NSG 3400 Postpartum Practice NCLEX Questions latest 2020 with complete solution

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Postpartum Practice NCLEX Questions 1. The nurse is providing instructions to a pregnant client with human immunodeficiency virus (HIV) infection regarding care to the newborn after delivery. The cli... ent asks the nurse about the feeding options that are available. Which response should the nurse make to the client? A. "You will need to bottle-feed your newborn." B. "You will need to feed your newborn by nasogastric tube feeding." C. "You will be able to breast-feed for 6 months and then will need to switch to bottle-feeding." D. "You will be able to breast-feed for 9 months and then will need to switch to bottle-feeding." 2. The postpartum nurse is taking the vital signs of a client who delivered a healthy newborn 4 hours ago. The nurse notes that the client's temperature is 100.2°F (37.8°C). What is the priority nursing action? A. Document the findings. B. Retake the temperature in 15 minutes. C. Notify the health care provider (HCP). D. Increase hydration by encouraging oral fluids. 3. The nurse is assessing a client who is 6 hours postpartum after delivering a full-term healthy newborn. The client complains to the nurse of feelings of faintness and dizziness. Which nursing action is most appropriate? A. Raise the head of the client's bed. B. Obtain hemoglobin and hematocrit levels. C. Instruct the client to request help when getting out of bed. D. Inform the nursery room nurse to avoid bringing the newborn to the client until the client's symptoms have subsided. 4. The postpartum nurse is providing instructions to a client after birth of a healthy newborn. Which time frame should the nurse relay to the client regarding the return of bowel function? A. 3 days postpartum B. 7 days postpartum C. On the day of birth D. Within 2 weeks postpartum 5. The nurse is providing postpartum instructions to a client who will be breast-feeding her newborn. The nurse determines that the client has understood the instructions if she makes which statements? Select all that apply. A. "I should wear a bra that provides support.” B. "Drinking alcohol can affect my milk supply.” C. "The use of caffeine can decrease my milk supply." D. "I willstart my estrogen birth control pills again as soon as I get home." E. "I know if my breasts get engorged, I will limit my breast-feeding and supplement the baby." F. "I plan on having bottled water available in the refrigerator so I can get additional fluids easily." 6. The nurse is preparing to assess the uterine fundus of a client in the immediate postpartum period. After locating the fundus, the nurse notes that the uterus feels soft and boggy. Which nursing intervention is appropriate? A. Elevate the client's legs. B. Massage the fundus until it is firm. C. Ask the client to turn on her left side. D. Push on the uterus to assist in expressing clots. 7. The nurse is caring for four 1-day postpartum clients. Which client assessment requires the need for follow-up? A. The client with mild afterpains B. The client with a pulse rate of 60 beats/minute C. The client with colostrum discharge from both breasts D. The client with lochia that is red and has a foul-smelling odor 8. The nurse is monitoring a client in the immediate postpartum period for signs of hemorrhage. Which sign, if noted, would be an early sign of excessive blood loss? A. A temperature of 100.4°F (38°C) B. An increase in the pulse rate from 88 to 102 beats/minute C. A blood pressure change from 130/88 to 124/80 mm Hg D. An increase in the respiratory rate from 18 to 22 breaths/minute 9. The nurse is preparing a list of self-care instructions for a postpartum client who was diagnosed with mastitis. Which instructions should be included on the list? Select all that apply. A. Wear a supportive bra. B. Rest during the acute phase. C. Maintain a fluid intake of at least 3000 mL/day. D. Continue to breast-feed if the breasts are not too sore. E. Take the prescribed antibiotics until the soreness subsides. F. Avoid decompression of the breasts by breast-feeding or breast pump. 10. The nurse is preparing to care for four assigned clients. Which client is at most risk for hemorrhage? A. A primiparous client who delivered 4 hours ago B. A multiparous client who delivered 6 hours ago C. A multiparous client who delivered a large baby after oxytocin induction D. A primiparous client who delivered 6 hours ago and had epidural anesthesia 11. The nurse is monitoring a postpartum client who received epidural anesthesia for delivery for the presence of a vulvar hematoma. Which assessment finding would best indicate the presence of a hematoma? A. Changes in vital signs B. Signs of heavy bruising C. Complaints of intense pain D. Complaints of a tearing sensation 12. Methylergonovine has been prescribed for a woman who is at risk for postpartum bleeding in the immediate postpartum period. The nurse preparing to administer the medication ensures that which priority item is at the bedside? A. Peripads B. Tape measure C. Reflex hammer D. Blood pressure cuff 13. Which action would best demonstrate evidence-based nursing practice in the care of a patient who is 1 day postpartum and reporting nipple soreness while breast feeding? A. Give the baby a bottle after 5 minutes of nursing to allow soreness to resolve. B. Assess the mother–baby couplet for nursing position and latch and correct as indicated. C. Advise the use of a breast pump until nipple soreness resolve. D. Advise alternating breast and bottle feedings to avoid excess sucking at the nipple. 14. While assessing a 29-year-old gravida 2, para 2 patient who had a normal spontaneous vaginal delivery 30 minutes ago, the nurse notes a large amount of red vaginal bleeding. What would be the first priority nursing action? A. Check vital signs. B. Notify the health care provider. C. Firmly massage the uterine fundus. D. Put the baby to breast. 15. A 22-year-old woman is 6 weeks postpartum. In the clinic, she admits to crying every day, feeling overwhelmed, and sometimes thinking that she may hurt the baby. What would be the priority nursing action at this time? A. Advise the patient of community resources, parent groups, and depression hotlines. B. Counsel the mother that the "baby blues" are common at this time and assess her nutrition, rest, and availability of help at home. C. Contact the health care provider to evaluate the patient before allowing her to leave the clinic. D. Advise the woman that she cannot use medication for depression because she is breast feeding. 16. Which nursing intervention is appropriate for a postpartum client with a diagnosis of endometritis to facilitate participation in newborn care? A. Limit fluid intake. B. Maintain the client in a supine position. C. Ask family members to care for the newborn. D. Encourage the client to take pain medication as prescribed. 17. The nurse who is employed in a prenatal clinic is performing prenatal assessments on clients who are in their first trimester of pregnancy. The nurse is concerned with identifying clients who may be at risk for the development of postpartum complications. Which clients would be at most risk for development of postpartum thromboembolic disorders? Select all that apply. A. A 39-year-old woman who reports that she smokes B. A 24-year-old woman with a thin frame who is a vegetarian C. A 26-year-old woman with a family history of thrombophlebitis D. A 37-year-old woman in her fourth pregnancy who is overweight E. A 22-year-old woman in a first pregnancy who states that oral contraceptives taken in the past have caused thrombophlebitis [Show More]

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