Obstetric Nurse Test Obstetric Nurse Postpartum Complications 2

Question 1

A postpartum patient reports a sudden, severe headache rated 9/10 on day 3 after delivery. Her BP is 158/104 mmHg. Which condition should the nurse suspect first?

Accepted Answer

Postpartum preeclampsia

Answer

Severe headache with BP ≥150/100 mmHg after delivery indicates postpartum preeclampsia, which can occur up to 6 weeks postpartum.

Question 2

Which uterine position finding on postpartum assessment most likely indicates urinary retention?

Accepted Answer

Fundus deviated to the right and above expected level

Answer

A full bladder displaces the uterus upward and to one side, preventing normal involution and increasing hemorrhage risk.

Question 3

A patient 5 days postpartum presents with fever 38.9°C, unilateral breast erythema, warmth, and flu-like body aches. The MOST appropriate initial nursing intervention is:

Accepted Answer

Encourage continued breastfeeding and notify the provider for antibiotic evaluation

Answer

Lactation mastitis is treated with antibiotics (typically dicloxacillin), and continued breastfeeding or pumping prevents abscess formation.

Question 4

A postpartum patient's CBC shows hemoglobin 7.2 g/dL on day 1. She is asymptomatic at rest but feels dizzy when ambulating. Which intervention is the priority?

Accepted Answer

Prepare for blood transfusion as ordered and monitor vital signs closely

Answer

Symptomatic anemia with hemoglobin below 7–8 g/dL typically warrants transfusion evaluation and close hemodynamic monitoring.

Question 5

Which finding best distinguishes wound dehiscence from normal postpartum surgical incision healing in a cesarean patient?

Accepted Answer

Separation of wound edges with or without exposed tissue

Answer

Dehiscence is identified by separation of the wound edges, which may expose subcutaneous tissue and requires prompt wound care and medical evaluation.

Obstetric Nurse Test Practice Test

Obstetric Nurse Test Practice Test

Obstetric Nurse Test Obstetric Nurse Postpartum Complications 2