EXAM 4 – LIPPINCOTT QUESTIONS
WITH RIGHT ACTUAL ANSWERS .
A 17-year-old woman is living with a 21-year-old man. The man often comes home drunk and
then becomes jealous. He refers to the woman as lazy, stupid, and useless and makes accusations
about her talking with people while he is working to support her. He rarely hits her. Given this
history, the nurse recognizes this client is at risk for which condition associated with pregnancy?
Molar pregnancy
Postpartum depression
Gestational diabetes
Postterm pregnancy - Correct Answer -Postpartum depression
When planning the care for a client during the first 24 hours postpartum, the nurse expects to
monitor the client's pulse and blood pressure frequently based on the understanding that the
client is at risk for which condition?
thromboembolism
hemorrhage
cervical laceration
hemorrhoids - Correct Answer -hemorrhage
About 10 days following birth, a new mother visits her primary care provider with localized
symptoms of redness, swelling, warmth, and a hard, inflamed vessel in one leg. The nurse should
suspect which condition?
mastitis
femoral thrombophlebitis
subinvolution
uterine atony - Correct Answer -femoral thrombophlebitis
, A nurse is assigned to care for a client with lacerations. The nurse knows that which factor would
be the most likely cause of lacerations of the genital tract?
excessive traction on umbilical cord
development of endometritis
birth of a large newborn
history of hypertension - Correct Answer -birth of a large newborn
When assessing a postpartum client who was diagnosed with a cervical laceration that has been
repaired, what sign should the nurse report as a possible development of hypovolemic shock?
warm and flushed skin
decreased respiratory rate
elevated blood pressure
weak and rapid pulse - Correct Answer -weak and rapid pulse
When caring for a client with postpartum blues, which intervention would be most appropriate?
Recommend the client to a support group or to a mental health professional.
Validate the client's emotions, allowing her to express them freely.
Administer antidepressants as prescribed to lessen postpartum blues.
Avoid allowing contact between the newborn and the client. - Correct Answer -Validate the
client's emotions, allowing her to express them freely.
The nurse is assisting a new mother who is several hours postpartum. Which reaction by the new
mother should be of concern to the nurse?
Returns baby to the nursery because of fatigue
Ignores the newborn crying
Cuddles her baby close to her while feeding
Is hesitant to change the diaper - Correct Answer -Ignores the newborn crying
The nurse is questioning the effective bonding of a client and her 2-day-old infant after noting
signs of impaired bonding and attachment. Which actions does the nurse find concerning?
WITH RIGHT ACTUAL ANSWERS .
A 17-year-old woman is living with a 21-year-old man. The man often comes home drunk and
then becomes jealous. He refers to the woman as lazy, stupid, and useless and makes accusations
about her talking with people while he is working to support her. He rarely hits her. Given this
history, the nurse recognizes this client is at risk for which condition associated with pregnancy?
Molar pregnancy
Postpartum depression
Gestational diabetes
Postterm pregnancy - Correct Answer -Postpartum depression
When planning the care for a client during the first 24 hours postpartum, the nurse expects to
monitor the client's pulse and blood pressure frequently based on the understanding that the
client is at risk for which condition?
thromboembolism
hemorrhage
cervical laceration
hemorrhoids - Correct Answer -hemorrhage
About 10 days following birth, a new mother visits her primary care provider with localized
symptoms of redness, swelling, warmth, and a hard, inflamed vessel in one leg. The nurse should
suspect which condition?
mastitis
femoral thrombophlebitis
subinvolution
uterine atony - Correct Answer -femoral thrombophlebitis
, A nurse is assigned to care for a client with lacerations. The nurse knows that which factor would
be the most likely cause of lacerations of the genital tract?
excessive traction on umbilical cord
development of endometritis
birth of a large newborn
history of hypertension - Correct Answer -birth of a large newborn
When assessing a postpartum client who was diagnosed with a cervical laceration that has been
repaired, what sign should the nurse report as a possible development of hypovolemic shock?
warm and flushed skin
decreased respiratory rate
elevated blood pressure
weak and rapid pulse - Correct Answer -weak and rapid pulse
When caring for a client with postpartum blues, which intervention would be most appropriate?
Recommend the client to a support group or to a mental health professional.
Validate the client's emotions, allowing her to express them freely.
Administer antidepressants as prescribed to lessen postpartum blues.
Avoid allowing contact between the newborn and the client. - Correct Answer -Validate the
client's emotions, allowing her to express them freely.
The nurse is assisting a new mother who is several hours postpartum. Which reaction by the new
mother should be of concern to the nurse?
Returns baby to the nursery because of fatigue
Ignores the newborn crying
Cuddles her baby close to her while feeding
Is hesitant to change the diaper - Correct Answer -Ignores the newborn crying
The nurse is questioning the effective bonding of a client and her 2-day-old infant after noting
signs of impaired bonding and attachment. Which actions does the nurse find concerning?
