OB-Postpartum NCLEX Questions

The nurse had completed a postpartum assessment on a patient who gave birth to her first child 12 hours ago. She is nauseated, but has not vomited in the last 2 hours. Her fundus was boggy, and firmed with massage to 1 FB ↓ U, moderately heavy lochia rubra, perineum ecchymotic and edematous, and pain rating 6 on scale of 1–10. Her partner is present and supportive. Breastfeeding has been successful three times. Which nursing diagnosis has the highest priority for this patient?

During a home care visit, the new mother complains of breast engorgement. Which intervention is most appropriate for recommendation by the home care nurse?

The postpartum patient delivered 4 hours ago. She has a mediolateral episiotomy and large hemorrhoids. She is rating her pain at 7 on a scale of 1–10. She has a history of anaphylactic reaction to Tylenol (acetaminophen). Which nursing action would be best?

On the second day postpartum, the patient experiences engorgement. To relieve her discomfort, the nurse should encourage the patient to:

The nurse is caring for a patient who had a cesarean birth 4 hours ago. Which of the following interventions would the nurse implement at this time?

The community health nurse is presenting a seminar to new mothers about breastfeeding. When discussing weaning, which new mother’s statement suggests a need for further teaching?

The hospital is developing a new maternity unit. What aspects should be included in the planning of this new unit to best promote family wellness?

The patient having her second child is scheduled for a cesarean birth because the baby is in a breech presentation. The patient states, “I’m wondering what will be different this time compared with my first birth, which was vaginal.” What response is best?

The nurse is caring for a patient who delivered by cesarean birth. The patient received a general anesthetic. The nurse would encourage which of the following in order to prevent or minimize abdominal distention?

The nurse is caring for a 15-year-old patient that gave birth to her first child yesterday. What action is the best indicator that the nurse understands the parenting adolescent?

The nurse is preparing to receive a newly delivered patient. The patient is a young single mother who is relinquishing custody of her newborn through an open adoption. What action is most important?

The nurse is caring for a patient who plans to relinquish her baby for adoption. The nurse would implement which of the following approaches to care?

The maternal home care nurse is orienting a new nurse. During orientation, they are discussing maternal psychological adaptations and stressors. Which statement by the maternal home care nurse reflects the correct approach to addressing potential and actual postpartum depression in maternal patients?

During a home care visit, a couple expresses a desire for cosleeping, or sleeping in the same bed with their newborn baby. Which nursing response is most appropriate?

The nurse has received an end of shift report on the postpartum unit. Which patient should she see first?

The nurse expects an initial weight loss for the average postpartum patient to be:

To assess healing of the uterus at the placental site, the nurse assesses:

A Jewish patient delivers a healthy baby boy on Thursday afternoon, and she is set to be discharged on Saturday morning. Why might this present a problem for the patient?

On the first postpartum day, the nurse teaches the patient about breastfeeding. Two hours later, the mother seems to remember very little of the teaching. The nurse understands this memory lapse to be due to:

The nurse is working with a new mother who follows Muslim traditions. Which expectations and actions are appropriate for this patient?

The nurse is observing a new graduate’s assessment of a postpartum patient. Which action by the student nurse should prompt a corrective intervention by the preceptor nurse?

The nurse is performing a postpartum assessment on a newly delivered patient. When checking the fundus, there is a gush of blood. The patient asks why that is happening. The best response is:

The postpartum nurse is caring for a first-time mother who is unable to breastfeed her baby. While assessing the patient’s breasts the day after birth, which teaching point should the nurse include?

Every time the nurse enters the room of a postpartum patient who gave birth three hours ago, the patient asks something else about her birth experience. The nurse would:

During her interactions with a primipara mother, the nurse notices that the mother rarely interacts with the infant unless the infant begins to cry vigorously. She appears relieved when a nurse comes to check on the infant. What is the appropriate nursing intervention for this patient?

During the first several months after birth, the mother and infant begin to know each other. This relationship progresses through several phases. Which of the following actions are to be expected in the phase of mutual regulation?

The nurse is to begin the postpartum teaching of a mother who has given birth to her first child. What aspect of teaching is most important?

The nurse is performing an assessment of early attachment. During the assessment, the nurse needs to answer the question “Does the mother seem pleased with her baby’s appearance and sex?” Which action of the mother might help answer this question?

The nurse is preparing a community education class on healthy pregnancy. Which statements should be included?

A patient is 3 days postop from a cesarean birth. She has tenderness, localized heat, and redness of the left leg. She is afebrile. As a result of these symptoms, she most likely will be:

The nurse is assisting a multiparous woman to the bathroom for the first time since her delivery 3 hours ago. When the patient stands up, blood runs down her legs and pools on the floor. The patient turns pale and feels weak. The first action of the nurse is to:

A patient is experiencing excessive bleeding immediately after the birth of her newborn. After speeding up the IV fluids containing oxytocin, with no noticeable decrease in the bleeding, the nurse should anticipate the physician requesting which medications?

The postpartum patient who delivered 2 days ago has developed endometritis. Which charting entry would the nurse expect to find in this patient’s chart?

The patient at 3 days postpartum has come to the maternity clinic with complaints of urinary urgency and dysuria. Which statement is most important for the nurse to make?

Which method of initial assessment would best indicate whether a patient has a urinary complication?

The postpartum multipara is breastfeeding her new baby. The patient states that she developed mastitis with her first child, and asks if there is something she can do to prevent mastitis this time. The best response of the nurse is:

A nurse suspects that a postpartum patient has mastitis. The following assessment provides what data to support this assessment?

The postpartum patient has developed thrombophlebitis in her right leg. Which finding requires immediate intervention? The patient:

The nurse is revising the care plan of a 26-year-old woman who has developed mastitis. Which nursing diagnosis is most appropriate for inclusion in this patient’s updated plan of care?

The nurse is calling postpartum patients. Which patient should be seen immediately? The patient at 4 weeks postpartum who:

The maternal nurse educator is conducting a presentation for antepartum patients describing the identification and care of women diagnosed with postpartum psychiatric disorders. Which information should the maternal nurse educator include in her teaching content?

The charge nurse is reviewing the plan of care for maternal patients currently admitted for postpartum care. During the course of her chart review, which intervention requires immediate consideration for revision?