Maternal Newborn Nursing Test Maternity Nursing: Postpartum 4

Question 1

A postpartum client has a hemoglobin of 8.2 g/dL. Which symptom is she most likely to report?

Accepted Answer

Fatigue and pallor on exertion

Answer

Anemia from postpartum blood loss manifests primarily as fatigue, pallor, and decreased activity tolerance.

Question 2

Which position should the nurse teach a client with a third-degree perineal laceration to use for most comfortable sitting?

Accepted Answer

Clenching buttocks together before sitting and using a foam donut cushion

Answer

Squeezing the buttocks together before sitting reduces direct pressure on the perineum, and a foam ring cushion further relieves discomfort.

Question 3

A client on postpartum day 1 is crying and states she feels overwhelmed and irritable. Her assessment is otherwise normal. How should the nurse interpret this?

Accepted Answer

Normal postpartum blues related to hormonal shifts

Answer

Postpartum blues affect up to 80% of new mothers within the first few days due to rapid estrogen and progesterone decline; they resolve within 2 weeks without treatment.

Question 4

A client is prescribed methylergonovine (Methergine) for postpartum uterine atony. Which vital sign is a contraindication to administering this medication?

Accepted Answer

Blood pressure of 148/94 mmHg

Answer

Methylergonovine is a vasoconstrictor and is contraindicated in hypertension because it can dangerously elevate blood pressure.

Question 5

Which assessment best indicates that postpartum involution is progressing normally on day 3?

Accepted Answer

Fundus 3 cm below the umbilicus

Answer

The uterus descends approximately 1 cm (one fingerbreadth) per day; by day 3 it should be approximately 3 cm below the umbilicus.

Maternal Newborn Nursing Test Practice Test

Maternal Newborn Nursing Test Practice Test

Maternal Newborn Nursing Test Maternity Nursing: Postpartum 4