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

Progestin-only contraceptives do not suppress milk supply and are the preferred hormonal contraceptive option for breastfeeding mothers.

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

Before catheterization, the nurse should assess the degree of distension and try non-invasive measures such as running water, privacy, and warm perineal rinse.

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

A platelet count of 48,000/mm³ is critically low and increases risk for life-threatening hemorrhage, requiring immediate provider notification.

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

Chest pain and dyspnea in a postpartum client suggest pulmonary embolism; oxygen and immediate provider notification are the priority interventions.

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

Continued breastfeeding or pumping is recommended during mastitis because stopping can worsen engorgement, promote abscess formation, and prolong infection.

Maternal Newborn Nursing Test Practice Test

Maternal Newborn Nursing Test Practice Test

Maternal Newborn Nursing Test Maternity Nursing: Postpartum 5