Question: Finding that indicates possible endometritis?
Answer Choices:
A Hematuria
B Moderate dark lochia with musty odor
C Pelvic pain
D Localized breast tenderness
Answer: C. Pelvic pain
Question: Maternal adjustment phase when reviewing birth experience:
Answer Choices:
A Letting go
B Taking on
C Taking in
D Taking hold
Answer: C. Taking in
Question: A client 2 weeks postpartum reports sadness and crying. What is the priority?
Answer Choices:
A Antidepressant prescription
B Reinforce teaching
C Ask if she has considered harming her newborn
D Identify coping skills
Answer: C. Ask if she has considered harming her newborn
Question: Assessing tolerance of sitz bath 3 days postpartum — what should be monitored?
Answer Choices:
A Lochia color
B Bladder distention
C Heart rate
D Respiratory rate
Answer: C. Heart rate
Question: Which provider prescription requires clarification for a client with BP 146/94 and large lochia?
Answer Choices:
A Methylergonovine 0.2 mg IM
B PT/PTT labs
C Insert Foley
D O₂ by NRB at 8 L/min
Answer: A. Methylergonovine 0.2 mg IM
Question: Which task can be delegated to UAP?
Answer Choices:
A Monitor vitals on admission
B Assist with sitz bath day 3
C Change pad for new transfer
D Observe redness on breast
Answer: B. Assist with sitz bath day 3
Question: Sore cracked nipples — intervention?
Answer Choices:
A Apply mineral oil
B Increase time between feedings
C Keep nipples covered
D Break suction & change position
Answer: D. Break suction & change position
Question: Fundus firm, 2/U to right, hasn’t voided — best action?
Answer Choices:
A Assist to bathroom
B Massage fundus
C Assess pain
D Increase IV rate
Answer: A. Assist to bathroom
Question: When must a woman void after Foley removal to avoid retention?
Answer Choices:
A 2–3 hours
B 6–12 hours
C 3–4 hours
D 4–6 hours
Answer: D. 4–6 hours
Question: (From image) Matching blood loss pads
Answer Choices: Not provided in text / image-based item.
Answer: D – C
Question: BP 70/45 & HR 115 postpartum — first action?
Answer Choices:
A Evaluate uterus
B Oxygen
C Type & crossmatch
D Oxytocin bolus
Answer: A. Evaluate uterus
Question: Lochia serosa expected:
Answer Choices:
A Day 3–4 PP
B Day 14–42 PP
C Day 10–14 PP
D Day 3–10 PP
Answer: D. Day 3–10 PP
Question: History of thromboembolic disease postpartum — which action?
Answer Choices:
A Ambulate when spinal wears off
B Massage lower legs
C Pillow under knees
D Warm compress to legs
Answer: A. Ambulate when spinal wears off
Question: Cause of severe afterpains while breastfeeding:
Answer Choices:
A Healing incision
B Medication side effects
C Gas accumulation
D Oxytocin release
Answer: D. Oxytocin release
Question: (From image of pad saturation)
Answer Choices: Not provided in text / image-based item.
Answer: B & C
Question: Breast engorgement (bottle-feeding) — which statement needs teaching?
Answer Choices:
A Ice packs
B Don’t pump
C Warm compress after feeding
D Cabbage leaves
Answer: C. Warm compress after feeding
Question: Greatest risk for early postpartum hemorrhage:
Answer Choices:
A Primigravida with preterm twins
B Emergency C-section
C Multipara on magnesium
D Multipara with 8-hr labor
Answer: A. Primigravida with preterm twins
Question: A woman 5 hours postpartum after delivering a 9-lb 6-oz infant is at risk for:
Answer Choices:
A Puerperal infection
B Retained fragments
C Uterine atony
D Thrombophlebitis
Answer: C. Uterine atony
Question: Postpartum depression definition:
Answer Choices:
A More common in older Caucasian women
B Disappears on its own
C Sadness lasting ≥ 2 weeks
D Baby blues + 1 counseling visit
Answer: C. Sadness lasting ≥ 2 weeks
Question: Multiparous postpartum client with boggy fundus despite massage — nurse should:
Answer Choices:
A Continue massaging
B Recheck vital signs
C Call for help
D Insert Foley
Answer: C. Call for help