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Postpartum Care MCQs for Nursing Exams

376 questions with explanations · 26 free to practise now.

Postpartum Care questions for NORCET, RRB, ESIC, CHO and state nursing officer exams, split into 7 topics. Open a topic to read sample questions with answers, or start free practice. Every question comes with a simple-English explanation.

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Postpartum Care topics

General 315Postpartum Hemorrhage 14Uterine Activity 13The Client With A Gestational Trophoblastic 11Breastfeeding 8The Client With A Gestational Trophoblastic Disease 8Women'S Health Management 7

Sample Postpartum Care questions

Q1. The charge nurse is making assignments on a postpartum unit that has two registered nurses (RNs), two licensed practical nurses (LPNs), and two unlicensed assistive personnel (UAPs). Which task/assignment is best?

  1. Instruct the UAP to evaluate how the mother and infant are bonding
  2. Ask the LPN to administer ibuprofen to the patient experiencing afterbirth pains
  3. Request the LPN to care for the patient who is 6 hours postpartum who had eclampsia
  4. Tell the RN to change the sharps container in the medication room
Show answer and explanation

Answer: B. Ask the LPN to administer ibuprofen to the patient experiencing afterbirth pains

A. The UAP cannot assess, teach, evaluate, administer medications, or care for an unstable patient. B. The sharps container can be changed by a housekeeper, UAP, or an LPN, so this is not an appropriate task to assign to the RN. C. The LPN can administer medications, and ibuprofen has an antiprostaglandin effect that is appropriate for a patient experiencing afterbirth pains. D. The charge nurse should not assign a LPN an unstable patient. This patient may have another seizure and should be monitored closely for at least 24 to 48 hours post-delivery.

Q2. A multiparous patient visits the urgent care center 5 days after a vaginal birth and reports experiencing moderate to heavy and persistent lochia rubra. The patient asks the nurse, "Why am I continuing to bleed like this?" The nurse would instruct the patient that this type of postpartum bleeding is most likely caused by which problem?

  1. Retained placental fragments
  2. Uterine atony
  3. Vaginal lacerations
  4. Cervical lacerations
Show answer and explanation

Answer: A. Retained placental fragments

The most likely cause of delayed postpartum hemorrhage is retained placental fragments. The patient may be scheduled for dilatation and curettage to remove remaining placental fragments. Uterine atony, cervical lacerations, and vaginal lacerations are commonly associated with early, not late, postpartum hemorrhage.

Q3. While the nurse is assessing the fundus of a multiparous patient who delivered 24 hours ago, the patient asks, "What can I do to get rid of these stretch marks?" Which of these responses would be best?

  1. "You'll need to use a specially prescribed cream to help them disappear."
  2. "If you lose the weight you gained during pregnancy, the marks will fade to a pale pink."
  3. "As long as you don't get pregnant again, the marks will disappear completely."
  4. "They usually fade to a silvery-white color over a period of time."
Show answer and explanation

Answer: D. "They usually fade to a silvery-white color over a period of time."

Stretch marks, or striae gravidarum, are caused by stretching of the tissues, particularly over the abdomen. After delivery, the tissues atrophy, leaving silver scars. These skin pigmentations will not disappear completely. The striae gravidarum may reappear as pink streaks if the patient becomes pregnant again. Special creams are not warranted because they are not helpful and may be expensive. Weight loss does not make the marks disappear. Striae gravidarum tend to run in families.

Q4. What does the acronym BUBBLE-HE stand for in postpartum assessment?

  1. Breasts, Uterus, Bladder, Bowel, Lochia, Episiotomy, Homans/legs, Emotions
  2. Baby, Umbilicus, Bath, Bottle, Latch, Elimination
  3. Blood, Urine, Brain, Breath, Liver, Eyes
  4. None of these
Show answer and explanation

Answer: A. Breasts, Uterus, Bladder, Bowel, Lochia, Episiotomy, Homans/legs, Emotions

BUBBLE-HE is a systematic postpartum assessment approach.

Q5. Prophylactic heparin therapy is ordered to treat thrombophlebitis in a multiparous patient who delivered 24 hours ago. After instructing the patient about the medication, the nurse determines that the patient understands the instructions when she states which of these as the purpose of the drug?

  1. To increase the lochial flow
  2. To thin the blood clots
  3. To increase the perspiration for diuresis
  4. To prevent further blood clot formation
Show answer and explanation

Answer: D. To prevent further blood clot formation

Heparin therapy is ordered to prevent further clot formation by inhibiting further thrombus and clot formation. Heparin, an anticoagulant, does not make blood clots thinner. An adverse effect of heparin therapy during the puerperium is increased lochia flow, so the nurse must be observant for symptoms of hemorrhage, such as heavy lochial flow. Heparin does not increase diaphoresis, which is normal for the postpartum patient.

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More subjects

Fundamentals & AssessmentMedical-Surgical NursingPharmacologyFluids, Labs & EmergencyChild Health (Paediatrics)Mental HealthCommunity & Geriatric CareLeadership, Law & EthicsNutritionNORCET Previous YearsMixed Review

Frequently asked questions

Are the Postpartum Care questions free?

A set of 26 questions is free to practise after you enter your name and mobile number (no OTP). The full set of 376 questions is in NurseRank Premium.

Is Postpartum Care asked in NORCET and other nursing officer exams?

Nursing exams test the core nursing subjects, so this subject is useful for NORCET, RRB, ESIC, CHO and state exams. Check your exam's official syllabus for exact weightage.

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