NCLEX CRUSADE ACADEMY TEST - 10 POSTPARTUM CARE

1. The postpartum period (Fourth Trimester) extends from delivery until: 24 hours. 2 weeks. 6 weeks. 3 months.

2. Involution refers to: Cervical dilation. Uterine return to pre-pregnant state. Placental detachment. Lochia progression.

3. If the fundus is palpable after 2 weeks postpartum, this indicates: Normal recovery. Subinvolution red flag. Dehydration. Infection only.

4. A temperature greater than 100.4F after 24 hours suggests: Normal dehydration. Infection. Hormonal shift. Lactation onset.

5. Postpartum pulse greater than 100 bpm indicates possible: Normal variation. Sleep deprivation. Blood loss or infection. Anxiety only.

6. Tachycardia (>120 bpm) with hypotension postpartum suggests: Anxiety attack. Hypovolemic shock. Dehydration only. Fever.

7. Lochia rubra typically occurs during days: 13. 410. 1014. 36 weeks.

8. The 1-hour rule defines hemorrhage as: 1 pad per day. Saturating 1 pad in 1 hour. Small clots. Pink discharge.

9. Primary predictors of uterine infection include: Short labor. Prolonged ROM and labor. Early ambulation. Breastfeeding.

10. Postpartum blues are characterized as: Hallucinations. Guilt and anhedonia. Transient crying and anxiety. Psychosis.

11. Postpartum psychosis is considered: Mild. Pathological but stable. An emergency. Self-limiting.

12. If suicide or psychosis risk is present, priority becomes: Routine monitoring. Psychosocial support only. Safety first. Fundal assessment.

13. Immediate action after rupture of membranes is to assess: Fundus. Lochia. Fetal Heart Rate. Incision.

14. In cord prolapse, appropriate position is: Supine. Hips elevated. High Fowlers. Side-lying only.

15. Epidural hypotension prevention includes: Restrict fluids. 5001000 mL fluid bolus before procedure. Ambulation. Oxygen first.

16. In PACU transfer, priority assessment is: Check incision. Assess airway and anesthesia level. Check lochia only. Breastfeeding readiness.

17. Post-C-section patient afraid to cough should be instructed to: Avoid coughing. Support incision (splint) while coughing. Delay coughing 24h. Take shallow breaths.

18. Post-C-section assessment should include: CVP monitoring routinely. Auscultate lungs and bowel sounds. Central line placement. Avoid fundal checks.

19. Big Three Postpartum priorities include: Hemorrhage, Infection, Safety. Pain, Sleep, Nutrition. Lactation, Education, Discharge. Mobility, Hygiene, Bonding.

20. NCLEX rule for postpartum prioritization states: Psychosocial always first. Physiological safety is priority #1 unless patient is danger to self. Infection always first. Documentation before action.