Maternal Newborn Nursing Test Maternity Nursing: Postpartum 3

Question 1

A postpartum client develops a temperature of 38.5°C (101.3°F) on day 3. Which source of infection should the nurse assess first?

Accepted Answer

Endometrium

Answer

Endometritis is the most common cause of postpartum fever after the first 24 hours and is characterized by uterine tenderness and foul-smelling lochia.

Question 2

A nurse notes that a postpartum client's lochia has returned to bright red after being pink. What is the most likely cause?

Accepted Answer

Excessive activity or resuming intercourse too soon

Answer

A return to bright red lochia (lochia rubra) after it has lightened usually indicates the client has been too physically active.

Question 3

Which assessment finding indicates successful postpartum adaptation of the urinary system?

Accepted Answer

Voiding at least 150 mL with first void after delivery

Answer

The client should void spontaneously within 6–8 hours postpartum; a void of at least 150 mL suggests adequate bladder function.

Question 4

A postpartum client is being discharged on postpartum day 2. Which instruction about activity is most appropriate?

Accepted Answer

Begin gentle walking and gradually increase activity as tolerated

Answer

Gradual resumption of activity starting with gentle walking promotes recovery without risking excessive bleeding or fatigue.

Question 5

A client who delivered 48 hours ago reports painful, hard, warm breast engorgement. She is formula-feeding. What intervention should the nurse recommend?

Accepted Answer

Wear a supportive bra, apply ice packs, and avoid nipple stimulation

Answer

For non-breastfeeding clients, engorgement is managed by wearing a snug bra, applying cold compresses, and avoiding stimulation that triggers further milk production.

Maternal Newborn Nursing Test Practice Test

Maternal Newborn Nursing Test Practice Test

Maternal Newborn Nursing Test Maternity Nursing: Postpartum 3