When completing the morning postpartum assessment, a nurse notices a client’s perineal pad is completely saturated with lochia rubra. What is the priority action of the nurse?

A pregnant client is very upset when she hears that her TORCH panel has returned positive. She is distraught and says, “This means the baby has HIV!” The nurse replies that the H in TORCH represents which of the following disorders?

The nurse determines further teaching is necessary when a client on anticoagulant therapy for deep vein thrombosis makes which statement?

Which verbalization should be cause for concern to a nurse treating a postpartum client within a few days of delivery?

A nurse should expect to observe which behavior in a client on the fourth postpartum day?

The nurse is teaching a client with newly diagnosed mastitis about her condition. The client asks the nurse about what caused her to develop the condition. What is the best response by the nurse?

A client and her neonate have a blood incompatibility, and the neonate has had a positive direct Coombs’ test. Which nursing intervention is appropriate?

Which condition should the nurse look for in a client’s history that may explain an increase in the severity of afterpains?

A postpartum mother asks the nurse what would cause a decreased supply of breast milk. What is the best response by the nurse?

A breastfeeding mother is experiencing engorged breasts and asks the nurse if there is anything she can do to get relief. What is the best intervention for the nurse to implement?

A new graduate nurse is being oriented to the care of clients on a postpartum unit. The preceptor explains that routine assessment includes which of the following?

A nurse determines that teaching about Kegel exercises has been effective when the client makes which statement?

To detect pulmonary embolus in a client in the immediate postpartum period, a nurse should be alert to which symptoms?

The nurse is caring for a diabetic, postpartum client who has developed an infection. The nurse is aware that infections in diabetic clients tend to be more severe and can quickly lead to complications. The nurse should assess this client for which condition?

A student nurse asks why a client would express disappointment after having a cesarean delivery instead of a vaginal delivery. What is the best response by the nurse?

On completing a fundal assessment, the nurse notes the fundus is situated on the client’s left abdomen. Which action is appropriate?

A client who is positive for human immunodeficiency virus (HIV) tells a nurse she would like to breastfeed. Which is the best response by the nurse?

During the assessment of a postpartum client, the nurse notes continuous seepage of blood from the vagina and a firm uterus 1 cm below the umbilicus. The nurse suspects that the client may have experienced which of the following?

Which assessment finding in a postpartum client requires further nursing assessment?

A nurse is assessing a client with type 1 diabetes mellitus whose delivery was complicated by polyhydramnios and macrosomia. The nurse is aware that this client is at risk for which of the following?

When giving a postpartum client self-care instructions, a nurse instructs her to report heavy or excessive bleeding. Which statement by the client indicates she understands the nurse’s instructions?

The nurse is preparing a plan of care for a client who has had a cesarean delivery. What is the most important intervention for the nurse to include?

A nurse is about to give a client with type 2 diabetes mellitus her insulin before breakfast on her first day postpartum. Which statement by the client indicates an understanding of insulin requirements immediately postpartum?

The nurse is prioritizing care of a client in the immediate postpartum period (first 2 hours). What is the most important assessment for the nurse to perform?

A nurse is performing an assessment of a postpartum client 2 hours after delivery and notes heavy bleeding with large clots. What is the most appropriate initial action by the nurse?

The nurse is assessing a postpartum client who has lochia serosa. When the client asks the nurse how long to expect this type of bleeding, how should the nurse respond?

Which client action should alert a nurse to a potential problem in a client with mastitis?

The nurse reviews the assessment findings of a postpartum client who has experienced a vaginal birth. The nurse determines that which finding is normal?

A client had a spontaneous vaginal delivery after 18 hours of labor. Her excessive vaginal bleeding has now become a postpartum hemorrhage. Immediate nursing care of this client should include which intervention?

A nurse caring for clients on a postpartal unit is aware that a condition requiring immediate intervention would be?