Immediate Postpartum Care: A Comprehensive Guide for Nursing Students

Question 1

Which pain management approach would be the most appropriate for immediate postpartum care in a patient with no allergies or contraindications?

Accepted Answer

Non-steroidal anti-inflammatory drugs (NSAIDs)

Answer

Intravenous opioids

Answer

Epidural analgesia

Question 2

Which assessment should be prioritized immediately after delivery?

Accepted Answer

Assessing the mother's uterine tone

Answer

Measuring the mother's pain level

Answer

Initiating breastfeeding

Answer

Performing a cervical exam

Question 3

What is the recommended frequency for monitoring a mother's vital signs during the first hour postpartum?

Accepted Answer

Every 15 minutes

Answer

Every 30 minutes

Answer

Every 45 minutes

Answer

Every 60 minutes

Question 4

Which nursing action supports breastfeeding within the first hour postpartum?

Accepted Answer

Encouraging the mother to offer both breasts to the infant

Answer

Providing a bottle of formula to supplement breastfeeding

Answer

Delaying the first breastfeeding until the infant is fully awake and alert

Answer

Using a pacifier to help the infant suckle effectively

Question 5

Which sign suggests inadequate uterine contraction?

Accepted Answer

Boggy uterus

Answer

Bright red lochia

Answer

Uterine tenderness

Answer

Cramping

Question 6

What is the purpose of assessing Homan's sign postpartum?

Accepted Answer

Detecting deep vein thrombosis

Answer

Assessing for infection

Answer

Monitoring uterine tone

Answer

Evaluating perineal healing

Question 7

When should the initial postpartum examination be performed?

Accepted Answer

Within 24 hours

Answer

Within 48 hours

Answer

Within 72 hours

Answer

Within 96 hours

Question 8

Which of the following is the priority nursing intervention for assessing the postpartum mother's uterus?

Accepted Answer

Fundal assessment for height, firmness, and position

Answer

Lochia amount, color, and odor

Answer

Perineal integrity and episiotomy site

Answer

Vital signs and temperature

Question 9

Which is the most appropriate position to offer a mother who wants to breastfeed during the initial breastfeeding attempt?

Accepted Answer

Side-lying with the baby nestled in the nook of the mother's arm

Answer

Sitting upright with the baby supported by pillows

Answer

Lying on her back with the baby on top of her

Answer

Standing up with the baby held close to her body

Question 10

What is the primary indication for administering an oxytocin drip during the postpartum period?

Accepted Answer

To increase uterine tone and prevent hemorrhage

Answer

To induce lactation

Answer

To relieve pain associated with uterine contractions

Answer

To promote bonding between mother and baby

Question 11

When should the nurse initially assess the newborn's vital signs after birth?

Accepted Answer

Immediately after delivery

Answer

Within 1 hour after delivery

Answer

Within 4 hours after delivery

Answer

Within 12 hours after delivery

Question 12

Which of the following is a normal vital sign range for a postpartum mother?

Accepted Answer

Temperature: <99.0°F, Pulse: 60-100 bpm, Respirations: 12-20 bpm, Blood pressure: <130/80 mmHg

Answer

Temperature: <101.0°F, Pulse: 50-90 bpm, Respirations: 10-16 bpm, Blood pressure: <120/70 mmHg

Answer

Temperature: <97.0°F, Pulse: 70-110 bpm, Respirations: 15-25 bpm, Blood pressure: <140/90 mmHg

Answer

Temperature: <102.0°F, Pulse: 40-80 bpm, Respirations: 8-14 bpm, Blood pressure: <110/60 mmHg

Question 13

Which of the following is NOT a risk factor for postpartum hemorrhage?

Accepted Answer

Gestational diabetes

Answer

Previous cesarean section

Answer

Multiple gestation

Answer

Preeclampsia

Question 14

Which of the following is a typical characteristic of lochia alba?

Accepted Answer

Pinkish-white color

Answer

Red-brown color

Answer

Yellowish color

Answer

Greenish color

Question 15

What is the recommended approach for perineal care in the immediate postpartum period?

Accepted Answer

Sitz baths every 4 hours

Answer

Ice packs to reduce swelling

Answer

Perineal irrigation with antiseptic solution

Answer

Avoidance of touching or cleaning the area

Question 16

Precise and Clear: The primary objective of immediate postpartum care is to:

Accepted Answer

Balanced and Plausible: Prevent hemorrhage and infection

Answer

Balanced and Plausible: Facilitate bonding between mother and newborn

Answer

Balanced and Plausible: Promote breastfeeding

Answer

Balanced and Plausible: Manage pain effectively

Question 17

Clarity and Precision: In the first hour postpartum, vital signs should be monitored at what frequency?

Accepted Answer

Correct Answer: Every 15 minutes

Answer

Balanced and Plausible: Every 5 minutes

Answer

Balanced and Plausible: Every 30 minutes

Answer

Balanced and Plausible: Every hour

Question 18

Clarity and Precision: Which of the following is a potential complication that can occur in the immediate postpartum period?

Accepted Answer

Correct Answer: All of the above

Answer

Balanced and Plausible: Hemorrhage

Answer

Balanced and Plausible: Infection

Answer

Balanced and Plausible: Thromboembolism

Question 19

Clarity and Precision: If postpartum hemorrhage occurs, what should be the initial action taken?

Accepted Answer

Correct Answer: Call for help immediately

Answer

Balanced and Plausible: Administer oxytocin as prescribed

Answer

Balanced and Plausible: Massage the uterus firmly

Answer

Balanced and Plausible: Clamp the umbilical cord securely

Question 20

Clarity and Precision: Which of the following is a known risk factor that can contribute to postpartum infection?

Accepted Answer

Correct Answer: All of the above

Answer

Balanced and Plausible: Prolonged labor

Answer

Balanced and Plausible: Premature rupture of membranes

Answer

Balanced and Plausible: Chorioamnionitis

Question 21

Clarity and Precision: For effective breastfeeding, which position is generally recommended?

Accepted Answer

Correct Answer: Football hold position

Answer

Balanced and Plausible: Side-lying position

Answer

Balanced and Plausible: Cradle hold position

Answer

Balanced and Plausible: Sitting upright position

Question 22

Clarity and Precision: In the immediate postpartum period, which medication is commonly used for pain relief?

Accepted Answer

Correct Answer: Acetaminophen

Answer

Balanced and Plausible: Ibuprofen

Answer

Balanced and Plausible: Morphine

Answer

Balanced and Plausible: Fentanyl

Question 23

Clarity and Precision: For a normal, uncomplicated postpartum hospitalization, the typical length of stay is approximately:

Accepted Answer

Correct Answer: 24-48 hours

Answer

Balanced and Plausible: 12-24 hours

Answer

Balanced and Plausible: 48-72 hours

Answer

Balanced and Plausible: 72-96 hours

Question 24

Which nursing interventions are used to prevent or manage postpartum hemorrhage?

Accepted Answer

Fundal massage

Accepted Answer

Administering oxytocin via IV

Answer

Applying ice packs to the perineum

Question 25

Which assessment finding is an early indicator of postpartum hemorrhage (PPH)?

Accepted Answer

Uterine bogginess and fundal height above the umbilicus

Answer

Temperature of 38.5 degrees Celsius

Answer

Pulse rate of 50 beats per minute

Answer

Hemoglobin level of 10 grams per deciliter

Question 26

Which of the following is a sign of postpartum hemorrhage?

Accepted Answer

Bright red vaginal bleeding that soaks through a pad in less than an hour

Answer

Clots in the vaginal bleeding

Answer

Dark red vaginal bleeding

Question 27

What is the primary role of the nurse in supporting breastfeeding?

Accepted Answer

Educate the mother about the benefits and techniques of breastfeeding, and provide ongoing support and assistance.

Answer

Monitor the infant's weight gain

Answer

Administer pain medication to the mother

Question 28

Which of the following pain management strategies is most appropriate for immediate postpartum pain?

Accepted Answer

Non-opioid analgesics, such as ibuprofen or acetaminophen

Answer

Opioid analgesics, such as morphine or fentanyl

Answer

Heat or cold therapy

Question 29

Which of the following is a sign of a healthy newborn?

Accepted Answer

Active, responsive, and has good muscle tone

Answer

Has difficulty breathing

Answer

Has a bluish tint to the skin

Answer

Lethargic and slow to respond

Question 30

What is the recommended frequency for monitoring the mother's vital signs after delivery?

Accepted Answer

Every 15-30 minutes for the first hour, and then at least every 4 hours until stable

Answer

Every 1-2 hours for the first 24 hours

Answer

Every 6 hours for the first 48 hours

Question 31

Which of the following is a contraindication to breastfeeding?

Accepted Answer

Active maternal tuberculosis

Answer

History of pre-eclampsia

Answer

Cesarean delivery

Answer

Use of pain medication

Question 32

What is the most common cause of maternal mortality in the immediate postpartum period?

Accepted Answer

Hemorrhage

Answer

Cardiac arrest

Answer

Embolism

Answer

Infection

Question 33

In immediate postpartum care, what is the immediate priority after the delivery of the newborn?

Accepted Answer

Assessment of the newborn

Answer

Assessment of the mother

Answer

Initiation of breastfeeding

Answer

Monitoring vital signs

Question 34

To effectively detect postpartum hemorrhage, which assessments are essential?

Accepted Answer

Fundal height, lochia characteristics, and blood loss

Answer

Vital signs

Answer

Pain level

Answer

Breastfeeding status

Question 35

In the immediate postpartum period, how often should vital signs be monitored?

Accepted Answer

Every 15 minutes for the first hour, then every 30 minutes for the next hour

Answer

Every hour for the first 6 hours

Answer

Only when the mother requests

Answer

Every 30 minutes for the first 2 hours

Question 36

In the immediate postpartum period, what is the expected type of lochia?

Accepted Answer

Rubra

Answer

Purulenta

Answer

Serosa

Answer

Alba

Question 37

What is the nurse's primary role in supporting breastfeeding?

Accepted Answer

Providing education, encouragement, and assistance with positioning

Answer

Ensuring the mother gets adequate rest

Answer

Administering medications to enhance milk production

Answer

Monitoring the newborn's weight gain

Question 38

Which condition would be a contraindication to early discharge after delivery?

Accepted Answer

Uncontrolled maternal hypertension

Answer

отсутствие of complications

Answer

Vaginal delivery

Answer

Multiparity

Question 39

Typically, the first breastfeeding session should occur:

Accepted Answer

Within the first hour after birth

Answer

As soon as the mother requests it

Answer

Within 24 hours after birth

Question 40

Which of the following is a non-pharmacological pain management technique for postpartum women?

Accepted Answer

Sitz bath

Answer

Epidural

Answer

NSAIDs

Question 41

When monitoring lochia, the nurse should be alert for signs and symptoms of infection, including:

Accepted Answer

Foul odor and fever

Answer

Increased amount

Answer

Small clots

Answer

Bright red color

Question 42

During the immediate postpartum period, the uterus undergoes a process called:

Accepted Answer

Involution

Answer

Atrophy

Answer

Dilation

Answer

Hypertrophy

Question 43

Which of the following is a potential complication of a postpartum hemorrhage?

Accepted Answer

Hypovolemic shock

Answer

Hypertension

Answer

Eclampsia

Answer

Preeclampsia

Question 44

When assessing the newborn immediately after birth, the nurse should prioritize:

Accepted Answer

Apgar score

Answer

Birth weight

Answer

Length

Answer

Head circumference

Question 45

What is the HIGHEST priority nursing intervention immediately following delivery?

Accepted Answer

Assessing maternal vital signs and uterine tone

Answer

Assisting the mother with ambulation

Answer

Providing the mother with a bath

Answer

Teaching the mother about breastfeeding

Question 46

How should a nurse assess the uterus after a vaginal delivery?

Accepted Answer

Palpate the fundus for firmness and location relative to the umbilicus

Answer

Measure the fundal height in centimeters using a measuring tape

Answer

Auscultate the uterus for bruits

Answer

Visually inspect the perineum for signs of bleeding

Question 47

Which assessment finding indicates possible postpartum hemorrhage?

Accepted Answer

Saturation of a perineal pad with bright red blood every 15 minutes

Answer

Moderate lochia rubra with a fleshy odor

Answer

Occasional passage of small blood clots in the lochia

Answer

Pinkish vaginal discharge containing small clots

Question 48

Which assessment is MOST important for evaluating a newborn's respiratory status immediately after birth?

Accepted Answer

Observing the rate, depth, and effort of breathing

Answer

Assessing the color of the skin and mucous membranes

Answer

Assessing the newborn's response to stimuli

Answer

Observing the newborn's activity level

Question 49

What is the PRIMARY focus of nursing support during breastfeeding?

Accepted Answer

Ensuring proper positioning and latch

Answer

Educating the mother on the benefits of breastfeeding

Answer

Encouraging the mother to stay hydrated

Answer

Providing the mother with pain medication

Question 50

Which of the following findings is considered NORMAL during a newborn's physical examination?

Accepted Answer

Bluish discoloration of the hands and feet (acrocyanosis)

Answer

Jaundice with a bilirubin level above 15 mg/dL

Answer

Respiratory rate exceeding 60 breaths per minute

Answer

Persistent vomiting after feedings

Question 51

Which of the following is a significant risk factor for developing postpartum depression?

Accepted Answer

Personal or family history of depression or anxiety

Answer

Successful breastfeeding experience

Answer

Strong support system of family and friends

Answer

Attendance at regular postpartum checkups