Obstetric Nurse Test Obstetric Nurse Postpartum Maternal Care 4

Question 1

A nurse is caring for a postpartum patient with postpartum depression (PPD). Which statement by the patient is most concerning and requires priority intervention?

Accepted Answer

'I sometimes think everyone would be better off without me.'

Answer

Passive suicidal ideation ('everyone would be better off without me') indicates severe PPD and requires immediate psychiatric evaluation.

Question 2

The Edinburgh Postnatal Depression Scale (EPDS) is used to screen for postpartum depression. A score of 13 or above indicates what?

Accepted Answer

Possible postpartum depression requiring further evaluation

Answer

An EPDS score of 13 or above suggests probable postpartum depression and warrants further clinical evaluation and intervention.

Question 3

Which teaching point is most important for a postpartum patient being discharged home regarding her lochia?

Accepted Answer

Report foul-smelling lochia, which may indicate infection

Answer

Foul-smelling lochia is a key warning sign of postpartum endometritis and patients should be taught to report it promptly.

Question 4

A postpartum patient asks when she can resume sexual intercourse. What is the standard nursing guidance?

Accepted Answer

Typically after the 6-week postpartum visit and provider clearance

Answer

Sexual intercourse is generally recommended to resume after the 6-week postpartum checkup and provider approval to ensure adequate healing.

Question 5

Which nursing action is the priority when caring for a postpartum patient with suspected uterine subinvolution?

Accepted Answer

Assess for signs of retained placental fragments or infection

Answer

Uterine subinvolution is commonly caused by retained placental fragments or infection, and these causes must be assessed and addressed promptly.

Obstetric Nurse Test Practice Test

Obstetric Nurse Test Practice Test

Obstetric Nurse Test Obstetric Nurse Postpartum Maternal Care 4