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1. The nurse is conducting a class for postpartum women about mood disorders. The nurse
describes a transient, self-limiting mood disorder that affects mothers after birth. The
nurse determines that the women understood the description when they identify the
condition as postpartum: abirb.com/test
A) depression.
B) psychosis.
C) bipolar disorder. abirb.com/test
D) blues.

2. A nurse is assessing a postpartum client. Which finding would the cause the nurse the
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greatest concern?
A) leg pain on ambulation with mild ankle edema
B) calf pain with dorsiflexion of the foot abirb.com/test
C) perineal pain with swelling along the episiotomy
D) sharp stabbing chest pain with shortness of breath

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3. A nurse is caring for a client in the postpartum period. When observing the client's
condition, the nurse notices that the client tends to speak incoherently. The client's
thought process is disoriented, and she frequently indulges in obsessive concerns. The
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nurse notes that the client has difficulty in relaxing and sleeping. The nurse interprets
these findings as suggesting which condition?
A) postpartum psychosis
B) postpartum blues abirb.com/test

C) postpartum depression
D) postpartum panic disorder
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4. A nurse is assigned to care for a client experiencing early postpartum hemorrhage. The
nurse is required to administer the prescribed methylergonovine maleate intramuscularly
to the client. Which condition would the nurse identify asabirb.com/test
necessitating the cautious
administration of this drug?
A) mild fever
B) respiratory problems abirb.com/test
C) low blood pressure
D) cardiovascular disease
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5. A female client who has very recently given birth arrives at a health care center
complaining of painful urination. Assessment also reveals that the client has a
temperature of 102 °F (38.9 °C) The physician suspects the client has pyelonephritis.
Which of the following would the nurse expect to assess?abirb.com/test
Select all that apply.
A) Fatigue
B) Constipation
C) Flank pain abirb.com/test
D) Chills
E) Anorexia

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6. When caring for a client with postpartum depression (PPD), which assessment findings
would confirm the diagnosis? Select all that apply.
A) Sense of isolation abirb.com/test
B) Decreased energy
C) Hostility toward others
D) Extreme anxiety
E) Hot or cold flashes abirb.com/test

7. A nurse discovers a perineal hematoma in a woman whoabirb.com/test

has recently given birth. Which
interventions should the nurse make in this case? Select all that apply.
A) Estimate the size of the hematoma and report it
B) Administer a mild analgesic as prescribed
C) Apply an ice pack to the site abirb.com/test

D) Administer an antibiotic
E) Perform fundal massage
F) Administer methotrexate abirb.com/test

8. A nurse is caring for a postpartum client who has a history of thrombosis during
pregnancy and is at high risk of developing a pulmonaryabirb.com/test
embolism. For which sign or
symptom should the nurse monitor the client to prevent the occurrence of pulmonary
embolism?
A) sudden change in mental status abirb.com/test
B) difficulty in breathing
C) calf swelling
D) sudden chest pain
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9. A nurse is caring for a client with idiopathic thrombocytopenic purpura (ITP). Which
intervention should the nurse perform first?
A) administration of prescribed nonsteroidal anti-inflammatory drugs (NSAIDs)
B) administration of platelet transfusions as prescribedabirb.com/test
C) avoiding administration of oxytocics
D) continual firm massage of the uterus
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10. Two weeks after a vaginal birth, a client presents with low-grade fever. The client also
reports a loss of appetite and low energy levels. The health care provider suspects an
infection of the episiotomy. What sign or symptom is most indicative of an episiotomy
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infection?
A) foul-smelling vaginal discharge
B) sudden onset of shortness of breath abirb.com/test
C) pain in the lower leg
D) apprehension and diaphoresis

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11. A nurse finds that a client is bleeding excessively after a vaginal birth. Which
assessment finding would indicate retained placental fragments as a cause of bleeding?
A) soft and boggy uterus that deviates from the midlineabirb.com/test
B) firm uterus with trickle of bright red blood in perineum
C) firm uterus with a steady stream of bright red blood
D) Large uterus with painless dark red blood mixed with clots
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12. A laboring woman with a history of a previous cesarean birth suddenly begins to exhibit
manifestations of hypovolemic shock. Suspecting either abirb.com/test
complete or partial uterine
rupture, which priority interventions should the nurse implement first? Select all that
apply.
A) Increase IV fluids immediately.
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B) Prepare to administer IV oxytocin to assist with uterine contraction.
C) Call respiratory therapy to obtain ABGs.
D) Prepare to administer epinephrine directing into the uterine muscle.
E) Weigh all the blood-saturated bandages to determine amount of blood loss.
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13. A mother is experiencing postpartum hemorrhage shortly after delivery of her infant.
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Which nursing interventions would be appropriate for this client? Select all that apply.
A) Encourage the mother to breast-feed her infant if she is breast-feeding.
B) Begin uterine massage with both hands on the fundus of the uterus.
C) Turn the mother on her side and inspect the area under her buttocks for blood.
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D) Encourage increased fluid intake.
E) Monitor vital signs every 15 minutes.
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14. What is a risk factor for developing a postpartum infection? Select all that apply.
A) diabetes type 1
B) thin build
C) prolonged labor abirb.com/test
D) cesarean birth
E) rupture of membranes at time of birth
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15. What intervention would the nurse recommend for a new breastfeeding mother with
mastitis? Select all that apply.
A) Encourage the client to breastfeed the infant every 3abirb.com/test
to 4 hours.
B) Begin feedings on the unaffected breast.
C) Take prescribed antibiotics for 10 days.
D) Apply warm compresses as a comfort measure for her pain.
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E) Stop breastfeeding until the infection clears up.

16. A new mother is diagnosed with a venous thromboembolism abirb.com/test

in her left calf. Which risk
factor is associated with this problem? Select all that apply.
A) maternal age greater than 30
B) cesarean birth abirb.com/test
C) obesity
D) precipitous birth
E) hypotension
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17. The nurse is providing care for a postpartum client who has been diagnosed with a
perineal infection and who is being treated with antibiotics. What is the nurse's most
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appropriate intervention?
A) Encourage fluid intake.
B) Encourage the client to limit mobility.
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C) Provide several small meals daily rather than three larger meals.
D) Administer antacids with each dose of antibiotics.

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18. A nurse is caring for a postpartum client whose most recent assessment reveals a large,
purple area of edema on the left side of her perineum. What is the nurse's best action?
A) Report the finding promptly to the primary care provider.
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B) Apply an ice pack and reassess in 30 minutes.
C) Provide the client with a hot pack and analgesia as prescribed.
D) Document this expected finding and reassess frequently.
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19. On postpartum day 4, a client has a temperature of 101.4 °F (38.6 °C). Which findings
would be consistent with a diagnosis of endometritis? Select all that apply.
A) foul-smelling lochia
B) tender uterus abirb.com/test
C) strong afterpains
D) fluctuant, perineal mass
E) swollen, warm breast abirb.com/test

20. Which postpartum clients would require the nurse to intervene? Select all that apply.
A) Primipara with vital signs including temperature 100.2, blood pressure 140/ 86,
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pulse 124, respiratory rate 12.

B) Multipara with vital signs including temperature 99, blood pressure 136/84, pulse
96, respiratory rate 32. abirb.com/test
C) Postpartum client with urine output of 30 ml/hour for 2 hours.
D) First day postpartum client with blood pressure 84/48, pulse 128, respiratory rate
16.
E) Postpartum client requesting newborn stay in nursery abirb.com/test
so that she can nap.
F) Primipara with vital signs including temperature 100.2, respiratory rate 28, oxygen
saturation 94%.
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Answer Key
1. D
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2. D
3. A
4. D
5. C, D, E abirb.com/test
6. A, B, C
7. A, B, C
8. C
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9. B
10. A
11. D
12. A, B abirb.com/test
13. A, C, D, E
14. A, C, D
15. B, C, D
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16. B, C
17. A
18. A
19. A, B abirb.com/test
20. A, B, C, D, F

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