NCLEX PN Practice Tests Practice Exam

Full-length practice exam for NCLEX PN Practice Tests certification preparation with 164 questions and detailed explanations.

Total Questions: 164 (Free preview: first 5 only)

Question 1 of 164

The LPN is caring for all of the following women on the postpartum unit. Which situation requires further attention?

A. A woman who gave birth four hours ago has red vaginal drainage on her perineal pad.
B. The nurse palpates the uterine fundus 3 cm above the umbilicus in a woman who gave birth 12 hours ago. Correct
C. A woman who had a 20-hour labor and gave birth 8 hours ago asks the nurse not to bring her baby in for breastfeeding during the night.
D. A woman who gave birth yesterday is sweating profusely and producing large amounts of urine.

Rationale: Option B requires further attention because a uterine fundus that is 3 cm above the umbilicus 12 hours postpartum suggests potential uterine atony or retained placental fragments, which can lead to hemorrhage.

Option A, red vaginal drainage four hours postpartum, is expected as lochia rubra is normal in the immediate postpartum period.

Option C, a request to delay breastfeeding, is not uncommon and does not indicate a medical issue; mothers may need rest after a long labor.

Option D, sweating and increased urination, is typically a sign of normal postpartum diuresis as the body expels excess fluid.

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