QUESTIONS AND SOLUTIONS
◉ A nurse on the postpartum unit is caring for four clients.
Which of the following clients should the nurse recognize as the
greatest risk for development of a postpartum infection?
A. A client who experienced a precipitous labor less than 3hr. in
duration
B.A client who had premature rupture of membranes
and prolonged labor
C. A client who delivered a large for gestational age infant
D. A client who had a boggy uterus that was not well
contracted. Answer: B
◉ A nurse is discussing risk factors for urinary tract infections with
a newly licensed nurse. Which of the following conditions should the
nurse include in the teaching? Select all that apply.
A. Epidural anesthesia
B. Urinary bladder catheterization
C. Frequent pelvic examinations
D. History of UTIs
E.Vaginal birth. Answer: A, B, C, D
,◉ A nurse Is reviewing discharge teaching with a client who has a
urinary tract infection. Which of the following statements by the
client indicates understanding of the teaching? Select all that apply.
A. I will perform perineal care and apply a perineal pad in a back-to-
front direction
B. I will drink grape juice to make my urine more acidic
C. will drink large amounts of fluids to flush the bacteria
from my urinary tract
D. I will go back to breastfeeding after I have finished taking the
antibiotic
E. I will take Tylenol for any discomfort. Answer: C, E
◉ A nurse is caring for a client who has mastitis. Which of the
following is the typical causative agent of mastitis?
A. Staphylococcus aureus
B. Chlamydia trachomatis
C. Klebsiella pneumonia
D. Clostridium perfringens. Answer: A
◉ A nurse is caring for a 1- day poscpartum patient who is
complaining of nipple soreness. Which of the following
measures should you surrest to reduce discomfort during
, breastfeeding? Select all that apply.
A. Apply breast milk to the nipples before ech feeding
B. Place breast pads inside the nursing bra
C. Massage the breasts prior to feeding
D. Start breastfeeding with the nipple chat is less sore
E.Change the infant's position on the nipples. Answer: A, C, D, E
◉ A nurse is caring for a client who had a vaginal delivery 2 hr.ago.
Which of the following actions should the nurse
anticipate in the care of this client? Select all that apply.
A. Document fundal height
B. Massage a firm fundus
C. Observe the lochia during palpation of fundus
D. Determine whether the fundus is midline
F.Administer methylergonovine maleate if uterus is boggy. Answer:
A, C, D, E
◉ A nurse in a clinic is caring for a client who is 3 weeks
postpartum following the birth of a healthy newborn. The
client reports feeling 'down" and sad, having no energy, and wanting
to cry. Which of the following is a priority action by the nurse?
A. Assist the family to identify prior use of positive coping skills in
family crisis