Obstetric Nurse Test Obstetric Nurse Postpartum Maternal Care 5

Question 1

A nurse is providing discharge teaching about postpartum warning signs. Which symptom should prompt the patient to call her provider immediately?

Accepted Answer

Headache unrelieved by acetaminophen with visual changes

Answer

A headache unresponsive to analgesics combined with visual changes may indicate postpartum preeclampsia or hypertensive crisis requiring emergency evaluation.

Question 2

Which postpartum patient is at highest risk for developing postpartum hemorrhage?

Accepted Answer

Multigravida who delivered twins with a prolonged third stage of labor

Answer

Multiple gestation and prolonged third stage of labor are major risk factors for uterine atony, the leading cause of postpartum hemorrhage.

Question 3

A postpartum patient is being assessed using the 'BUBBLE-HE' framework. What does the second 'B' represent?

Accepted Answer

Bowel

Answer

In the BUBBLE-HE mnemonic (Breasts, Uterus, Bladder, Bowel, Lochia, Episiotomy/laceration, Homan's sign/Homans, Emotions), the second B stands for Bowel.

Question 4

A postpartum patient reports difficulty starting a urine stream and dribbling. She voided only 50 mL since delivery 8 hours ago. What should the nurse do next?

Accepted Answer

Palpate and percuss the suprapubic area to assess for bladder distention

Answer

Assessing for bladder distention by palpation and percussion is the next step to determine whether the patient has urinary retention before proceeding to catheterization.

Question 5

Which instruction should the nurse provide to a postpartum patient about performing Kegel exercises?

Accepted Answer

Begin Kegel exercises as soon as tolerated postpartum to strengthen pelvic floor muscles

Answer

Kegel exercises can be started as soon as comfortable after delivery to improve pelvic floor tone, reduce incontinence, and promote perineal healing.

Obstetric Nurse Test Practice Test

Obstetric Nurse Test Practice Test

Obstetric Nurse Test Obstetric Nurse Postpartum Maternal Care 5