Question: Breastfeeding diet — which statement is correct?
Answer Choices:
A Decrease fiber
B Reduce salt
C Eat more protein
D More vitamin D
Answer: C. Eat more protein
Question: Normal bowel movement expected within:
Answer Choices:
A 7 days
B 1 day
C 2 weeks
D 3 days
Answer: D. 3 days
Question: Pitocin order calculation — starting pump rate?
Answer Choices:
(Not multiple choice; calculation question)
Answer: 36 mL/hr
Question: Cause of diaphoresis postpartum?
Answer Choices:
A Increased venous pressure
B Infection
C Increased BMR
D Loss of pregnancy blood volume
Answer: D. Loss of pregnancy blood volume
Question: A steady trickle of bright red blood with firm fundus indicates:
Answer Choices:
A Hematoma
B Vaginal laceration
C Uterine atony
D Infection
Answer: B. Vaginal laceration
Question: Which medications are used to manage postpartum hemorrhage? (Select all)
Answer Choices:
A Pitocin
B Hemabate
C Magnesium sulfate
D Methergine
E Terbutaline
Answer: A, B, D. Pitocin; Hemabate; Methergine
Question: Which postpartum patient should the nurse see first?
Answer Choices:
A Multip, 1st postpartum day, 4 cm diastasis recti
B Multip, 2nd day post-cesarean, moderate lochia serosa
C Primip, day of delivery, fundus firm 3 cm above umbilicus
D Primip, 1st postpartum day, hypoactive bowel sounds
Answer: C. Primip, day of delivery, fundus firm 3 cm above umbilicus
Question: Moderate lochia rubra with small clots and firm fundus — action?
Answer Choices:
A More fundal massage
B Notify provider
C Document & monitor
D Encourage voiding
Answer: C. Document & monitor
Question: Normal involution on day 14:
Answer Choices:
A Bright red lochia
B Red/puffy episiotomy
C Fundus below symphysis
D Tender breasts
Answer: C. Fundus below symphysis
Question: Early attachment — which behavior?
Answer Choices:
A Avoids eye contact
B Hesitant to hold
C Eye contact & gentle touch
D Requires frequent assistance
Answer: C. Eye contact & gentle touch
Question: Drying up milk — which interventions should be avoided? (Select all)
Answer Choices:
A Analgesics
B Warm compress & massage
C Avoid stimulation
D Increase fluids & express milk
E Tight bra
F Cold packs/cabbage
Answer: B, D. Warm compress & massage; Increase fluids & express milk
Question: Prevention of thrombophlebitis after cesarean:
Answer Choices:
A Passive ROM
B Ambulation
C Blanket behind knees
D Limit fluids
Answer: A. Passive ROM
Question: When will breast milk “come in”?
Answer Choices:
A 2 days
B 3–5 days
C 6–8 days
D 10 days
Answer: B. 3–5 days
Question: Self-limiting mood disorder after childbirth:
Answer Choices:
A Postpartum blues
B Psychosis
C Bipolar
D Depression
Answer: A. Postpartum blues
Question: Which is not a good way to promote maternal–infant bonding?
Answer Choices:
A Encourage skin-to-skin
B Encourage pacifier use
C Help mother identify positive feelings
D Room-in with baby
Answer: B. Encourage pacifier use