Maternal Newborn Nursing Test Maternity Nursing: Postpartum 5

Question 1

A postpartum client is breastfeeding and asks about contraception. Which method is safest to recommend at 6 weeks postpartum?

Accepted Answer

Progestin-only mini-pill

Answer

Combined oral contraceptive pills

Answer

Monthly contraceptive injection (Depo-Provera given in first 3 days)

Answer

Estrogen patch

Question 2

A postpartum client reports she cannot urinate 6 hours after a vaginal delivery. Which nursing action is the priority?

Accepted Answer

Assess for bladder distension and offer measures to stimulate voiding

Answer

Encourage oral fluids and reassess in 2 hours

Answer

Perform straight catheterization immediately

Answer

Document the finding and notify the provider

Question 3

Which laboratory value requires the most urgent follow-up in a postpartum client on day 1?

Accepted Answer

Platelet count 48,000/mm³

Answer

Hemoglobin 11.2 g/dL

Answer

WBC 16,000/mm³

Answer

Hematocrit 32%

Question 4

A postpartum client who is 2 days post-cesarean suddenly reports chest pain and dyspnea. Which action should the nurse take first?

Accepted Answer

Administer supplemental oxygen and notify the provider

Answer

Reassure the client that this is normal post-surgical pain

Answer

Perform fundal assessment to rule out hemorrhage

Answer

Obtain a 12-lead ECG and prepare for cardioversion

Question 5

A client with mastitis is prescribed antibiotics. Which instruction should the nurse include?

Accepted Answer

Continue breastfeeding or pumping to prevent milk stasis

Answer

Stop breastfeeding until the infection clears

Answer

Apply cold compresses only to reduce inflammation

Answer

Wean the infant immediately to rest the breast

Question 6

A nurse is performing the Edinburgh Postnatal Depression Scale (EPDS) screening. At what score should the nurse initiate immediate follow-up?

Accepted Answer

Score of 13 or higher

Answer

Score of 5 or higher

Answer

Score of 10 or higher

Answer

Any score above zero

Question 7

A postpartum client delivered a macrosomic infant and is at highest risk for which complication?

Accepted Answer

Uterine atony and postpartum hemorrhage

Answer

Postpartum thyroiditis

Answer

Endometritis from prolonged labor

Answer

Deep vein thrombosis from bedrest