NSG 3500 Exam 3 Study Questions
with Verified Answers Already
Graded A+
1. A G2 TPAL 2002 patient experienced a precipitous birth 90 minutes ago.
Her infant weighed 4,200 g, and a repair of a second-degree laceration was
needed following the birth. The nurse assesses that the patient’s uterus is
boggy and deviated to the right. The patients vaginal bleeding has increased.
Which action by the nurse takes priority?
A. Assess the vital signs, including blood pressure and pulse.
B. Call the health-care provider to examine the woman now.
C. Massage the uterine fundus with continual lower-segment support.
D. Measure and document each used perineal pad to assess blood loss. -
ANSWER C
2. A nurse is caring for a patient who has excessive blood loss post-delivery
from uterine atony. The perinatal nurse notifies the health-care provider
while another nurse performs uterine massage. Which medication does the
nurse anticipate to be given as the priority?
A. Carboprost (Hemabate)
B. Ergonovine (Ergotrate)
C. Methylergonovine (Methergine)
D. Oxytocin (Pitocin - ANSWER D
3. A postpartum patient is hemorrhaging despite receiving several medications
and fundal massage. What action by the nurse takes priority?
A. Begin weighing all used perineal pads.
B. Obtain informed consent for surgery.
C. Place the woman on her left side.
D. Switch the IV solution to dextrose. - ANSWER B
,4. In the pre-admission clinic, the perinatal nurse describes the advantages to a
short hospital stay as including which of the following?
a. decreased risk of non-socomial infection
b. increased rest and recuperation
c. increased opportunity to initiate successful breastfeeding
d. increased teaching about infant care - ANSWER A
5. The nurse knows that during what time frame is a woman most likely to
experience heart failure?
a. first trimester
b. second trimester
c. third trimester
d. postpartum - ANSWER D
6. The perinatal nurse understands the concept of attachment as which of the
following?
a. promotion of a unique and powerful relationship between
parent and baby
b. the tie that exists between parent and baby; recognized as a
feeling that binds
c. learning to care for the infant and knowing him or her well
enough to anticipate needs
d. an urge to protect the infant against the world which may lead
to overprotectiveness - ANSWER B
7. During which time frame is the new mother most vulnerable to emotional
difficulties?
a. first 10 days PP
b. first 3 months PP
c. first 6 months PP
d. first year P - ANSWER B
,8. As part of a postpartum woman's assessment, the perinatal nurse observes
for s/s of hematoma formation. Which of the following is the most
anatomical site for a hematoma to form?
a. rectum
b. vulva
c. cervix
d. episiotomy site - ANSWER B
9. The perinatal nurse promotes postpartum health and prevents infection with
the inclusion of information about which concept?
a. good hand washing
b. early ambulation
c. minimal fluid intake
d. restricted protein intake - ANSWER A
10.The perinatal nurse is providing information to a PP woman being
discharged from the hospital on warfarin (Coumadin) therapy. Which drug
would the nurse instruct the pt to restrict?
a. acetaminophen (Tylenol)
b. ibuprofen (Motrin)
c. prenatal vitamins
d. decussate sodium (Colace) - ANSWER B
11.A woman is 10 hours postpartum after an uncomplicated vaginal birth. She
has voided four times, and each time the volume is less than 100 mL. What
action by the nurse is best?
a. ask the woman to keep a voiding oof for 24 hours
b. palpate the fundus and assess the amount of loch is present
c. request an order for a straight catherization
d. run the water in the bathroom faucet during voiding attempts -
ANSWER B
, 12.A woman complains of perineal pain. The nurse assesses swelling, but sees
no other abnormalities. The woman does not wish pharmacological
treatment. What suggestion by the nurse is most appropriate?
a. applying a covered ice pack to the perineum every 2-4 hours
for 20mins
b. placing a cool cabbage leaves on the woman's peri-pad
c. sitting on a donut-type pillow when out of bed
d. immersing in a sitz bath with a water temp of 120F -
ANSWER A
13.A nurse is caring for a woman after a cesarean birth. Prior to ambulating her
for the first time, which action by the nurse takes priority?
a. assess sensation in lower extremities
b. discontinue the patients IV line
c. encourage the pt to cough and deep breath
d. have the pt sit on the edge of the bed - ANSWER A
14.A woman had a cesarean birth 2 hours ago. She now complains of being
hungry and wants something to eat. What action by the nurse is best?
a. assess for bowel sounds and ask if she is passing gas
b. inform the woman that she can't eat until her bowels move
c. order her a meal high in carbohydrates
d. provide her with a medical liquid diet - ANSWER A
The perinatal nurse understands that a puerperal infection occurs within how many
days after giving birth?
a. 10-14
b. 15-30
c. within 28 days
d. within 6 months - ANSWER C
with Verified Answers Already
Graded A+
1. A G2 TPAL 2002 patient experienced a precipitous birth 90 minutes ago.
Her infant weighed 4,200 g, and a repair of a second-degree laceration was
needed following the birth. The nurse assesses that the patient’s uterus is
boggy and deviated to the right. The patients vaginal bleeding has increased.
Which action by the nurse takes priority?
A. Assess the vital signs, including blood pressure and pulse.
B. Call the health-care provider to examine the woman now.
C. Massage the uterine fundus with continual lower-segment support.
D. Measure and document each used perineal pad to assess blood loss. -
ANSWER C
2. A nurse is caring for a patient who has excessive blood loss post-delivery
from uterine atony. The perinatal nurse notifies the health-care provider
while another nurse performs uterine massage. Which medication does the
nurse anticipate to be given as the priority?
A. Carboprost (Hemabate)
B. Ergonovine (Ergotrate)
C. Methylergonovine (Methergine)
D. Oxytocin (Pitocin - ANSWER D
3. A postpartum patient is hemorrhaging despite receiving several medications
and fundal massage. What action by the nurse takes priority?
A. Begin weighing all used perineal pads.
B. Obtain informed consent for surgery.
C. Place the woman on her left side.
D. Switch the IV solution to dextrose. - ANSWER B
,4. In the pre-admission clinic, the perinatal nurse describes the advantages to a
short hospital stay as including which of the following?
a. decreased risk of non-socomial infection
b. increased rest and recuperation
c. increased opportunity to initiate successful breastfeeding
d. increased teaching about infant care - ANSWER A
5. The nurse knows that during what time frame is a woman most likely to
experience heart failure?
a. first trimester
b. second trimester
c. third trimester
d. postpartum - ANSWER D
6. The perinatal nurse understands the concept of attachment as which of the
following?
a. promotion of a unique and powerful relationship between
parent and baby
b. the tie that exists between parent and baby; recognized as a
feeling that binds
c. learning to care for the infant and knowing him or her well
enough to anticipate needs
d. an urge to protect the infant against the world which may lead
to overprotectiveness - ANSWER B
7. During which time frame is the new mother most vulnerable to emotional
difficulties?
a. first 10 days PP
b. first 3 months PP
c. first 6 months PP
d. first year P - ANSWER B
,8. As part of a postpartum woman's assessment, the perinatal nurse observes
for s/s of hematoma formation. Which of the following is the most
anatomical site for a hematoma to form?
a. rectum
b. vulva
c. cervix
d. episiotomy site - ANSWER B
9. The perinatal nurse promotes postpartum health and prevents infection with
the inclusion of information about which concept?
a. good hand washing
b. early ambulation
c. minimal fluid intake
d. restricted protein intake - ANSWER A
10.The perinatal nurse is providing information to a PP woman being
discharged from the hospital on warfarin (Coumadin) therapy. Which drug
would the nurse instruct the pt to restrict?
a. acetaminophen (Tylenol)
b. ibuprofen (Motrin)
c. prenatal vitamins
d. decussate sodium (Colace) - ANSWER B
11.A woman is 10 hours postpartum after an uncomplicated vaginal birth. She
has voided four times, and each time the volume is less than 100 mL. What
action by the nurse is best?
a. ask the woman to keep a voiding oof for 24 hours
b. palpate the fundus and assess the amount of loch is present
c. request an order for a straight catherization
d. run the water in the bathroom faucet during voiding attempts -
ANSWER B
, 12.A woman complains of perineal pain. The nurse assesses swelling, but sees
no other abnormalities. The woman does not wish pharmacological
treatment. What suggestion by the nurse is most appropriate?
a. applying a covered ice pack to the perineum every 2-4 hours
for 20mins
b. placing a cool cabbage leaves on the woman's peri-pad
c. sitting on a donut-type pillow when out of bed
d. immersing in a sitz bath with a water temp of 120F -
ANSWER A
13.A nurse is caring for a woman after a cesarean birth. Prior to ambulating her
for the first time, which action by the nurse takes priority?
a. assess sensation in lower extremities
b. discontinue the patients IV line
c. encourage the pt to cough and deep breath
d. have the pt sit on the edge of the bed - ANSWER A
14.A woman had a cesarean birth 2 hours ago. She now complains of being
hungry and wants something to eat. What action by the nurse is best?
a. assess for bowel sounds and ask if she is passing gas
b. inform the woman that she can't eat until her bowels move
c. order her a meal high in carbohydrates
d. provide her with a medical liquid diet - ANSWER A
The perinatal nurse understands that a puerperal infection occurs within how many
days after giving birth?
a. 10-14
b. 15-30
c. within 28 days
d. within 6 months - ANSWER C
