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Maternity Nursing: Postpartum Flashcards

7 cards from real Maternal Newborn Nursing Test practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 7 Maternity Nursing: Postpartum flashcards as text
  1. A postpartum client is breastfeeding and asks about contraception. Which method is safest to recommend at 6 weeks postpartum?

    Answer: Progestin-only mini-pill

    Progestin-only contraceptives do not suppress milk supply and are the preferred hormonal contraceptive option for breastfeeding mothers.

  2. A postpartum client reports she cannot urinate 6 hours after a vaginal delivery. Which nursing action is the priority?

    Answer: Assess for bladder distension and offer measures to stimulate voiding

    Before catheterization, the nurse should assess the degree of distension and try non-invasive measures such as running water, privacy, and warm perineal rinse.

  3. Which laboratory value requires the most urgent follow-up in a postpartum client on day 1?

    Answer: Platelet count 48,000/mm³

    A platelet count of 48,000/mm³ is critically low and increases risk for life-threatening hemorrhage, requiring immediate provider notification.

  4. A postpartum client who is 2 days post-cesarean suddenly reports chest pain and dyspnea. Which action should the nurse take first?

    Answer: Administer supplemental oxygen and notify the provider

    Chest pain and dyspnea in a postpartum client suggest pulmonary embolism; oxygen and immediate provider notification are the priority interventions.

  5. A client with mastitis is prescribed antibiotics. Which instruction should the nurse include?

    Answer: Continue breastfeeding or pumping to prevent milk stasis

    Continued breastfeeding or pumping is recommended during mastitis because stopping can worsen engorgement, promote abscess formation, and prolong infection.

  6. A nurse is performing the Edinburgh Postnatal Depression Scale (EPDS) screening. At what score should the nurse initiate immediate follow-up?

    Answer: Score of 13 or higher

    An EPDS score of 13 or higher indicates probable postpartum depression and requires immediate referral and further mental health evaluation.

  7. A postpartum client delivered a macrosomic infant and is at highest risk for which complication?

    Answer: Uterine atony and postpartum hemorrhage

    Overdistension of the uterus from a large baby impairs myometrial contraction, significantly increasing the risk of uterine atony and hemorrhage.