NCLEX CRUSADE ACADEMY TEST- 11 POSTPARTUM ASSESSMENT

1. The puerperium refers to the period between: Conception and delivery. Delivery and return of reproductive organs to prepregnant state. Birth and first menstrual cycle. Birth and breastfeeding cessation.

2. The postpartum period typically lasts approximately: 2 weeks. 4 weeks. 6 weeks. 12 weeks.

3. The fundus descends approximately how much per day postpartum?. 2 cm per day. 1 cm (1 fingerbreadth) per day. 0.5 cm per day. 3 cm per day.

4. By day 10 postpartum, the uterus should be: At umbilicus. 3 cm above symphysis pubis. Nonpalpable behind symphysis pubis. Midway to xiphoid.

5. When palpating the fundus, the nurse must support the lower segment to prevent: Infection. Uterine rupture. Uterine inversion. Hematoma.

6. In the BUBBLEHE framework, the first B stands for: Bowel. Breasts. Bladder. Bleeding.

7. The second B in BUBBLEHE represents: Bowel. Breasts. Bladder. Bleeding.

8. The H in BUBBLEHE focuses primarily on assessment of: Hormones. Hemodynamics (DVT or shock signs). Hygiene. Hydration only.

9. The final E in BUBBLEHE evaluates: Endometritis. Emotional state. Episiotomy only. Edema.

10. Physiological breast engorgement typically occurs around: Day 1. Day 2. Days 34. Week 3.

11. Engorgement is treated primarily with: Heat compresses. Cold compresses. Antibiotics. Fluid restriction.

12. Mastitis is most commonly characterized by: Bilateral tenderness without fever. Unilateral redness with flulike symptoms. Soft breasts. Decreased milk production only.

13. Breastfeeding should be discontinued in mastitis. True. False Continue breastfeeding and empty breast. Only if fever present. Only if abscess present.

14. A boggy uterus indicates: Normal tone. Infection. Uterine atony and hemorrhage risk. Subinvolution only.

15. The first intervention for a boggy uterus is: Catheterize immediately. Administer antibiotics. Massage the fundus. Apply heat.

16. If the uterus is boggy and deviated, the nurse should: Catheterize first. Massage first, then empty bladder. Notify provider immediately. Apply ice.

17. A full bladder postpartum can lead to hemorrhage by causing: Increased oxytocin. Uterine displacement and atony. Infection. Hypertension.

18. Lochia rubra is expected during: Days 13. Days 410. Days 1114. Weeks 36.

19. Lochia serosa is described as: Dark red. Pinkish brown. Yellow white. Foul smelling green.

20. A return from lochia alba back to rubra suggests: Normal healing. Subinvolution. Hydration. Lactation onset.

21. Saturating a pad in 15 minutes is classified as: Moderate bleeding. Scant bleeding. Excessive bleeding. Normal postpartum loss.

22. REEDA assessment includes all EXCEPT: Redness. Edema. Effacement. Approximation.

23. Severe unrelenting perineal pain with firm uterus and no visible bleeding suggests: Atony. Laceration. Hematoma. Infection.

24. Large perineal hematomas require: Ice only. Sitz bath. Surgical evacuation. Observation only.

25. Postpartum hemorrhage after vaginal delivery is defined as blood loss greater than: 250 mL. 500 mL. 750 mL. 1000 mL.

26. The most common cause of postpartum hemorrhage is: Trauma. Tissue. Thrombin. Tone (uterine atony).

27. Retained placenta fragments fall under which 'T' of hemorrhage?. Tone. Trauma. Tissue. Thrombin.

28. Coagulopathy leading to hemorrhage corresponds to: Tone. Trauma. Tissue. Thrombin.

29. The assessment triad of endometritis includes: Fever, tachycardia, uterine tenderness. Hypotension, bradycardia, pallor. Headache, edema, hypertension. Breast pain, fever, redness.

30. Primary risk factor for endometritis is: Vaginal delivery. CIsection delivery. Early ambulation. Breastfeeding.

31. Visible red mass at vaginal opening with severe pain suggests: Laceration. Uterine inversion. Atony. Mastitis.

32. First action in uterine inversion is to: Administer antibiotics. Stop Pitocin. Massage fundus. Catheterize.

33. Bleeding from IV sites and gums postpartum suggests: Endometritis. Mastitis. DIC. Subinvolution.

34. Laboratory findings in DIC include: Increased platelets. Increased fibrinogen. Decreased platelets and fibrinogen. Normal PT/PTT.

35. Postpartum fever with unilateral breast redness most likely indicates: Endometritis. Mastitis. DVT. Hematoma.

36. Heavy bleeding with firm uterus suggests: Atony. Hematoma. Laceration. Endometritis.

37. Heavy bleeding with boggy uterus indicates: Trauma. Atony. Infection. DIC.

38. The ultimate postpartum uterine goal is: Enlarged and soft. Deviated right. Firm and midline. Tender and high.

39. If the uterus is deviated, the nurse should: Massage only. Apply heat. Empty the bladder. Administer antibiotics.

40. Breast pain postpartum is treated with heat if diagnosis is: Engorgement. Mastitis. Hematoma. Subinvolution.