NCLEX OB Postpartum Practice Test

These questions are part of the practice quiz. Start practicing

• Before administering Methergine or Pitocin for postpartum hemorrhage, what nursing assessment is priority?
• The decrease in insulin needs after birth is due to the loss of which hormone produced by the placenta?
• A Rh-negative mother delivers an Rh-positive infant. When should Rho(D) immune globulin be given?
• The transition of lochia from rubra to serosa occurs roughly in which timeframe?
• Which statement about breastfeeding for a mother with diabetes is true?
• What is the recommended frequency and duration for breastfeeding in the first weeks?
• Lochia alba typically begins around which time postpartum?
• Which medication can be used to reduce bleeding by inhibiting fibrinolysis during postpartum hemorrhage?
• Which measure is recommended to prevent breast engorgement in non-breastfeeding mothers?
• Which intervention is used if pharmacologic measures fail to control postpartum hemorrhage due to uterine atony?
• Which finding is a common sign of postpartum endometritis?
• One day postpartum, a primiparous breastfeeding woman has an expected finding during breast assessment. Which is correct?
• What is the typical pattern of newborn weight loss and regain timing?
• Which factor increases the risk for vulvar hematoma after delivery?
• What benefits does kangaroo care provide?
• By approximately what time are newborns expected to regain birth weight with adequate feeding?
• Which measure reduces infection risk after cesarean birth?
• In a postpartum patient with epidural anesthesia, which finding best indicates a vulvar hematoma?
• A postpartum client at 4 hours postpartum has cool, clammy skin, restlessness, and thirst. The nurse should:
• Which action should be avoided when the uterus is boggy and bleeding occurs?
• Which nursing assessment is most critical for early detection of postpartum hemorrhage?
• Which statement is NOT a benefit of kangaroo care?
• Which agent is commonly used postpartum to prevent constipation?
• Discharge teaching should include warning signs such as heavy bleeding with large clots, fever, or severe pain.
• What is the common emotional response experienced in the first week after giving birth?
• Which statement about mastitis self-care is NOT recommended?
• When performing a fundal assessment, what should the nurse do first?
• What is a key component of discharge teaching for a new mother and infant?
• Which symptom timeline indicates postpartum mood disorder beyond the typical baby blues?
• What is an essential postpartum nursing action to prevent bladder distention and support uterine involution?
• Which intervention helps a breastfeeding mother with engorged breasts?
• What is the purpose of Rho(D) immune globulin administration during pregnancy and after birth?
• Which statement describes a normal newborn respiratory and cardiovascular assessment immediately after birth?
• What is a recommended approach to facilitating siblings' adjustment at home?
• Which parameter is NOT included in the APGAR scoring?
• Identify two prostaglandin uterotonics used postpartum and one common side effect for each.
• A postpartum patient develops unilateral leg swelling and calf tenderness. What is the priority action?
• What postpartum fever threshold should prompt infection workup?
• What is the typical description of Lochia Alba?
• Which nursing assessment finding would most support successful initiation of breastfeeding in the first hour after birth?
• Before giving rubella vaccine, which fact should the nurse include in client teaching?
• What symptom would indicate postpartum mood disorder beyond the typical baby blues?
• Which risk factor in the postpartum period increases the risk for DVT?
• Which finding would prompt evaluation for postpartum infection?
• A 1-day postpartum patient has lochia that is red with a foul-smelling odor. This finding indicates?
• On postpartum day 3, the fundus should be located relative to the umbilicus?
• Within the BUBBLE-HE postpartum assessment framework, what does the Emotions/Homans sign component assess?
• A postpartum client has a boggy uterus 6 hours after birth; fundal height is 2 fingerbreadths below the umbilicus and displaced to the right. What is the priority action?
• Which of the following is an early sign of a DVT postpartum?
• The letting-go phase begins several weeks after birth as the mother incorporates the new infant into the family unit. Which postpartum phase is described?
• Which postpartum depression screening tool is commonly used, and what does a higher score indicate?
• Postpartum activity guidance generally includes which recommendation?
• A plugged duct is best managed by which approach?
• Which statement best reflects mastitis management for a lactating mother who continues to breastfeed?
• Postpartum follow-up timing can vary depending on which factors?
• Which statement describes taking-hold stage?
• One hour after birth, a boggy fundus 1 cm below the umbilicus with profuse lochia and clots. What is the initial action?
• Which of the following is a typical finding in puerperal endometritis?
• Which finding would be an early sign of excessive blood loss in a postpartum client?
• Phototherapy is used when bilirubin reaches what threshold?
• Which condition could increase the severity of afterpains?
• What finding best suggests retained placenta after delivery?
• What is the significance of a boggy uterus that remains unresponsive to massage?
• If the uterus is boggy after delivery, what is the appropriate initial nursing action?
• What is the role of ultrasound in suspected retained placenta?
• Which postpartum symptom would require urgent evaluation after discharge?
• Lochia serosa is pinkish-brown and appears during which postpartum days?
• Which finding indicates proper uterine involution on day 1 postpartum?
• Which hormone is primarily responsible for promoting uterine involution and milk let-down during breastfeeding?
• Which hormone stimulates milk production in the postpartum period?
• Which sign indicates a wound infection after cesarean birth?
• What does the BUBBLE-HE acronym represent in postpartum assessment?
• Lochia alba may continue for what duration postpartum?
• Which postpartum complication requires immediate assessment and possible surgical intervention when a cervix or uterus is at risk?
• In postpartum care, which symptom would indicate a pulmonary embolism?
• What sleep position is recommended for newborns to reduce SIDS risk?
• A patient bleeds heavily despite a firm uterus after placental delivery. What is a likely cause?
• Which statement best describes an essential element of discharge teaching for a newborn and mother?
• Name the first-line uterotonic used to prevent/treat postpartum bleeding and one major adverse effect to monitor.
• Which physiologic change contributes to rapid diuresis in the early postpartum period?
• Six hours after delivery, a patient reports faintness and dizziness. What action is most appropriate?
• What is the recommended care for a cesarean incision immediately after birth?
• What vaccination is routinely given postpartum to a nonimmune mother?
• Which factor is NOT associated with increased afterpains?
• Which statement indicates a need for further teaching regarding mastitis management?
• What is a common reason for delayed involution or prolonged lochia?
• Which of the following is not a risk factor for postpartum DVT?
• Transitional milk begins around which postpartum days?
• What is the purpose of a Bakri balloon in postpartum care?
• In the first 24 hours postpartum, a temperature of 100.4°F is most likely due to dehydration; the nurse should:
• APGAR score provides a quick assessment of the newborn and is performed at what times?
• Which postpartum considerations are particularly important for a mother who had a cesarean delivery?
• Which symptom is a red flag that requires urgent medical evaluation in the postpartum period?
• Which of the following best describes the recommended management for postpartum constipation?
• Who should carry the newborn into the home to greet the other children?
• Duplex ultrasonography is the preferred diagnostic test to confirm which postpartum complication?
• Which assessment is essential for monitoring uterine involution after delivery?
• Which signs would a nurse note for superficial thrombophlebitis in a postpartum client on anticoagulant therapy?
• Which analgesic options are safe for breastfeeding mothers postpartum?
• Which physiological response is considered normal in the early postpartum period?
• Uterine atony is most commonly associated with postpartum hemorrhage in the immediate postpartum period. What is a key sign?
• What is the purpose of fundal massage?
• Two days postpartum, which lochia type is expected?
• What is the key nursing action to prevent uterine atony-related hemorrhage after delivery?
• When should Hepatitis B vaccine be administered to the newborn, and what additional protection is given if mother is HBsAg positive?
• Which statement best describes the nurse's role in supporting the taking-in stage and early attachment?
• In a rubella non-immune postpartum patient, what is the appropriate plan regarding vaccination and subsequent pregnancy?
• For a postpartum perineal check, when should gloves be donned?
• Postpartum Type 2 diabetic insulin requirements immediately postpartum are typically:
• A fundus is located to the left of the midline after a fundal assessment. What action is appropriate?
• To help the adjustment of other children to a new baby, which practice is recommended?
• Which symptom is a cardinal sign indicating postpartum endometritis?
• Which statement about risk factors for postpartum uterine atony is true?
• When a mother in the taking-in stage is exhausted and not feeding, which approach is appropriate?
• Methylergonovine (Methergine) is contraindicated in which condition?
• In the taking in phase of postpartum adaptation, the mother is typically...
• When is a typical postpartum follow-up visit scheduled?
• Four hours after birth, a primiparous woman refuses to feed, stating she is too tired and wants to sleep. What should the nurse do?
• Which change best describes the insulin needs of a client with type 1 diabetes who has just delivered an infant vaginally without complications?
• Which postpartum sign suggests bronchospasm risk with a uterotonic?
• Which practice supports maternal self-care during postpartum?
• A postpartum patient experiences sudden, severe perineal pain with a tense swelling in the perineal area. What is the most likely diagnosis?
• After a suspected postpartum transfusion reaction, what is the recommended sequence of actions?
• Which sign would indicate superficial venous thrombosis in a postpartum client?
• The normal amount of lochia should never exceed the number of peripads per day.
• After cesarean birth, what respiratory precaution should be maintained?
• When does the fundus typically begin to descend into the pelvis after childbirth?
• Which postpartum finding requires urgent evaluation due to risk of hemorrhage?
• If the postpartum fundus is soft and boggy, what is the most appropriate initial nursing intervention?
• Which statement is not a typical sign of postpartum DVT?
• If a transfusion reaction is suspected postpartum, what is the first action?
• Which circumstance is most likely to cause uterine atony and postpartum hemorrhage?
• What is an important nursing consideration when caring for a postpartum patient on anticoagulants?
• Which nursing action is appropriate for a postpartum client with DVT who is receiving anticoagulant therapy?
• After childbirth, what assessment is important to monitor for potential urinary tract infection?
• Which contraception methods are generally recommended in the early postpartum period for breastfeeding mothers?
• When is newborn screening performed and what is tested?
• Which finding is expected 1 hour after birth as the fundus is assessed postpartum?
• Which newborn finding is NOT a normal finding immediately after birth?
• Physiologic jaundice in the newborn is typically managed how, including onset and when phototherapy is considered?
• When is rubella vaccination contraindicated?
• How does lochia typically progress postpartum, and what lochia characteristics may indicate infection?
• A Rh-negative mother has delivered an Rh-positive infant. What postpartum intervention is used to prevent Rh alloimmunization?
• What type of milk is present in the breasts 7 to 10 days postpartum?
• How should changes in lochia color and odor be interpreted postpartum?
• If let-down is not occurring despite nipple stimulation, what is the appropriate nursing response?
• Carboprost (Hemabate) is contraindicated in patients with which condition?
• Which nursing actions promote accurate documentation of postpartum status?
• In the first 24 hours postpartum, which combination of assessments provides the most comprehensive monitoring?
• In a postpartum client with fever, uterine tenderness, and foul lochia, what is the likely diagnosis?
• Which lifestyle factor is most important for a postpartum patient to promote recovery?
• What is the recommended management for a plugged duct?
• Which of the following is not a typical symptom of puerperal infection?
• A postpartum woman 4 hours after delivery has a temperature of 100.2 F. What is the most appropriate action?
• Which description best describes Lochia Rubra?
• What is a key consideration for nurses when addressing early maternal-newborn attachment?
• A postpartum patient who had a cesarean birth is evaluated for fever and wound drainage. What is the most likely diagnosis?
• Which drug is first-line for preventing or treating PPH after delivery?
• A postpartum patient with signs of hypotension and tachycardia after cesarean birth needs urgent evaluation for which condition?
• Which postpartum condition commonly requires antibiotic therapy and infection control precautions?
• Which perineal care practice would indicate the need for further instruction?
• Which is a common side effect of misoprostol used postpartum?
• Which postpartum measure reduces the risk of infection after a cesarean birth?
• Which medication is generally avoided during breastfeeding due to risk to the infant?
• Lochia alba represents which stage of lochia after birth?
• On which postpartum days can the client expect lochia serosa?
• Which instrument is commonly used to screen for postpartum depression?
• Which are common symptoms of puerperal infection?
• Which postpartum phase is characterized by striving for independence, autonomy, and interest in infant care?
• During the first 1-3 days postpartum, lochia is typically which color?
• Which statement accurately describes transitional milk?
• What is a typical behavior of mothers in the taking-in stage?
• Before giving Methergine or Pitocin, in which condition is it documented that the medication should be avoided?
• On the 3rd postpartum day, which observation about the client would the nurse be most likely to make?
• Which finding would indicate hypovolemia in a postpartum client?
• After epidural anesthesia during labor, forceps delivery after pushing, and a hematoma verified at 6 hours postpartum, the nurse, after notifying the health care provider, would immediately plan to:
• Which hormones are involved in lactation and let-down, respectively?
• In postpartum discharge teaching, which topics are essential?
• A postpartum nurse informs a mother of the expected return of bowel elimination after delivery. When does this usually occur?
• When making a home visit one week after birth, the nurse should recognize that the woman would characteristically:
• What is a key strategy to support bonding when the baby is in the NICU?
• Which symptom is most consistent with mastitis?
• Postpartum cardiac output is most accurately described as which of the following?
• In the first 12 hours after delivery, a postpartum client with a small vulvar hematoma would have which specific intervention included in the plan of care?
• What is the rationale for initiating breastfeeding early and frequently after birth?
• During the immediate postpartum period, how often should vital signs be taken during the first hour after birth?
• Which statement best describes colostrum and the onset of transitional milk?
• A postpartum patient reports heavy lochia with clots and a firm fundus after initial treatment. What is the next likely cause?
• Which lab test is commonly used to monitor anticoagulant therapy such as warfarin in a postpartum patient?
• Which statement best describes breastfeeding for a mother with diabetes?
• Which action demonstrates respect for the mother's need to rest during the taking-in stage?
• Before performing a postpartum fundal assessment, the patient should void because a full bladder:
• If a boggy uterus persists after massage, what is the next step to manage postpartum hemorrhage?
• Which screening tool is commonly used to identify postpartum depression?
• Which statement best describes the management of suspected endometritis postpartum?
• Which statement describes the expected pattern of weight loss immediately after birth?
• Why is vitamin K given to newborns after birth?
• Which safe sleep practice is recommended for newborns?
• What is the recommended approach to caring for the umbilical cord stump in the newborn?
• What is the correct sequence of lochia progression after birth?
• What is the best initial approach to poor latch during breastfeeding?
• Which statement about the taking-in stage is correct?
• During a postpartum check, which position best facilitates examination of the perineum?
• For postpartum mothers who are not breastfeeding, which strategies help prevent engorgement?
• During a postpartum assessment, clots larger than 1 cm are found in the lochia. What is the most appropriate action?
• Which observation would indicate a normal involution postpartum?
• Which activity best promotes adjustment of other children to a new baby?
• Which adverse effect is associated with high-dose oxytocin therapy?
• Which symptom might indicate a thromboembolic event postpartum?
• How should a mother manage a engorged breast while continuing exclusive breastfeeding?
• Postpartum blues typically resolve within how long?
• Which lochia odor is considered normal in the first days after delivery?
• What is the priority action for suspected DVT in a postpartum patient?
• Which non-pharmacologic measures help relieve breast engorgement?
• A postpartum patient has heavy vaginal bleeding with a soft, non-tender uterus that does not firm with massage. What is the next nursing action?
• How do postpartum blues differ from postpartum depression in terms of onset and duration?
• What is the role of the nurse in postpartum discharge planning?
• Why is methylergonovine contraindicated in patients with chronic hypertension?
• Which statement best describes postpartum changes to the cervix?
• Lochia rubra is expected during which postpartum days and what color is it?
• Which complication is most likely responsible for delayed postpartum hemorrhage?
• Which statement best reflects taking-in stage behavior in the postpartum period?
• Which finding would be a source of concern at 12 hours postpartum?
• Which factor most commonly contributes to delayed involution?
• On the first postpartum night, a client requests that her baby be sent back to the nursery; the client is most likely in which phase?
• In the immediate postpartum period, which fundal finding indicates uterine atony requiring fundal massage?
• Name two risk factors for postpartum depression.
• Which statement best describes the taking-in stage after delivery?
• What is the clinical importance of newborn reflexes such as rooting and sucking?
• Which statement best describes colostrum?
• What is the expected time course for involution of the uterus after delivery?
• Which step is appropriate when a postpartum patient has a fever of 38.3 C?
• Which of the following signs indicates a postpartum infection such as endometritis?
• List three signs of perineal infection requiring assessment.
• Continuous seepage of blood from the vagina in a postpartum client with a firm uterus 1 cm below the umbilicus most likely indicates which complication?
• Which postpartum condition requires isolation precautions and infection control considerations?
• Which is a key priority to support mother–baby bonding when the baby is in the NICU?
• A postpartum patient with foul-smelling lochia and fever; what action is appropriate?
• Postpartum hemorrhage is defined as blood loss greater than what amount for a vaginal birth?
• Which strategy supports both maternal and neonatal outcomes during the first 2 weeks after birth?
• What factor might lead to decreased breastmilk supply in a postpartum mother?
• In the first 24 hours postpartum, what is the typical nursing priority?
• Lochia rubra typically lasts for the first few days postpartum. Which option reflects this timing?
• Which care steps are recommended for perineal episiotomy wounds postpartum?
• In the 4th stage of labor, if the fundus is firm but bleeding is excessive, the initial nursing action would be:
• Which statement correctly describes rubella vaccination in the postpartum period?
• Which symptom is most indicative of endometritis after cesarean birth?
• What is a key nursing intervention to reduce postpartum infection risk?
• Which statement correctly describes postpartum rubella vaccination when the patient is non-immune?
• If the uterus remains boggy and does not respond to massage, what action best reflects escalation of care?
• Which postpartum infection is most common after cesarean birth?
• Which measure would be least effective in preventing postpartum hemorrhage?
• Which action is appropriate when a postpartum patient has signs suggestive of a deep vein thrombosis?
• After delivery with six living children, an infusion of lactated Ringer's solution with 10 units of Pitocin is ordered. The nurse understands this is indicated for this client because:
• Why is the rubella vaccine given postpartum?