The nurse is educating the postpartum client. Which prevention strateg

NCLEX Maternity Questions

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Question 1 of 5.

The nurse is educating the postpartum client. Which prevention strategies for postpartum depression should the nurse include? Select all that apply.

A. Attend a support group that has other postpartum women.

B. Use the baby's nap time to complete household chores.

C. Keep a journal of feelings during the postpartum period.

D. Call the HCP if feelings of sadness do not subside quickly.

E. Develop a daily schedule of activities, and follow the plan.

Explanation: A postpartum support group can be a place where realistic information about postpartum depression can be discussed and symptoms recognized. Fatigue is a major concern for all postpartum women. Clients should be encouraged to nap when their infant is napping rather than using that time for other activities. Keeping a journal can be emotionally cathartic and can help prevent postpartum depression. Postpartum mothers should be encouraged to call their HCPs if symptoms of postpartum depression, such as feelings of sadness, do not subside quickly or if the symptoms become severe. Structuring activity with a schedule helps counteract inertia that comes with feeling sad or unsettled.

Question 2 of 5.

When the client asks the nurse about the viability of the ovum after ovulation, the nurse correctly explains that after ovulation, the ovum remains alive for how many hours?

A. 2 hours

B. 24 hours

C. 48 hours

D. 72 hours

Explanation: The ovum remains viable for approximately 24 hours after ovulation, during which it can be fertilized by sperm.

Question 3 of 5.

The nurse correctly sends a requisition and specimen for which laboratory test?

A. Alpha-fetoprotein (AFP)

B. Corticotropin-releasing hormone (CRH)

C. Human chorionic gonadotropin (hCG)

D. Follicle-stimulating hormone (FSH)

Explanation: Human chorionic gonadotropin (hCG) is the hormone tested to confirm pregnancy, as it is produced by the placenta shortly after implantation.

Question 4 of 5.

According to the TPAL method, which of the following reflects the client's obstetric history?

A. T-III, P-0, A-0, L-III

B. T-III, P-II, A-0, L-0

C. T-III, P-II, A-0, L-II

D. T-III, P-0, A-0, L-III

Explanation: TPAL: Term (3, one son and twin daughters), Preterm (0), Abortions (0), Living (3). The client has three term deliveries and three living children.

Question 5 of 5.

Which action by the nurse best ensures that an accurate fetal heart rate is obtained?

A. Assess the fetal heart rate when the client is lying on her right side.

B. Assess the fetal heart rate when the client reports fetal movement.

C. Assess the fetal heart rate between Braxton Hicks contractions.

D. Assess the maternal pulse and fetal heart rate, and compare the two.

Explanation: Comparing maternal pulse with fetal heart rate ensures the nurse is not mistaking the maternal pulse for the fetal heartbeat.