Obstetric Nurse Test Obstetric Nurse Postpartum Maternal Care 2

Question 1

A postpartum patient reports soaking more than one perineal pad per hour for two consecutive hours. What is the nurse's priority action?

Accepted Answer

Notify the provider immediately

Answer

Saturating more than one pad per hour for two hours indicates excessive postpartum hemorrhage requiring immediate provider notification.

Question 2

Which uterine finding is expected at 12 hours postpartum?

Accepted Answer

Fundus at the umbilicus, firm

Answer

At 12 hours postpartum, the fundus is typically at the level of the umbilicus and should be firm.

Question 3

A nurse assesses a postpartum patient who had a vaginal delivery and notes the lochia has changed from rubra to serosa on day 2. What should the nurse do?

Accepted Answer

Document as a normal finding

Answer

Lochia transitioning from rubra to serosa within the first few days is a normal postpartum finding and should be documented as such.

Question 4

Which medication is most appropriate to administer when a postpartum patient's uterus is boggy and fundal massage has not improved uterine tone?

Accepted Answer

Oxytocin 10 units IM or IV infusion

Answer

Oxytocin is the first-line uterotonic agent for postpartum uterine atony after fundal massage fails.

Question 5

A postpartum patient with a third-degree perineal laceration asks the nurse about diet. Which recommendation is most appropriate?

Accepted Answer

Increase fiber and fluid intake to promote soft stools

Answer

High fiber and fluid intake promotes soft, easy-to-pass stools, reducing strain on the repaired perineal laceration.

Obstetric Nurse Test Practice Test

Obstetric Nurse Test Practice Test

Obstetric Nurse Test Obstetric Nurse Postpartum Maternal Care 2