NCLEX Quiz: Obstetrical Nursing Practice Questions!

10 Questions | By Santepro | Last updated: Mar 21, 2022 | Total Attempts: 3576

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NCLEX Quiz: Obstetrical Nursing Practice Questions! - Quiz

Questions and Answers

1.

Which of the following circumstances is most likely to cause uterine atony and lead to PP hemorrhage?
- A.
  
  Hypertension
- B.
  
  Cervical and vaginal tears
- C.
  
  Urine retention
- D.
  
  Endometritis
2.

Which type of lochia should the nurse expect to find in a client 2 days PP?
- A.
  
  Foul-smelling
- B.
  
  Lochia serosa
- C.
  
  Lochia alba
- D.
  
  Lochia rubra
3.

After the expulsion of the placenta in a client who has six living children. an infusion of lactated ringer’s solution with 10 units of Pitocin is ordered. The nurse understands that this is indicated for this client because:
- A.
  
  She had a precipitate birth
- B.
  
  This was an extramural birth
- C.
  
  Retained placental fragments must be expelled
- D.
  
  Multigravidas are at increased risk for uterine atony.
4.

As part of the postpartum assessment. the nurse examines the breasts of a primiparous breastfeeding woman who is one day postpartum. An expected finding would be:
- A.
  
  Soft. non-tender; colostrum is present
- B.
  
  Leakage of milk at let down
- C.
  
  Swollen. warm. and tender upon palpation
- D.
  
  A few blisters and a bruise on each areola
5.

Following the birth of her baby. a woman expresses concern about the weight she gained during pregnancy and how quickly she can lose it now that the baby is born. The nurse. in describing the expected pattern of weight loss. should begin by telling this woman that:
- A.
  
  Return to pre-pregnant weight is usually achieved by the end of the postpartum period
- B.
  
  Fluid loss from diuresis. diaphoresis. and bleeding accounts for about a 3-pound weight loss
- C.
  
  The expected weight loss immediately after birth averages about 11 to 13 pounds
- D.
  
  Lactation will inhibit weight loss since caloric intake must increase to support milk production
6.

Which of the following findings would be a source of concern if noted during the assessment of a woman who is 12 hours postpartum?
- A.
  
  Postural hypotension
- B.
  
  Temperature of 100.4°F
- C.
  
  Bradycardia — pulse rate of 55 BPM
- D.
  
  Pain in left calf with dorsiflexion of left foot
7.

The nurse examines a woman one hour after birth. The woman’s fundus is boggy. midline. and 1 cm below the umbilicus. Her lochial flow is profuse. with two plum-sized clots. The nurse’s initial action would be to:
- A.
  
  Place her on a bedpan to empty her bladder
- B.
  
  Massage her fundus
- C.
  
  Call the physician
- D.
  
  Administer Methergine 0.2 mg IM which has been ordered prn
8.

When performing a postpartum check. the nurse should:
- A.
  
  Assist the woman into a lateral position with upper leg flexed forward to facilitate the examination of her perineum
- B.
  
  Assist the woman into a supine position with her arms above her head and her legs extended for the examination of her abdomen
- C.
  
  Instruct the woman to avoid urinating just before the examination since a full bladder will facilitate fundal palpation
- D.
  
  Wash hands and put on sterile gloves before beginning the check
9.

Perineal care is an important infection control measure. When evaluating a postpartum woman’s perineal care technique. the nurse would recognize the need for further instruction if the woman:
- A.
  
  Uses soap and warm water to wash the vulva and perineum
- B.
  
  Washes from symphysis pubis back to episiotomy
- C.
  
  Changes her perineal pad every 2 – 3 hours
- D.
  
  Uses the peri bottle to rinse upward into her vagina
10.

Which measure would be least effective in preventing postpartum hemorrhage?
- A.
  
  Administer Methergine 0.2 mg every 6 hours for 4 doses as ordered
- B.
  
  Encourage the woman to void every 2 hours
- C.
  
  Massage the fundus every hour for the first 24 hours following birth
- D.
  
  Teach the woman the importance of rest and nutrition to enhance healing