Practice Quiz

CNM Certified Nurse Midwife

Category - Postpartum

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A nurse midwife is receiving a client who has just delivered a healthy baby girl through vaginal birth. No complications were noted during labor. In the immediate postpartum period, the nurse midwife assesses the client’s vital signs:
  1. Every 15 minutes during the first hour, every 30 minutes for the next 2 hours, every hour for the next 2 to 6 hours, and then every 4 hours for the next 24 hours.
  2. Every 15 minutes during the first 30 minutes, every 30 minutes for the next 2 hours, every hour for the next 4 hours, and then every 4 hours for the next 24 hours.
  3. Every 30 minutes for the first hour, every hour for the next 2 hours, every 2 hours for the next 4 hours, and then every 8 hours for the next for the next 24 hours.
  4. Every 30 minutes for the first hour, every hour for the next 2 hours, every 4 hours for the next 16 hours, and then every 8 hours for the next 24 hours.
Explanation
Answer: A - The nurse midwife should assess the client every 15 minutes during the first hour, every 30 minutes for the next 2 hours, every hour for the next 2 to 6 hours, and then every 4 hours for the next 24 hours. Urine output, amount of vaginal bleeding and uterine tone are also assessed during the postpartum period.
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