NUR 418 Exam 3 Questions With Complete Solutions
A postpartum patient has just given birth via cesarean section
and is at risk for postpartum hemorrhage (PPH). Which of the
following increases the risk for PPH in this patient?
A) Vaginal birth with no complications.
B) Prolonged labor with fetal distress.
C) History of multiple pregnancies.
D) Cesarean section birth and large episiotomy.
D) Cesarean section birth and large episiotomy.
Rationale: Risk factors for postpartum hemorrhage include
cesarean section, large episiotomies, and rapid or prolonged
labor. Cesarean sections carry a higher risk of bleeding due to
surgical intervention.
A nurse is monitoring a postpartum patient for signs of a deep
vein thrombosis (DVT). Which of the following signs and
symptoms is most indicative of DVT?
A) Unilateral leg pain, calf tenderness, and swelling.
B) Bilateral leg pain, warmth, and redness.
C) Dyspnea, chest pain, and tachypnea.
D) Severe lower back pain and urinary retention.
A) Unilateral leg pain, calf tenderness, and swelling.
Rationale: DVT commonly presents with unilateral leg pain, calf
,tenderness, swelling, and warmth. Dyspnea, chest pain, and
tachypnea can indicate a pulmonary embolism (PE), which may
occur if a clot migrates from the leg.
A postpartum patient presents with dyspnea, chest pain, and
tachypnea after experiencing a DVT. The nurse is concerned
that the patient may be developing a pulmonary embolism (PE).
Which of the following interventions is most urgent?
A) Administer oxygen to the patient.
B) Apply compression stockings to the legs.
C) Assess for signs of uterine atony.
D) Administer an anticoagulant.
A) Administer oxygen to the patient.
Rationale: The priority in managing pulmonary embolism is to
ensure adequate oxygenation. The nurse should immediately
administer oxygen to stabilize the patient, as PE is a life-
threatening emergency.
A postpartum nurse is assessing a patient for signs of postpartum
hemorrhage. Which of the following findings would most likely
suggest that the patient's bleeding is due to a laceration?
A) The uterus is boggy, and the blood is dark red with clots.
B) The uterus is firm, but the blood is bright red with no clots.
C) The uterus is firm, and the blood is dark red with clots.
D) The uterus is boggy, and the blood is bright red with clots.
,B) The uterus is firm, but the blood is bright red with no clots.
Rationale: Bright red blood without clots and a firm uterus
typically indicates bleeding from a laceration. In contrast,
uterine atony results in a soft uterus with dark red blood and
clots.
A nurse is educating a new mother about the normal weight loss
in the newborn period. The nurse explains that it is normal for a
newborn to lose weight during the early days of life. The mother
expresses concern because her infant has lost 7% of his birth
weight. Which of the following responses by the nurse is most
appropriate?
A) "This amount of weight loss is concerning; we will need to
supplement with formula immediately."
B) "It is normal for infants to lose 5-10% of their birth weight
during the first few days. Let's monitor feeding effectiveness
and weight gain."
C) "Your baby is likely not getting enough milk; we should start
supplementing with formula right away."
D) "You should stop breastfeeding until your milk production
increases; bottle feeding is a better option at this stage."
B) "It is normal for infants to lose 5-10% of their birth weight
during the first few days. Let's monitor feeding effectiveness
and weight gain."
Rationale: Newborns typically lose 5-10% of their birth weight
during the first few days of life. The nurse should reassure the
, mother and monitor feeding effectiveness. This is a normal
physiological process, and most infants begin gaining weight
once milk production increases.
A nurse is discussing the toddler's language development with
the parent of a 15-month-old. The nurse notes that at 15 months,
the toddler should be able to:
A) Use 2-3 word sentences.
B) Know several words and can say simple phrases.
C) Speak in complete sentences.
D) Repeat the words and sentences they hear from adults.
B) Know several words and can say simple phrases.
Rationale: By 15 months, toddlers typically have a vocabulary
of several words and can say simple phrases like "want drink" or
"I do."
A nurse is providing health education to the parents of a toddler
regarding medication safety. Which of the following is the most
important teaching point to include?
A) "Keep medications in an unlocked cabinet to make them
easily accessible."
B) "Call poison control if a toddler ingests medication and do
not attempt to induce vomiting."
C) "Tell your child that medications are 'candy' to encourage
them to take their medicine."
A postpartum patient has just given birth via cesarean section
and is at risk for postpartum hemorrhage (PPH). Which of the
following increases the risk for PPH in this patient?
A) Vaginal birth with no complications.
B) Prolonged labor with fetal distress.
C) History of multiple pregnancies.
D) Cesarean section birth and large episiotomy.
D) Cesarean section birth and large episiotomy.
Rationale: Risk factors for postpartum hemorrhage include
cesarean section, large episiotomies, and rapid or prolonged
labor. Cesarean sections carry a higher risk of bleeding due to
surgical intervention.
A nurse is monitoring a postpartum patient for signs of a deep
vein thrombosis (DVT). Which of the following signs and
symptoms is most indicative of DVT?
A) Unilateral leg pain, calf tenderness, and swelling.
B) Bilateral leg pain, warmth, and redness.
C) Dyspnea, chest pain, and tachypnea.
D) Severe lower back pain and urinary retention.
A) Unilateral leg pain, calf tenderness, and swelling.
Rationale: DVT commonly presents with unilateral leg pain, calf
,tenderness, swelling, and warmth. Dyspnea, chest pain, and
tachypnea can indicate a pulmonary embolism (PE), which may
occur if a clot migrates from the leg.
A postpartum patient presents with dyspnea, chest pain, and
tachypnea after experiencing a DVT. The nurse is concerned
that the patient may be developing a pulmonary embolism (PE).
Which of the following interventions is most urgent?
A) Administer oxygen to the patient.
B) Apply compression stockings to the legs.
C) Assess for signs of uterine atony.
D) Administer an anticoagulant.
A) Administer oxygen to the patient.
Rationale: The priority in managing pulmonary embolism is to
ensure adequate oxygenation. The nurse should immediately
administer oxygen to stabilize the patient, as PE is a life-
threatening emergency.
A postpartum nurse is assessing a patient for signs of postpartum
hemorrhage. Which of the following findings would most likely
suggest that the patient's bleeding is due to a laceration?
A) The uterus is boggy, and the blood is dark red with clots.
B) The uterus is firm, but the blood is bright red with no clots.
C) The uterus is firm, and the blood is dark red with clots.
D) The uterus is boggy, and the blood is bright red with clots.
,B) The uterus is firm, but the blood is bright red with no clots.
Rationale: Bright red blood without clots and a firm uterus
typically indicates bleeding from a laceration. In contrast,
uterine atony results in a soft uterus with dark red blood and
clots.
A nurse is educating a new mother about the normal weight loss
in the newborn period. The nurse explains that it is normal for a
newborn to lose weight during the early days of life. The mother
expresses concern because her infant has lost 7% of his birth
weight. Which of the following responses by the nurse is most
appropriate?
A) "This amount of weight loss is concerning; we will need to
supplement with formula immediately."
B) "It is normal for infants to lose 5-10% of their birth weight
during the first few days. Let's monitor feeding effectiveness
and weight gain."
C) "Your baby is likely not getting enough milk; we should start
supplementing with formula right away."
D) "You should stop breastfeeding until your milk production
increases; bottle feeding is a better option at this stage."
B) "It is normal for infants to lose 5-10% of their birth weight
during the first few days. Let's monitor feeding effectiveness
and weight gain."
Rationale: Newborns typically lose 5-10% of their birth weight
during the first few days of life. The nurse should reassure the
, mother and monitor feeding effectiveness. This is a normal
physiological process, and most infants begin gaining weight
once milk production increases.
A nurse is discussing the toddler's language development with
the parent of a 15-month-old. The nurse notes that at 15 months,
the toddler should be able to:
A) Use 2-3 word sentences.
B) Know several words and can say simple phrases.
C) Speak in complete sentences.
D) Repeat the words and sentences they hear from adults.
B) Know several words and can say simple phrases.
Rationale: By 15 months, toddlers typically have a vocabulary
of several words and can say simple phrases like "want drink" or
"I do."
A nurse is providing health education to the parents of a toddler
regarding medication safety. Which of the following is the most
important teaching point to include?
A) "Keep medications in an unlocked cabinet to make them
easily accessible."
B) "Call poison control if a toddler ingests medication and do
not attempt to induce vomiting."
C) "Tell your child that medications are 'candy' to encourage
them to take their medicine."
