1. A nurse is caring for a client who is 2 weeks postpartum following a cesarean birth.

Which of the following clinical findings should the nurse identify as an indication of

postpartum infection?

a. Unilateral breast pain

b. Stretch marks

c. Lochia alba

d. WBC 12,000

2. A nurse is assessing a client who has preeclampsia during a prenatal visit. Which of the

following findings should the nurse report to the provider?

a. Blood glucose 110

b. DTR 2+

c. Urine protein 3+

d. Hemoglobin 13

3. A nurse is providing teaching about the expected effects of magnesium sulfate to a client

who is at 28 weeks gestation and has preeclampsia. Which of the following responses

by the nurse is appropriate?

a. “This medication increases cardiac output”

b. “This medication improves tissue perfusion.”

c. “This medication stabilizes the fetal heart rate.”

d. “This medication prevents seizures”

4. A nurse is teaching a prenatal class regarding false labor. Which of the following

information should the nurse include?

a. “You will have dilation and effacement of the cervix”

b. “Your contractions will become temporarily regular”

c. “You will have bloody show.”

d. “Your contractions will become more intense when walking.”

5. A nurse manager is revising a maternal unit policy to ensure the proper identification of

newborns. Which of the following should the nurse include in the policy?

a. Check the newborn’s identification using the crib card.

b. Replace the infant’s identification band after his name has been recorded.

c. Require visitors to wear an identification band.

d. Obtain an imprint of the infant’s feet prior to taking him to the nursery.

6. A nurse is caring for a client who delivered by cesarean birth 6 hours ago. The nurse

notes a steady trickle of vaginal bleeding that does not stop with fundal massage. Which

of the following actions should the nurse take?

a. Apply an ice pack to the incision cite.

b. Replace the surgical dressing.

c. Administer 500 mL LR IV bolus

d. Evaluate Urinary Output.

7. A nurse is providing discharge instructions to a client who is postpartum and has

engorged breasts. Which of the following nonpharmacological comfort measures should

the nurse include in the teaching?

a. Wear nipple shields during the feeding.

b. Use a breast binder for 2 days.