness, malodorous lochia, and fever. Which assessment is essential for ongoing monitoring?

A newly postpartum client develops mastitis. Which action should the nurse encourage to help manage it?

A postpartum client with infection risk asks what diet supports healing. Which instruction is appropriate?

A postpartum client with suspected infection. Which lab finding is expected per the listed tests?

Using the 4 T’s, which “T” includes uterine atony?

A client is 1 hr postpartum with a boggy uterus and heavy lochia. What is the priority nursing action?

A client continues heavy bleeding after birth. The nurse prepares an IV fluid bolus consistent with postpartum hemorrhage care. Which solution is appropriate?

A nurse prepares oxygen for a postpartum client with hemorrhage. Which oxygen delivery is expected?

A client has ongoing hemorrhage. Which nursing intervention supports perfusion to essential organs?

Which action supports accurate ongoing assessment of kidney function during significant postpartum hemorrhage?

A nurse notes a pad saturated in 15 minutes with bright red blood. This finding is most consistent with:

A provider orders medication for postpartum hemorrhage. Which medication is a uterine stimulant used to promote contractions?

A nurse is monitoring a client receiving oxytocin for postpartum hemorrhage. Which adverse reaction must be monitored?

A postpartum client has hemorrhage and a history of hypertension. Which medication should the nurse anticipate avoiding?

A nurse plans to administer tranexamic acid for postpartum hemorrhage. When is it recommended?

Tranexamic acid is classified as which medication type in this content?

Which adverse effect concern is most associated with tranexamic acid?

Which treatment is described as an intrauterine balloon placed inside the uterus?

A postpartum client has a boggy uterus with increased bleeding. Which action is appropriate as part of uterine atony care?

A nurse is about to express clots from the uterus. Which condition must be met first to avoid inversion risk?

A postpartum client has prolonged lochia with an enlarged, higher-than-expected uterus and irregular bleeding. Which condition is most consistent?

A nurse suspects subinvolution related to infection. Which lab/collection is listed to check for infection/endometritis?

Which provider procedure is listed to remove retained placental fragments when indicated in subinvolution?

Which client activity supports uterine involution in subinvolution management?

A placenta has not delivered within 30 minutes after birth. This is defined as:

A postpartum client has retained placenta with continued bleeding. Which provider action is listed?

Retained placenta can lead to uterine atony or subinvolution because it prevents the uterus from:

A client has sudden hemorrhage and a large red rounded mass protruding outside the introitus. Which condition is suspected?

A client experiences uterine inversion while oxytocin is running. Which action is required?

After uterine replacement for inversion, which nursing action is specifically included?

Which medication is listed to relax the uterus before the provider attempts replacement in uterine inversion?

A postpartum client has heavy bleeding with a firm uterus. Which cause is most likely?

Which distinguishing finding supports hematoma rather than uterine atony?

A nurse suspects a postpartum hematoma. Which nursing action is expected?

A client has a small hematoma. Which intervention is listed?

A postpartum client has persistent bleeding and unusual oozing from injection sites. Which “T” of the 4 T’s is most consistent?

A nurse anticipates a lab priority for suspected coagulopathy with hemorrhage. Which is most appropriate?

A postpartum client with suspected DIC is at risk for internal/external bleeding and organ damage from microclots. Which nursing focus is emphasized?

A postpartum client with infection has worsening condition despite initial interventions. Which action is most appropriate?

Which postpartum infection can occur as early as the 7th postpartum day and is usually unilateral?

Which finding is expected in puerperal infection monitoring?

A client has a wound infection with separation of incision edges. Which term matches this finding?

A wound infection progresses and internal contents protrude through separated wound edges. Which term applies?

A nurse is providing infection prevention teaching for perineal care. Which instruction is correct?

A client has heavy bleeding at 4 weeks postpartum with return to bright red bleeding after progressing. Which type of hemorrhage is most consistent?

A postpartum client has hemorrhage and the fundus is firm and midline. Which immediate assessment is priority?

A nurse suspects tissue as the cause of hemorrhage. Which finding supports this?

Which intervention is appropriate when postpartum bleeding persists and the cause is suspected coagulopathy?

A postpartum client with suspected infection is prescribed antibiotics. Which instruction is essential?

A postpartum client with mastitis asks about bra choice. Which instruction is correct?

A postpartum client has a UTI and asks what to do about perineal hygiene. Which teaching is correct?

A postpartum client has severe bleeding and the provider requests blood availability. Which action is expected?

A postpartum client has suspected infection and needs evaluation for organism identification. Which is appropriate?

A nurse identifies a client at high risk for postpartum infection based on which history?

A postpartum client has a fever pattern consistent with postpartum infection criteria. Which pattern requires further investigation?

A postpartum client with hemorrhage is receiving ongoing assessment. Which action supports identifying the bleeding source?

A postpartum client with suspected subinvolution is being monitored. Which assessment is expected?

A postpartum client has suspected genital tract trauma. Which finding supports this more than uterine atony?

A postpartum client has an infection risk and asks what the nurse does to reduce microorganism spread. Which response aligns with care?

A postpartum client has suspected wound infection that may require provider intervention. Which procedure might be needed?

A postpartum client has mastitis and asks what to report to the provider. Which is correct?

A client with postpartum UTI is reviewing discharge teaching. Which statement shows understanding?