Newborn Nursing Domain 2: Maternal Postpartum Assessment, Management, and Education Welcome to your Newborn Nursing Domain 2: Maternal Postpartum Assessment, Management, and Education 1. Newborn Nursing: Maternal Postpartum Assessment Management and Education A postpartum nurse is assessing a mother 24 hours after delivery. The mother's fundus is firm, but she is experiencing a heavy flow of bright red blood. Which of the following conditions is most likely? Lochia serosa Lochia rubra Uterine atony Retained placental fragments None 2. Newborn Nursing: Maternal Postpartum Assessment Management and Education Which symptom should be reported immediately by a postpartum patient as it suggests the possibility of a postpartum preeclampsia? Diaphoresis Headache that does not improve with analgesics Fatigue Frequent urination None 3. Newborn Nursing: Maternal Postpartum Assessment Management and Education A mother reports pain and a reddened area on her breast. Which condition is the most likely diagnosis? Mastitis Engorgement Milk bleb Intraductal papilloma None 4. Newborn Nursing: Maternal Postpartum Assessment Management and Education In the postpartum period, which blood pressure reading would be a critical value that needs immediate intervention? 150/100 mm Hg 120/80 mm Hg 100/60 mm Hg 130/85 mm Hg None 5. Newborn Nursing: Maternal Postpartum Assessment Management and Education A new mother is experiencing difficulty urinating post-delivery. Which of the following should be assessed first? Bladder infection Perineal trauma Medication side effects Psychological factors None 6. Newborn Nursing: Maternal Postpartum Assessment Management and Education What is the primary reason for administering Rh immunoglobulin to an Rh-negative mother after delivery of an Rh-positive baby? To boost the mother's immune system To prevent maternal anemia To prevent Rh isoimmunization in future pregnancies To increase fetal hemoglobin levels None 7. Newborn Nursing: Maternal Postpartum Assessment Management and Education Which of the following is a sign of a potential thromboembolic disorder in a postpartum patient? Tachycardia Unilateral leg pain and swelling Hypotension Polyuria None 8. Newborn Nursing: Maternal Postpartum Assessment Management and Education A postpartum patient exhibits signs of depression, such as persistent sadness, withdrawal from social interaction, and lack of interest in her newborn. What is the most appropriate initial step in management? Prescribe antidepressants Schedule immediate psychological counseling Recommend increased social support and reassessment in two weeks Advise her to get more sleep None 9. Newborn Nursing: Maternal Postpartum Assessment Management and Education When assessing a postpartum woman's uterine involution, which finding would indicate a deviation from normal recovery? Uterus firm and located two fingerbreadths below the umbilicus on day two Uterus soft and boggy, located at the level of the umbilicus on day three Uterus firm, descending one fingerbreadth below the umbilicus each day postpartum Uterus located in the midline, firm, and decreasing in size daily None 10. Newborn Nursing: Maternal Postpartum Assessment Management and Education What is the primary concern for a postpartum patient whose perineal pads are saturated within an hour after normal vaginal delivery? Lochia serosa Uterine atony Lochia alba Normal postpartum discharge None 11. Newborn Nursing: Maternal Postpartum Assessment Management and Education A postpartum nurse assesses a mother who complains of shortness of breath and chest pain 48 hours after delivery. Which of the following conditions is most critical to rule out first? Pulmonary edema Pulmonary embolism Costochondritis Postpartum cardiomyopathy None 12. Newborn Nursing: Maternal Postpartum Assessment Management and Education Which of the following findings in a postpartum assessment 24 hours after a cesarean section is most concerning? Incisional pain rated 5 on a scale of 1 to 10 Slight redness around the incision edges Serous drainage from the incision site Hard, reddened area on the calf of one leg None 13. Newborn Nursing: Maternal Postpartum Assessment Management and Education What is the most effective initial management for a postpartum patient diagnosed with uterine atony and ongoing heavy bleeding? Administration of oral methylergonovine Intravenous infusion of oxytocin Application of a cold pack to the abdomen Immediate bed rest with leg elevation None 14. Newborn Nursing: Maternal Postpartum Assessment Management and Education During a postpartum visit, a mother reports feelings of detachment from her baby and frequent crying episodes. Which of the following steps should be prioritized? Advising more physical rest Immediate psychological evaluation for postpartum depression Offering reassurance about normal stress after childbirth Scheduling a routine follow-up in one month None 15. Newborn Nursing: Maternal Postpartum Assessment Management and Education A postpartum patient reports not feeling the urge to void along with lower abdominal pain 12 hours after a vaginal delivery. What is the most likely cause? Urinary retention Bladder infection Uterine prolapse Constipation None 16. Newborn Nursing: Maternal Postpartum Assessment Management and Education What is the key reason for administering Rh immunoglobulin to an Rh-negative mother after an amniocentesis during pregnancy? To prevent fetal anemia To treat maternal anemia To prevent maternal sensitization to Rh-positive fetal cells To enhance maternal immune response None 17. Newborn Nursing: Maternal Postpartum Assessment Management and Education Which assessment finding in a postpartum woman who delivered vaginally 48 hours ago requires immediate intervention? Pain during urination White lochia discharge Fundal height at the level of the umbilicus Continuous bright red bleeding with clots None 18. Newborn Nursing: Maternal Postpartum Assessment Management and Education For a postpartum woman experiencing severe perineal pain after episiotomy, which management strategy is most appropriate? Applying heat pads to the perineum Encouraging frequent ambulation Using a sitz bath several times a day Immediate surgical review None 19. Newborn Nursing: Maternal Postpartum Assessment Management and Education What is the primary concern for a postpartum patient whose perineal pads are saturated within an hour after normal vaginal delivery? Lochia serosa Uterine atony Lochia alba Normal postpartum discharge None 20. Newborn Nursing: Maternal Postpartum Assessment Management and Education Which symptom should be reported immediately by a postpartum patient as it suggests the possibility of a postpartum preeclampsia? Diaphoresis Headache that does not improve with analgesics Fatigue Frequent urination None 1 out of 20 Time is Up! Time's up
