Postpartum Care Knowledge Quiz

A healthcare professional assessing a postpartum mother in a hospital setting, highlighting maternal care and education, with warm colors and a soothing environment.

Postpartum Care Knowledge Quiz

Test your knowledge on postpartum care with our comprehensive quiz designed for healthcare professionals and students alike. Covering critical topics such as hemorrhage management, risk factors, and maternal well-being, this quiz will enhance your understanding and preparation for real-world scenarios.

Key Features:

23 multiple choice questions
Real-life scenarios
Immediate scoring and feedback

23 Questions6 MinutesCreated by CaringNurse247

Which statement by a postpartum woman indicates that further teaching is not needed regarding thrombus formation?

"I'll stay in bed for the first 3 days after my baby is born."

I'll sit in my rocking chair most of the time."

"I'll put my support stockings on every morning before rising."

The perinatal nurse is caring for a woman in the immediate postbirth period. Assessment reveals that the woman is experiencing profuse bleeding. The most likely etiology for the bleeding is

Uterine atony

Vaginal laceration

Vaginal hematoma

The nurse knows that a measure for preventing late postpartum hemorrhage is to

Manually remove the placenta.

Inspect the placenta after delivery

Administer broad-spectrum antibiotics

A multiparous woman is admitted to the postpartum unit after a rapid labor and birth of a 4000 g infant. Her fundus is boggy, lochia is heavy, and vital signs are unchanged. The nurse has the woman void and massages her fundus, but her fundus remains difficult to find, and the rubra lochia remains heavy. The nurse should

Continue to massage the fundus.

Notify the physician

Recheck vital signs.

Early postpartum hemorrhage is defined as a blood loss greater than

500 mL in the first 24 hours after vaginal delivery

1000 mL in the first 48 hours after cesarean delivery

750 mL in the first 24 hours after vaginal delivery

1500 mL in the first 48 hours after cesarean delivery

A woman delivered a 9-lb, 10-oz baby 1 hour ago. When you arrive to perform her 15-minute assessment, she tells you that she "feels all wet underneath." You discover that both pads are completely saturated and that she is lying in a 6-inch-diameter puddle of blood. What is your first action

Call for help.

Assess the fundus for firmness.

Take her blood pressure.

Check the perineum for lacerations.

A steady trickle of bright red blood from the vagina in the presence of a firm fundus suggests

Uterine atony

Lacerations of the genital tract

Perineal hematoma

Infection of the uterus

A postpartum patient is at increased risk for postpartum hemorrhage if she delivers a(n)

6.5-lb infant after a 2-hour labor

7-lb infant after an 8-hour labor

5-lb, 2-oz infant with outlet forceps

What instructions should be included in the discharge teaching plan to assist the patient in recognizing early signs of complications?

Palpate the fundus daily to ensure that it is soft.

Notify the physician of any increase in the amount of lochia or a return to bright red bleeding

Report any decrease in the amount of brownish red lochia.

The passage of clots as large as an orange can be expected

Which woman is at greatest risk for early postpartum hemorrhage?

A primiparous woman (G 2 P 1 0 0 1) being prepared for an emergency cesarean birth for fetal distress

A woman with severe preeclampsia on magnesium sulfate whose labor is being induced

A multiparous woman (G 3 P 2 0 0 2) with an 8-hour labor

A primigravida in spontaneous labor with preterm twins

When caring for a postpartum woman experiencing hypovolemic shock, the nurse recognizes that the most objective and least invasive assessment of adequate organ perfusion and oxygenation is

Absence of cyanosis in the buccal mucosa

Cool, dry skin

Diminished restlessness

Decreased urinary output

The nurse should expect medical intervention for subinvolution to include

Oral methylergonovine maleate (Methergine) for 48 hours

Oxytocin intravenous infusion for 8 hours

Oral fluids to 3000 mL/day

Intravenous fluid and blood replacement

The mother-baby nurse must be able to recognize what sign of thrombophlebitis?

Positive Homans’ sign

Local tenderness, heat, and swelling

Pedal edema in the affected leg

Visible varicose veins

Which nursing measure is appropriate to prevent thrombophlebitis in the recovery period after a cesarean birth?

Roll a bath blanket and place it firmly behind the knees

Limit oral intake of fluids for the first 24 hours.

Assist the patient in performing gentle leg exercises.

Ambulate the patient as soon as her vital signs are stable

The perinatal nurse caring for the postpartum woman understands that late postpartum hemorrhage is most likely caused by

Subinvolution of the uterus

Defective vascularity of the decidua

Cervical lacerations

Coagulation disorders

Nursing measures that help prevent postpartum urinary tract infection include

Promoting bed rest for 12 hours after delivery

Discouraging voiding until the sensation of a full bladder is present

Forcing fluids to at least 3000 mL/day

Encouraging the intake of orange, grapefruit, or apple juice

Which measure may prevent mastitis in the breastfeeding mother?

Initiating early and frequent feedings

Nursing the infant for 5 minutes on each breast

Wearing a tight-fitting bra

Applying ice packs before feeding

A mother with mastitis is concerned about breastfeeding while she has an active infection. The nurse should explain that

The infant is protected from infection by immunoglobulins in the breast milk.

The infant is not susceptible to the organisms that cause mastitis

The organisms that cause mastitis are not passed to the milk

The organisms will be inactivated by gastric acid

If the nurse suspects a uterine infection in the postpartum patient, she should assess the

Pulse and blood pressure

Odor of the lochia

Episiotomy site

Abdomen for distention

Which condition is a transient, self-limiting mood disorder that affects new mothers after childbirth?

Postpartum depression

Postpartum psychosis

Postpartum bipolar disorder

Postpartum blues

When a woman is diagnosed with postpartum psychosis, one of the main concerns is that she may

Have outbursts of anger

Neglect her hygiene

Harm her infant

Lose interest in her husband

To provide adequate postpartum care, the nurse should be aware that postpartum depression (PPD)

Is the “baby blues” plus the woman has a visit with a counselor or psychologist

Is more common among older, Caucasian women because they have higher expectations

Is distinguished by pervasive sadness that lasts at least 2 weeks

Will disappear on its own without outside help

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Postpartum Care Knowledge Quiz

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