Quiz: Can You Pass The NCLEX Practice Exam On Obstetrical Nursing?

1.

A nurse is preparing a list of self-care instructions for a PP client who was diagnosed with mastitis. Select all instructions that would be included on the list.

Discuss
- A.
  
  Take the prescribed antibiotics until the soreness subsides.
- B.
  
  Wear supportive bra
- C.
  
  Avoid decompression of the breasts by breastfeeding or breast pump
- D.
  
  Rest during the acute phase
- E.
  
  Continue to breastfeed if the breasts are not too sore.
2.

Methergine or Pitocin is prescribed for a woman to treat PP hemorrhage. Before administration of these medications. the priority nursing assessment is to check the:

Discuss
- A.
  
  Amount of lochia
- B.
  
  Blood pressure
- C.
  
  Deep tendon reflexes
- D.
  
  Uterine tone
3.

Methergine or Pitocin are prescribed for a client with PP hemorrhage. Before administering the medication(s). the nurse contacts the health provider who prescribed the medication(s) in which of the following conditions is documented in the client’s medical history?

Discuss
- A.
  
  Peripheral vascular disease
- B.
  
  Hypothyroidism
- C.
  
  Hypotension
- D.
  
  Type 1 diabetes
4.

Which of the following factors might result in a decreased supply of breastmilk in a PP mother?

Discuss
- A.
  
  Supplemental feedings with formula
- B.
  
  Maternal diet high in vitamin C
- C.
  
  An alcoholic drink
- D.
  
  Frequent feedings
5.

Which of the following interventions would be helpful to a breastfeeding mother who is experiencing engorged breasts?
- A.
  
  Applying ice
- B.
  
  Applying a breast binder
- C.
  
  Teaching how to express her breasts in a warm shower
- D.
  
  Administering bromocriptine (Parlodel)
6.

On completing a fundal assessment. the nurse notes the fundus is situated on the client’s left abdomen. Which of the following actions is appropriate?

Discuss
- A.
  
  Ask the client to empty her bladder
- B.
  
  Straight catheterize the client immediately
- C.
  
  Call the client’s health provider for direction
- D.
  
  Straight catheterize the client for half of her uterine volume
7.

The nurse is about the give a Type 2 diabetic her insulin before breakfast on her first day postpartum. Which of the following answers best describes insulin requirements immediately postpartum?

Discuss
- A.
  
  Lower than during her pregnancy
- B.
  
  Higher than during her pregnancy
- C.
  
  Lower than before she became pregnant
- D.
  
  Higher than before she became pregnant
8.

Which of the following findings would be expected when assessing the postpartum client?

Discuss
- A.
  
  Fundus 1 cm above the umbilicus 1 hour postpartum
- B.
  
  Fundus 1 cm above the umbilicus on a postpartum day 3
- C.
  
  Fundus palpable in the abdomen at 2 weeks postpartum
- D.
  
  Fundus slightly to the right; 2 cm above umbilicus on postpartum day 2
9.

A client is complaining of painful contractions. or after pains. on postpartum day 2. Which of the following conditions could increase the severity of afterpains?

Discuss
- A.
  
  Bottle-feeding
- B.
  
  Diabetes
- C.
  
  Multiple gestation
- D.
  
  Primiparity
10.

On which of the postpartum days can the client expect lochia serosa?

Discuss
- A.
  
  Days 3 and 4 PP
- B.
  
  Days 3 to 10 PP
- C.
  
  Days 10-14 PP
- D.
  
  Days 14 to 42 PP