Maternal Newborn Nursing Test Maternity Nursing: Postpartum 2

Question 1

A postpartum client's fundus is boggy and displaced to the right of midline. What is the priority nursing action?

Accepted Answer

Assist client to void or catheterize

Answer

A displaced fundus most commonly indicates a full bladder, which must be emptied before fundal massage will be effective.

Question 2

Which finding on a postpartum assessment at 24 hours is considered normal?

Accepted Answer

Pulse rate of 55 beats/min

Answer

Postpartum bradycardia (50–70 bpm) is a normal physiologic response in the first week after delivery due to increased stroke volume.

Question 3

A nurse is assessing lochia on a postpartum client at day 5. Which characteristic is expected?

Accepted Answer

Pink to brown (serosa)

Answer

Lochia serosa, which is pinkish-brown and watery, is the normal discharge expected between days 4–10 postpartum.

Question 4

A breastfeeding client asks why her uterine cramping worsens during nursing. What is the correct explanation?

Accepted Answer

Oxytocin released during suckling causes uterine contractions

Answer

Suckling stimulates oxytocin release from the posterior pituitary, which promotes uterine contractions and involution.

Question 5

A postpartum client has a fourth-degree perineal laceration. Which intervention is most important for comfort and healing?

Accepted Answer

Administer stool softeners and encourage adequate fluid intake

Answer

Stool softeners and fluids prevent constipation and straining, which is critical with a fourth-degree laceration that extends into the rectal sphincter.

Maternal Newborn Nursing Test Practice Test

Maternal Newborn Nursing Test Practice Test

Maternal Newborn Nursing Test Maternity Nursing: Postpartum 2