QUESTIONS WITH ANSWERS GRADED A+
◉ A nurse is planning care for a client who is 2 hours
postpartum following a cesarean birth. The client has a
history of thromboembolic disease. Which of the following nursing
interventions should be included in the plan of care?
A. Apply warm, moist heat to the client's lower extremities
B. Massage the client's posterior lower legs
C.Place pillows under the client's knees when resting in bed
D. Have the client ambulate. Answer: D
◉ A nurse is caring for a client who is postpartum and
received methylergonovine. Which of the following
findings indicates that the medication was effective?
A. Increase in blood pressure
B. Increase in lochia
C. Fundus firm to palpation
D. Report of absent breast pain. Answer: C
◉ A nurse is caring for a client who is 5 hr. postpartum
,following a vaginal birth of a newborn weighing 9 lb. 6
oz. (4252 c). The nurse should recognize that this client
is at risk for which of the following postpartum
complications?
A. Puerperal infection
B. Retained placental fragments
C. Thrombophlebitis
D.Uterine atony. Answer: D
◉ A nurse is admitting a client who experienced a vaginal
birth 2 hr ago. The client is receiving an IV of lactated
Ringer's with 25 units of oxytocin infusing and has large
rubra lochia. Vital signs include blood pressure 146/94 mmHg, pulse
80/min, and respiratory rate 18/min. The nurse reviews the
prescriptions from the prouder. Which of the following prescriptions
requires clarification!
A. Methylergonovine0.2mg IM
B. Insert an indwelling urinary catheter
C. Administer oxygen by nonrebreather mask at 10 L/ min.
D. Obtain laboratory study of PT and PTT. Answer: A
, ◉ A nurse is caring for a client who is 12 hr postpartum. Which of
the following findings should alert the nurse to the possibility of a
postpartum complication?
A. Orthostatic hypotension
B. Funds palpable at the umbilicus
C. Urine output of 3,000 ml in 12 hrs.
D. Heart rate 110/min. Answer: D
◉ A nurse is assessing a
client for postpartum infection
Which of the following findings should indicate to the nurse that the
cent requires further evaluation for endometritis?
A. Moderate amount of dark red lochia with a bloody odor
B. Al localized ares of breast tenderness
C. Pelvic pain
D. Hematuria. Answer: C
◉ A nurse is caring for a client who is 2 hr postpartum. The
nurse notes that the client soaked a perineal pad in 10 min the
client's skin color is ashen, and she stales she feels weak and light
headed. After applying oxygen via nonrebreather face mask at 10
L/min which of the following actions should the nurse take
A. Insert an indwelling urinary catheter