NCLEX MATERNITY NURSING PRACTICE EXAM LATEST UPDATE WITH CORRECT 150 Q&A’S WITH RATIONALES GUARANTEED PASS | RATED A+

1. A postpartum nurse is preparing to care for a woman who has just delivered a healthy newborn
infant. In the immediate postpartum period, the nurse plans to take the woman’s vital signs:
o A. Every 30 minutes during the first hour and then every hour for the next
two hours.
o B. Every 15 minutes during the first hour and then every 30 minutes for
the next two hours.
o C. Every hour for the first 2 hours and then every 4 hours.
o D. Every 5 minutes for the first 30 minutes and then every hour for the next 4
hours.
Correct Answer: B. Every 15 minutes during the first hour and then every 30 minutes for
the next two hours.
The initial or acute period involves the first 6–12 hours postpartum. This is a time of rapid
change with a potential for immediate crises such as postpartum hemorrhage, uterine inversion,
amniotic fluid embolism, and eclampsia.
 Option A: The second phase is the subacute postpartum period, which lasts 2–6
weeks. During this phase, the body is undergoing major changes in terms of
hemodynamics, genitourinary recovery, metabolism, and emotional status.
Nonetheless, the changes are less rapid than in the acute postpartum phase and the
patient is generally capable of self-identifying problems. These may run the
gamut from ordinary concerns about perineal discomfort to peripartum
cardiomyopathy or severe postpartum depression.
 Option C: The third phase is the delayed postpartum period, which can last up to
6 months. Changes during this phase are extremely gradual, and pathology is rare.
This period is used to make sure the mother is stable and to educate her in the care
of her baby (especially the first-time mother). While still in the hospital, the
mother is monitored for blood loss, signs of infection, abnormal blood pressure,
contraction of the uterus, and ability to void. There is also attention to Rh
compatibility, maternal immunization statuses, and breastfeeding. This is the time
of restoration of muscle tone and connective tissue to the prepregnant state.
Although change is subtle during this phase, it behooves caregivers to remember
that a woman?s body is nonetheless not fully restored to prepregnant physiology
until about 6 months post-delivery.