Question: Rubella vaccine postpartum — teaching?
Answer Choices:
A Pump & dump 1 week
B Avoid pregnancy 4 weeks
C Wear surgical mask
D Antibodies protect baby
Answer: B. Avoid pregnancy 4 weeks
Question: Which discharge statement after cesarean indicates need for further teaching?
Answer Choices:
A “I will begin abdominal exercises immediately.”
B “I will turn on my side and push up with my arms.”
C “I will lift nothing heavier than the baby for 2 weeks.”
D “I will notify the doctor if I develop a fever.”
Answer: A. “I will begin abdominal exercises immediately.”
Question: Breastfeeding contraceptive options (Select all)
Answer Choices:
A IUD
B Combined oral pills
C Depo-Provera
D Tubal ligation
E Barrier
F Abstinence
Answer: A, C, E, F. IUD; Depo-Provera; Barrier; Abstinence
Question: Which expectation is appropriate for a Muslim mother?
Answer Choices:
A Uncover only necessary skin during assessment
B Prefer male physician
C Father active in infant care
D Provide kosher diet
Answer: A. Uncover only necessary skin during assessment
Question: Methylergonovine effective when:
Answer Choices:
A No breast pain
B Increase lochia
C Fundus firm
D Increased BP
Answer: C. Fundus firm
Question: A nurse is discussing risk factors for urinary tract infection with a newly licensed nurse.
Answer Choices:
A Vaginal births
B Epidural
C Frequent pelvic exams
D History of UTIs
E Urinary catheter
Answer: C, D, E. Frequent pelvic exams; History of UTIs; Urinary catheter
Question: Self-care instructions for mastitis — what is included? (Select all)
Answer Choices:
A Stop antibiotics when soreness stops
B Rest during acute phase
C Wear supportive bra
D Avoid stimulation
E 3000 mL fluids
F Continue breastfeeding if not too sore
Answer: B, C, E, F. Rest during acute phase; Wear supportive bra; 3000 mL fluids; Continue breastfeeding if not too sore
Question: No BM by day 3 postpartum — best action?
Answer Choices:
A Encourage patience
B Low fiber + fluids
C Stool softener + ambulate
D Decrease fluids
Answer: C. Stool softener + ambulate
Question: Orders for ice packs, sitz bath → associated with:
Answer Choices:
A Episiotomy/laceration
B Vacuum-assisted birth
C Epidural
D Pudendal block
Answer: A. Episiotomy/laceration
Question: WBC 25,000 on day 2 postpartum:
Answer Choices:
A Notify MD
B Start antibiotics
C Acceptable postpartum
D Redraw labs
Answer: C. Acceptable postpartum
Question: Priority finding 6 hours postpartum:
Answer Choices:
A DTR 4+
B Episiotomy edges approximated
C Fundus at umbilicus
D Pad saturated in 75 min
Answer: A. DTR 4+