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NCLEX Postpartum Exam Questions with Complete Solution and Rationales

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NCLEX Postpartum Exam Questions with Complete Solution and Rationales The nurse is caring for the postpartum client who is diagnosed with a low-lying placenta. The nurse monitors the client careful... ly for which complication? -Answer- Postpartum hemorrhage The client received epidural anesthesia during labor and had a forceps delivery after pushing for 2 hours. At 6 hours postpartum, the client's systolic blood pressure (BP) dropped 20 points, the diastolic BP dropped 10 points, and her pulse is 120 beats per minute. The client is very anxious and restless. The nurse is told that the client has a vulvar hematoma. On the basis of this diagnosis, the nurse should plan which action? -Answer- Preparing the client for surgery In formulating the plan of care, which problem is most important to address for a postpartum client who has expressed concerns about not knowing how to care for her newborn? -Answer- Lack of knowledge regarding ability to care for the newborn The nurse provides explanation to a client prescribed methylergonovine maleate in the immediate postpartum period. Which statement made by the client demonstrates understanding of the rationale for administration? -Answer- "It will help prevent and control bleeding if it occurs." The nurse is preparing to care for a woman in the immediate postpartum period who has just delivered a healthy newborn. The nurse plans to take the woman's vital signs at which time intervals? -Answer- Every 15 minutes for the first hour and then every 30 minutes for the next 2 hours The nurse is caring for a client during the immediate recovery phase or fourth stage of labor. Which action is important for the nurse to take at this time? -Answer- Check the uterine fundus and lochia. The nurse is monitoring a client at risk for postpartum endometritis. Which observation noted during the first 24 hours after delivery would support this diagnosis? -Answer- Abdominal tenderness and The nurse is assisting with caring for a postpartum client who is experiencing uterine hemorrhage. When planning to meet the psychosocial needs of the client, the nurse should plan which action? -Answer- Keeping the client and her family members informed of her progress The nurse is assigned to care for a client in the immediate postpartum period who received methylergonovine maleate. The nurse determines the medication is effective when the client makes which statement? -Answer- My afterpains are really strong [Show More]

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