Postpartum Assessment and Monitoring: Quizzes for Nursing Students

Question 1

Which finding during a postpartum assessment is a key indicator of postpartum hemorrhage?

Accepted Answer

Lochia rubra exceeding 500 mL in 24 hours

Answer

Fundus at the level of the umbilicus

Answer

Temperature of 38.5°C (101.3°F)

Answer

Pulse rate of 110 beats per minute

Question 2

Which finding during the initial assessment of a postpartum woman is a concerning sign that could indicate a postpartum hemorrhage?

Accepted Answer

Bright red, heavy vaginal bleeding

Answer

Uterus firm and above the umbilicus

Answer

Lochia rubra lasting more than 10 days

Answer

Uterine tenderness

Question 3

A new mom is experiencing sore nipples that are making breastfeeding difficult. Which nursing intervention would be most helpful?

Accepted Answer

Apply a warm compress to the sore nipples after each feeding.

Answer

Increase the frequency of breastfeeding.

Answer

Switch to bottle feeding.

Question 4

To assess uterine involution during the postpartum period, which technique is most appropriate?

Accepted Answer

Palpation of the uterine fundus

Answer

Measurement of lochia volume

Answer

Assessment of abdominal tenderness

Answer

Estimation of blood loss

Question 5

Which laboratory test is commonly ordered to assess the hematological status of a postpartum woman?

Accepted Answer

Complete blood count (CBC)

Answer

Urinalysis

Answer

Liver function panel

Answer

Thyroid function test

Question 6

How frequently should blood pressure be monitored for postpartum women?

Accepted Answer

Every 4 hours

Answer

Every 8 hours

Answer

Every 12 hours

Answer

Only upon discharge

Question 7

When assessing a newborn's breastfeeding technique, which factor is of primary importance?

Accepted Answer

Latch

Answer

Milk production

Answer

Frequency of feedings

Answer

Weight gain

Question 8

When is the first postpartum checkup typically scheduled?

Accepted Answer

4-6 weeks

Answer

1-2 weeks

Answer

8-12 weeks

Answer

6-8 months

Question 9

What is the primary purpose of performing a fundal massage in the immediate postpartum period?

Accepted Answer

To prevent uterine atony and promote contraction

Answer

To assess the firmness and involution of the uterus

Answer

To promote bonding between mother and baby

Answer

To stimulate lactation

Question 10

Which of the following physical exam findings is indicative of postpartum hemorrhage (PPH)?

Accepted Answer

Excessive vaginal bleeding exceeding 1000 mL within the first 24 hours

Answer

Uterine fundus above the umbilicus

Answer

Pulse oximetry reading of 92%

Answer

Absence of fever

Question 11

Which medication is commonly used to prevent postpartum hemorrhage?

Accepted Answer

Oxytocin

Answer

Ibuprofen

Answer

Acetaminophen

Answer

Aspirin

Question 12

Which of the following conditions is a contraindication to breastfeeding?

Accepted Answer

Maternal HIV infection

Answer

Maternal history of breast cancer that is hormone receptor-negative

Answer

Infant with Down syndrome

Answer

Maternal use of antidepressants

Question 13

The purpose of performing a Homans' sign test on a postpartum woman is to:

Accepted Answer

Assess for deep vein thrombosis (DVT)

Answer

Monitor for pulmonary embolism (PE)

Answer

Evaluate for postpartum hemorrhage (PPH)

Answer

Determine the need for a blood transfusion

Question 14

During a postpartum assessment, which method is used to accurately determine the extent of uterine involution and identify subinvolution?

Accepted Answer

Fundal height measurement

Answer

Leopold's maneuvers

Answer

Pelvic exam

Answer

Umbilical cord examination

Question 15

Which of the following signs and symptoms is most indicative of postpartum endometritis?

Accepted Answer

Temperature of 38.5°C (101.3°F) and shaking chills

Answer

Dysuria and urinary frequency

Answer

Breast pain and tenderness

Answer

Persistent vaginal bleeding

Question 16

To assess postpartum thyroid function, which laboratory test is most commonly used?

Accepted Answer

Thyroid-stimulating hormone (TSH) level

Answer

Complete blood count (CBC)

Answer

Urinalysis

Answer

Liver function tests

Question 17

For a woman experiencing postpartum blues, which nursing intervention is of utmost priority?

Accepted Answer

Providing emotional support and reassurance

Answer

Administering pain medication

Answer

Encouraging rest and hydration

Answer

Referring to a mental health professional

Question 18

When evaluating a postpartum woman's lochia, which characteristic is not typically considered?

Accepted Answer

Odor

Answer

Color

Answer

Volume

Answer

Consistency

Question 19

During a postpartum assessment, which technique is used to evaluate the woman's uterine involution?

Accepted Answer

Fundal height measurement

Answer

Leopold's maneuvers

Answer

Pelvic examination

Answer

Breast examination

Question 20

Which laboratory test is commonly used to assess a woman's postpartum thyroid function?

Accepted Answer

Thyroid-stimulating hormone (TSH)

Answer

Complete blood count

Answer

Coagulation profile

Answer

Urinalysis

Question 21

A postpartum woman reports difficulty urinating; which nursing intervention is most appropriate?

Accepted Answer

Increasing the woman's fluid intake

Answer

Encouraging the woman to use a sitz bath

Answer

Catheterizing the woman

Answer

Administering a stool softener

Question 22

In postpartum women with hypertensive disorders, which finding is a common indication?

Accepted Answer

Proteinuria

Answer

Oliguria

Answer

Thrombocytopenia

Answer

Jaundice

Question 23

During the postpartum period, around what time frame can the nurse expect lochia rubra to transition to lochia alba?

Accepted Answer

4-6 days

Answer

2-4 days

Answer

6-8 days

Answer

8-10 days

Question 24

Which assessment is crucial for evaluating the adequacy of uterine contraction during the postpartum period?

Accepted Answer

Fundus height

Answer

Blood pressure measurement

Answer

Lochia drainage

Answer

Perineal assessment

Question 25

When monitoring lochia, which observation may indicate a potential postpartum complication?

Accepted Answer

Foul-smelling lochia

Answer

Bright red lochia

Answer

Moderate amount of lochia

Answer

Clots smaller than a quarter

Question 26

Which laboratory test is most useful for detecting postpartum anemia?

Accepted Answer

Hemoglobin and hematocrit

Answer

Platelet count

Answer

White blood cell count

Question 27

What is the preferred method to evaluate a postpartum woman's ability to urinate after vaginal delivery?

Accepted Answer

Asking the woman to void spontaneously

Answer

Inserting a Foley catheter

Answer

Performing a bladder scan

Answer

Palpating the suprapubic area for distension

Question 28

Which component is essential in assessing the breastfeeding woman?

Accepted Answer

Observing the baby's latch and suck

Answer

Recording the baby's weight gain

Answer

Auscultating bowel sounds

Answer

Monitoring the woman's blood glucose level

Question 29

When is the optimal time to assess the fundus after an uncomplicated vaginal delivery?

Accepted Answer

Within the first hour after delivery

Answer

4 hours after delivery

Answer

8 hours after delivery

Answer

Immediately after delivery

Question 30

Which of the following signs and symptoms warrants immediate postpartum referral?

Accepted Answer

Excessive vaginal bleeding

Answer

Breast engorgement

Answer

Hemorrhoids

Answer

Episiotomy discomfort

Question 31

Which assessment finding may indicate an increased risk of developing postpartum preeclampsia?

Accepted Answer

Persistent headache and elevated blood pressure

Answer

Offensive-smelling lochia

Answer

Uterine tenderness

Answer

Heavy vaginal bleeding

Question 32

What is the primary goal of assessing the perineum after vaginal delivery?

Accepted Answer

To identify any lacerations or tears

Answer

To check for hemorrhoids

Answer

To evaluate the woman's comfort level

Question 33

A postpartum woman presents with complaints of foul-smelling lochia and fever. Which nursing intervention is most important?

Accepted Answer

Obtain a sample for culture and sensitivity

Answer

Monitor vital signs every 4 hours

Answer

Administer antibiotics empirically

Answer

Increase the frequency of perineal care

Question 34

Which laboratory test is routinely ordered for a postpartum woman on day 1?

Accepted Answer

Complete blood count and hemoglobin

Answer

Electrocardiogram

Answer

Thyroid-stimulating hormone

Answer

Liver function panel

Question 35

A postpartum woman complains of difficulty voiding 12 hours after birth. The nurse should assess for:

Accepted Answer

Urinary retention

Answer

Vaginal prolapse

Answer

Uterine prolapse

Answer

Urinary tract infection

Question 36

When performing a lochia assessment, which of the following characteristics are important to note?

Accepted Answer

Amount, color, and odor

Answer

Clarity and presence of clots

Answer

Consistency and frequency

Answer

Viscosity and pH

Question 37

Which laboratory test is most commonly ordered to assess for postpartum hemorrhage?

Accepted Answer

Complete blood count (CBC)

Answer

Liver function tests

Answer

Urinalysis

Answer

Thyroid-stimulating hormone (TSH)

Question 38

Which of the following is a primary sign of postpartum preeclampsia?

Accepted Answer

Persistent hypertension and proteinuria

Answer

Fatigue and weakness

Answer

Anxiety and restlessness

Answer

Abdominal pain and nausea

Question 39

What is the primary purpose of assessing the perineum in the postpartum woman?

Accepted Answer

To evaluate healing, check for signs of infection, and assess for episiotomy repair if needed

Answer

To determine the need for episiotomy repair

Answer

To assess for urinary incontinence

Question 40

Which of the following is a common breastfeeding assessment performed by nurses?

Accepted Answer

Latch assessment

Answer

Blood pressure measurement

Answer

Fundal height measurement

Answer

Uterine massage

Question 41

Which nursing intervention is key to preventing postpartum depression?

Accepted Answer

Providing emotional support, resources, and education

Answer

Administering antidepressants

Answer

Monitoring for suicidal thoughts

Answer

Encouraging social isolation

Question 42

Which of the following is a contraindication for breastfeeding?

Accepted Answer

Active, untreated tuberculosis

Answer

Nipple pain

Answer

Low milk supply

Answer

Mastitis

Question 43

What is the recommended timing for the first postpartum visit?

Accepted Answer

Within 3-5 days after discharge

Answer

Within 4-6 weeks after discharge

Answer

Within 8-12 weeks after discharge

Answer

Within 1-2 weeks after discharge

Question 44

When assessing an episiotomy site, which finding suggests a potential complication requiring further examination?

Accepted Answer

Increased pain and swelling

Answer

Minimal bleeding

Answer

Approximation of the wound edges

Answer

Firm edges

Question 45

Which breastfeeding assessment should be performed at every feeding?

Accepted Answer

Latch

Answer

Duration of feeding

Answer

Stool frequency

Answer

Milk production

Question 46

For accurate fundus assessment, in what position should the postpartum woman be placed?

Accepted Answer

Supine with knees flexed

Answer

Lateral with pillows supporting the flank

Answer

Standing with feet shoulder-width apart

Answer

Sitting with legs extended

Question 47

Which of the following is a potential complication related to postpartum breastfeeding?

Accepted Answer

Mastitis

Answer

Preeclampsia

Answer

Eclampsia

Answer

Gestational diabetes

Question 48

To assess a postpartum woman's emotional status, which question is most appropriate?

Accepted Answer

How are you feeling today?

Answer

When do you plan to return to work?

Answer

What are your thoughts on having another child?

Answer

Did you experience any pain during labor?

Question 49

Which monitoring method is most effective for assessing fetal well-being immediately after birth?

Accepted Answer

Apgar score

Answer

Non-stress test

Answer

Ultrasound

Answer

Amniocentesis

Question 50

A postpartum woman is experiencing heavy vaginal bleeding. Which of the following assessments should the nurse prioritize?

Accepted Answer

Fundal height and consistency

Answer

Temperature and respiratory rate

Answer

Blood pressure and pulse

Answer

Urine output and bowel sounds

Question 51

A nurse is assessing a postpartum woman's lochia. Which of the following findings is considered abnormal?

Accepted Answer

Lochia rubra persisting beyond 3 days postpartum

Answer

Moderate amount of lochia on day 2 postpartum

Answer

Lochia alba present on day 10 postpartum

Answer

Lochia serosa present on day 5 postpartum

Question 52

A postpartum woman complains of pain and tenderness in her breasts. Which of the following actions should the nurse take first?

Accepted Answer

Assess for engorgement and mastitis

Answer

Administer analgesics

Answer

Encourage frequent breastfeeding

Answer

Apply warm compresses

Question 53

A postpartum woman reports feeling anxious and overwhelmed. Which of the following nursing interventions is most appropriate?

Accepted Answer

Provide emotional support and encourage her to express her feelings

Answer

Administer anti-anxiety medication

Answer

Refer her to a mental health professional

Question 54

A nurse is assessing a postpartum woman's bladder function. Which of the following findings is most concerning?

Accepted Answer

Inability to void after 6 hours postpartum

Answer

Mild urinary incontinence during coughing

Answer

Frequent urination in small amounts

Question 55

A postpartum woman is experiencing fatigue and weakness. Which of the following laboratory tests should the nurse anticipate being ordered?

Accepted Answer

Complete blood count (CBC)

Answer

Liver function tests

Answer

Blood glucose

Answer

Thyroid function tests

Question 56

A postpartum woman is experiencing pain and swelling in her lower extremities. Which of the following conditions should the nurse suspect?

Accepted Answer

Deep vein thrombosis (DVT)

Answer

Urinary tract infection (UTI)

Answer

Preeclampsia

Answer

Mastitis

Question 57

A postpartum woman is breastfeeding her newborn. Which of the following instructions should the nurse provide to prevent nipple soreness?

Accepted Answer

Ensure proper latch and positioning during breastfeeding

Answer

Apply lanolin cream to the nipples

Answer

Use breast shields during breastfeeding

Question 58

A nurse is providing education to a postpartum woman about postpartum depression. Which of the following statements is accurate?

Accepted Answer

Postpartum depression can affect women differently and can be experienced even with a positive birth experience.

Answer

Postpartum depression only affects women who have a history of mental illness.

Question 59

A nurse is providing discharge instructions to a postpartum woman. Which of the following should be included in the instructions?

Accepted Answer

Signs and symptoms of postpartum complications to report

Answer

How to choose the right baby clothes

Answer

How to prepare meals for the family