Obstetric Nurse Test Obstetric Nurse Postpartum Maternal Care 3

Question 1

A breastfeeding mother at 48 hours postpartum reports breast engorgement. Which intervention is most appropriate?

Accepted Answer

Encourage frequent feeding and warm compresses before nursing

Answer

Frequent nursing and warm compresses before feeding help relieve engorgement by promoting milk let-down and flow.

Question 2

Which postpartum vital sign finding requires the most immediate nursing action?

Accepted Answer

Blood pressure 162/110 mmHg on day 2 postpartum

Answer

A blood pressure of 162/110 mmHg meets the threshold for severe hypertension and requires immediate intervention to prevent eclampsia or stroke.

Question 3

A postpartum patient who delivered via cesarean section reports sharp, shooting chest pain and shortness of breath on day 3. What is the nurse's priority concern?

Accepted Answer

Pulmonary embolism

Answer

Chest pain and dyspnea in the early postpartum period, especially post-cesarean, raise high concern for pulmonary embolism due to increased clotting risk.

Question 4

A patient on day 5 postpartum develops a fever of 38.5°C, unilateral breast redness, and warmth. What condition should the nurse suspect?

Accepted Answer

Mastitis

Answer

Fever combined with unilateral breast redness and warmth after day 3 postpartum is classic for mastitis, typically caused by Staphylococcus aureus.

Question 5

Which finding during postpartum assessment of a patient's extremities warrants immediate notification of the provider?

Accepted Answer

Unilateral calf redness, warmth, and tenderness

Answer

Unilateral calf redness, warmth, and tenderness are classic signs of deep vein thrombosis, a serious postpartum complication requiring immediate evaluation.

Obstetric Nurse Test Practice Test

Obstetric Nurse Test Practice Test

Obstetric Nurse Test Obstetric Nurse Postpartum Maternal Care 3