A postpartum client with suspected DIC has continued oozing from IV sites. Which additional finding most strongly supports the diagnosis?

Methylergonovine is administered for postpartum hemorrhage. Which assessment finding requires the nurse to withhold the next dose?

A postpartum client reports severe rectal pressure and unrelieved pain despite minimal vaginal bleeding. Which complication should the nurse suspect?

A postpartum client experiences profuse diaphoresis and increased urine output at 12 hours postpartum. How should the nurse interpret this finding?

Which client history places a postpartum client at highest risk for hemorrhage?

Which maternal behavior best supports Baby-Friendly psychosocial adaptation?

Which condition contributes to subinvolution by preventing adequate uterine contraction?

Why is fundal massage contraindicated after uterine inversion is corrected?

Which postpartum client is most likely to develop thrombophlebitis?

Which postpartum mental health finding requires urgent intervention?

Which bladder change is expected postpartum?

At 12 hours postpartum, which finding is expected?

Which imaging study is most appropriate to confirm pulmonary embolism postpartum?

A client with Von Willebrand disease is postpartum. Which complication is most likely?

Idiopathic thrombocytopenic purpura primarily increases risk for:

Which mastitis finding differentiates it from engorgement?

Which intrapartum factor increases postpartum hemorrhage risk?

Which lab trend supports effective clotting postpartum?

Shock index elevation postpartum primarily reflects:

Which hematoma location is most difficult to visualize?

OASIS injuries primarily involve damage to which structure?

Placenta accreta differs from increta because it:

Placenta percreta most increases risk for which intervention?

Which uterotonic is avoided in hypertensive clients?

Active management of the third stage of labor (AMTSL) primarily reduces risk for:

Which postpartum client should receive Tdap?

Why is docusate sodium commonly prescribed postpartum?

A postpartum client with known von Willebrand disease reports her provider said, “Type 3 is the most severe.” Which statement best reflects what that means clinically postpartum?

(ITP vs “normal postpartum labs” trap) A postpartum client has petechiae and bruising with minimal trauma. Which lab pattern most supports idiopathic thrombocytopenic purpura (ITP) as the bleeding contributor?

(Endometritis vs normal lochia vs hemorrhage — “what do you treat first?”) A client is day 4 postpartum with uterine tenderness, fever, and lochia that is dark and profuse with foul odor. Which provider order should the nurse anticipate as most consistent with this condition?

(DIC expected findings — “two-body problem” trap) A postpartum client has heavy bleeding and oozing from IV sites. Which set of findings best matches DIC concern?

(Shock Index — trend recognition) A postpartum client has increasing bleeding. Which data pattern best supports rising shock concern using the shock index concept (pulse rising out of proportion to BP)?

A client is 1 hour postpartum with heavy bright-red bleeding. The fundus is firm and midline. What should the nurse do next?

A client reports severe perineal pain and pressure after an episiotomy. The pad shows minimal bleeding. Which assessment is most appropriate to confirm suspected vulvar hematoma?

A postpartum client had an OASIS injury repair. Which statement requires immediate correction?

A nurse is performing fundal massage for a boggy uterus. Which action is most important to avoid?

A postpartum client has continued hemorrhage despite firm external fundal massage and uterotonics. Which intervention is most consistent with the next escalation listed in postpartum hemorrhage management teaching?

A nurse explains active management of the third stage of labor. Which outcome is the primary goal?

A client has a history concerning for placenta percreta. Which outcome is most consistent with why this is a surgical emergency risk postpartum?

A postpartum client has hemorrhage and chronic hypertension. Which uterotonic choice is most appropriate to anticipate not being contraindicated solely due to hypertension?

A nurse evaluates effectiveness of methylergonovine after administration. Which finding best indicates the medication is not effective?

A postpartum client develops hemorrhage shortly after birth. Which order best matches recommended timing emphasis for tranexamic acid use?

A postpartum client with hemorrhage has a history of thrombosis and currently uses oral contraceptives. Which order should the nurse question most?

A client has uterine inversion with hemorrhage. Which medication is used to relax the uterus prior to manual replacement?

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

After uterine replacement for inversion, which action is specifically appropriate?

A postpartum client reports unilateral calf pain, warmth, and swelling. Which nursing action is most appropriate?

A nurse provides discharge teaching to a postpartum client. Which statement requires correction?

A postpartum client has sudden dyspnea, chest pain, and hypoxia. Which diagnostic study is most consistent with confirming pulmonary embolism in the teaching materials?

A postpartum client has suspected pulmonary embolism. Which immediate nursing action is most appropriate?

A postpartum client with urinary tract infection reports new flank pain at the costovertebral angle and fever. Which complication is most concerning?

A postpartum client has a boggy uterus displaced laterally. Which action is most appropriate first?

Which finding is most consistent with normal physiologic changes around 12 hours postpartum?

A postpartum client has diaphoresis and diuresis but also tachycardia and fever greater than 38°C after 24 hours. How should the nurse interpret this combined data?

A breastfeeding postpartum client has mastitis. Which teaching is most appropriate to prevent milk stasis and support recovery?

Which organism is typically responsible for mastitis?

Which client is at greatest risk for postpartum endometritis?

A client’s cesarean incision edges separate with seropurulent drainage but no organs visible. Which term best fits?

(Evisceration) A postpartum wound separates and internal contents protrude through the opening. Which term applies?

(4 T’s — apply to scenario) A postpartum client has a firm uterus but continuous bleeding with visible tear. Which “T” is the cause?

(4 T’s — thrombin scenario) A postpartum client has persistent bleeding and oozing at IV sites with bruising. Which “T” is most consistent?

(4 T’s — tissue scenario) A postpartum client has late bleeding weeks later with suspected retained fragments and subinvolution. Which “T” fits?

(Tone) A postpartum client has a boggy uterus with heavy lochia that improves when massaged but returns when massage stops. Which “T” fits?

(Retained placenta definition) A placenta has not delivered within 30 minutes after birth. This finding is documented as:

(Accreta/increta/percreta — matching) Which retained placenta type describes invasion into the myometrium?

(Percreta definition) Which retained placenta type describes penetration through the uterine wall?

(Surgical intervention — when tamponade fails) A postpartum hemorrhage persists despite uterotonics and tamponade. Which escalation is most consistent with “surgical intervention” concept?

(Tamponade concept) Which intervention is described as placing an intrauterine balloon device to control hemorrhage?

(AMTSL — timing trick) Which stage is AMTSL most directly associated with?

(Varicella postpartum teaching — purpose trap) A postpartum client is nonimmune to varicella. Which teaching is most appropriate?

(Tdap — postpartum education trap) Which postpartum teaching best matches why Tdap is addressed in discharge education?

(Docusate — clinical trick) A postpartum client has a repaired episiotomy and reports fear of first bowel movement. Which order best supports preventing a complication of straining?