PNU 133 PassPoint PrepU Postpartum Period

The nurse is teaching a client about oral contraceptive therapy. The client reports missing three doses of the scheduled medication. Which statement made by the client indicates understanding of the teaching regarding oral contraceptives?

"I will discard the pack, use an alternative contraceptive method until my menses begins, and start a new pack on the regular schedule."

The nurse is teaching a client how to use a diaphragm. Which instruction should the nurse provide?

"Leave the diaphragm in place for at least 6 hours after intercourse."

A postpartum client has been ordered 500 mg of ampicillin oral suspension. The label reads ampicillin 125 mg/5 mL. How many milliliters should the client receive? Record your answer using a whole number.

20

The nurse is caring for a client who just delivered triplets. Which intervention by the nurse is most important?

Assessing fundal tone and lochia flow

The nurse is caring for a breastfeeding client on her second postpartum day. The breast is enlarged, firm, and warm to touch. Which action is the nurse expected to take?

Encourage the client to breast feed the baby more frequently and regularly.

A couple in the antenatal unit is not satisfied with the care they are receiving. They have spent the past 15 minutes expressing dissatisfaction to the nurse about the care the client is receiving today. What is the most appropriate response by the nurse?

Encourage the family to identify their frustrations and fears.

During the postpartum period, the nurse anticipates normal involution. Which action taken by the nurse promotes involution?

Encourage the mother to breast feed.

A nurse is preparing to evaluate a client who gave birth 6 hours ago. Which statement bestexplains the use of gloves during the postpartum evaluation?

Gloves are an essential part of standard precautions.

A student nurse is accompanying a community health nurse for the day. The RN asks the parents at the home visit if the student can be present for the breastfeeding assessment. The mother's partner declines this opportunity. What is the nurse's most appropriate response?

Honor the partner's preference.

Which of the following options best describes the anticipated actions in the taking-hold phase of the maternal attachment process?

Kissing, embracing, and caring for the infant

The nurse is participating in the care of a client who has given birth to a 7 pound, 4 ounce baby. The nurse observes bleeding saturating the pad. What is the priority intervention at this time to control the bleeding?

Massage the fundus.

A licensed practical nurse (LPN) who typically works in the nursery is being cross-trained to work with postpartum clients. The charge nurse is busy with a delivery and assigns her to complete hourly rounds on the unit. As she enters a client's room, the LPN notices that a client looks pale and shaky. Which action should she take?

Obtain a set of vital signs, check the client's fundus and flow, and compare the findings to baseline data.

While preparing a client for a postpartum tubal ligation, a nurse overhears the client tell her husband that they can always have reversal surgery if they decide they want more children in the future. Which intervention by the nurse would be best?

Review the client's understanding of the procedure in private.

Lochia normally progresses in which of the following patterns?

Rubra, serosa, alba

Which of the following correctly defines puerperium?

The 6 weeks following birth

A client had an emergency cesarean birth. Afterward, the client expresses disappointment about not being able to give birth vaginally. The nurse understands that this feeling may be based on which concept?

The client may feel a loss for not having experienced a vaginal birth.

The nurse is teaching a client how to perform perineal care to reduce the risk of puerperal infection. Which activity indicates that the client understands proper perineal care?

Using a peri bottle to clean the perineum after each voiding or bowel movement

The nurse is assigned to care for five clients on the postpartum unit. In what order, from first to last, will the nurse prioritize assessments? All options must be used.

a client who gave birth vaginally 1 hour ago and was up to void 20 minutes ago a client who gave birth by cesarean section 5 hours ago and is having incision pain a client who gave birth vaginally 5 hours ago and has not yet been able to void a client who gave birth vaginally 12 hours ago and is having difficulty with breastfeeding a client who gave birth by cesarean section 36 hours ago and is asking to be discharged a client who gave birth vaginally 1 hour ago and was up to void 20 minutes ago a client who gave birth by cesarean section 5 hours ago and is having incision pain a client who gave birth vaginally 5 hours ago and has not yet been able to void a client who gave birth vaginally 12 hours ago and is having difficulty with breastfeeding a client who gave birth by cesarean section 36 hours ago and is asking to be discharged

A postpartum client has given birth to a healthy newborn by cesarean. Which information would the nurse most likely reinforce?

coughing and deep-breathing exercises

A client asks the nurse about the rhythm (calendar-basal body temperature) method of family planning. The nurse explains that this method involves:

determination of the fertile period to identify safe times for sexual intercourse.

A new mother is discharged 16 hours after a vaginal birth. After reviewing the client's discharge instructions, the nurse determines that the teaching was successful when the client states that she will contact her health care provider if she develops which symptom?

increased flow of bright red lochia

The nurse is caring for a postpartum client with diabetes who has developed an infection. The nurse would monitor this client for which complication?

ketoacidosis

On the first postpartum night, a client requests that her neonate be sent back to the nursery so she can get some sleep. The nurse identifies that the client is most likely in which phase?

taking-in phase

The nurse is reviewing the medical record of a client who is 6 weeks postpartum and came for a follow up appointment with her health care provider. The client's uterus is enlarged and soft, and she is experiencing vaginal bleeding. Based on the findings, which condition would the nurse most likely suspect?

uterine subinvolution