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Terms in this set (130)
A client who delivered an infant an hour ago tells the nurse Correct Answer: C
the she feels wet underneath her buttock. The nurse notes
that the perineal pad is saturated and the client is lying in a A firm uterus is needed to control bleeding from the placental site of attachment on the
6-inch diameter pool of blood. Which action should the uterine wall. The nurse should FIRST assess for firmness and massage the fundus as
nurse implement first? indicated.
A. Cleanse the perineum
B. Obtain a blood pressure
C. Palpate the firmness of the fundus
D. Inspect the perineum for lacerations
A woman who thinks she could be pregnant calls her Correct Answer: A
neighbor, who is a nurse, to ask when she should use a
home pregnancy test. Which response is appropriate? Home urine test are based on the chemical detection of human chorionic
gonadotrophin, which begins to increase 6-8 days after conception. Best detected at 2
A. "A home pregnancy test can be used right after your first weeks gestation or immediately after first missed period.
missed period."
B. "These tests are most accurate after you missed your
second period."
C "Home pregnancy tests often give false positives and
should not be trusted."
D. "The test can provide accurate information when used
right after ovulation."
When explaining "postpartum blues" to a client who is 1 day Correct Answers: A,C
postpartum, which symptoms should the nurse include in the
teaching plan? (Select all that apply) "Postpartum blues" is a common emotional response related to the rapid decrease in
placental hormones after delivery and include mood swings, teaefulness, feeling low,
A. Mood swings emotional, and fatigued.
B. Panic attacks B,D, and E indicate "Postpartum Depression"
C. Tearfulness
D. Decreased need for sleep
E. Disinterest in the infant
, One hour after giving birth to an 8-pound infant, a client's Correct Answer: D
lochia rubra has increased from small to large and her
fundus is boggy despite massage. HR is 84 bpm, BP Methergine is contraindicated for clients with elevated BP, so the nurse should contact
156/96. The M.D. prescribe Methergine 0.2 mg IM x 1. the HP and question the prescription.
Which action should the nurse take immediately?
A. Give the medication as prescribed and monitor for
efficacy
B. Encourage the client to breastfeed rather than bottle feed
C. Have the client empty her bladder and massage her
fundus
D. Call the HP to question the prescription
The nurse should encourage the laboring patient to begin Correct Answer: C
pushing when
Pushing begins with the second stage of labor (i.e. when the cervix is completely
A. there is only an anterior or posterior lip of cervix left dilated at 10 cm). Pushing before this point could case the cervix to become
B. the client describes the need to have a BM edematous = operative delivery.
C. the cervix is completely dilated
C. the cervix is completely effaced
A client at 32-weeks gestation is hospitalized with severe Correct Answer: C
pregnancy-induced hypertension (PIH), and magnesium
sulfate is prescribed to control the symptoms. Which Magnesium sulfate, a CNS depressant, helps prevent seizures.** RR <12 indicate
assessment finding indicates the therapeutic drug level has toxicity, Urine output should be at least 30 ml/hr
been achieved?
A. 4+ reflexes
B. Urinary output of 50 ml/hr
C. A decrease in RR from 24 to 16
D. A decreased body temp
Twenty-four hours after admission to the newborn nursery, a Correct Answer: A
full-term male infant develops localized edema on the right
side of his head. The nurse knows that, in the newborn, an A slight abnormal variation of the newborn, usually arises within first 24 hours after
accumulation of blood between the periosteum and skull delivery. Trauma from delivery causes capillary bleeding between the periosteum and
which does not cross the suture line is a newborn variation the skull
known as (B) a cranial distortion lasting 5-7 days, caused by pressure on the cranium
(C&D) involves cranial bleeding; cannot be detected on physical exam alone
A. a cephalhematoma, caused by forceps trauma and may
last up to 8 weeks
B. a subarachnoid hematoma, which requires immediate
drainage to prevent complications
C. molding, caused by pressure during labor and will
disappear within 2 to 3 days
D. a subdural hematoma which can result in lifelong damage
A couple has been trying to conceive for nine months Correct Answer: D
without success. Which information obtained from the clients
is most likely to have an impact on the couple's ability to The use of lubricants has the potential to affect fertility because some lubricants
conceive a child? interfere with sperm motility
A. Exercise regimen of both partners includes running four
miles each morning
B. History of having sexual intercourse 2-3 times per week
C. The woman's menstrual period occurs every 35 days
D. They use lubricants with each sexual encounter to
decrease friction
Which action should the nurse implement when preparing to Correct Answer: A
measure the fundal height of a pregnant client?
The bladder must be completely empty to accurately measure the fundal height.
A. Have the client empty the bladder
B. Request the client lie on her left side
C. Perform Leopold's maneuvers first
D. Give the client some juice
An off-duty nurse finds a woman in a supermarket parking Correct Answer: D
lot delivering an infant while her husband is screaming for
someone to help his wife. Which intervention has the Putting the newborn to breast will help contract the uterus and prevent a postpartum
highest priority? hemorrhage. Preventing hemorrhage is the highest priority.
A. Use a thread to tie off the umbilical cord
B. Provide as much privacy as possible
C. Reassure the husband and try to keep him calm
D. Put the newborn to breast
A client at 28-weeks gestation calls the antepartal clinic and Correct Answer: A
states that she is experiencing a small amount of vaginal
bleeding which she describes as bright red. She further Third trimester painless bleeding is characteristic of a placental previa. Bright red
states that she is not experiencing any uterine contractions bleeding may be intermittent, occur in gushes, or be continuous
or abdominal pain. Which instruction should the nurse **Bleeding that is sudden and accompanied by intense uterine pain indicates placental
provide? abruption, which IS life threatening
A. Come to the clinic today for an ultrasound
B. Go immediately to the emergency room
C. Lie on your left side for about one hour and see if the
bleeding stops
D. Bring a urine sample to the lab tomorrow to determine if
you have a UTI
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Terms in this set (130)
A client who delivered an infant an hour ago tells the nurse Correct Answer: C
the she feels wet underneath her buttock. The nurse notes
that the perineal pad is saturated and the client is lying in a A firm uterus is needed to control bleeding from the placental site of attachment on the
6-inch diameter pool of blood. Which action should the uterine wall. The nurse should FIRST assess for firmness and massage the fundus as
nurse implement first? indicated.
A. Cleanse the perineum
B. Obtain a blood pressure
C. Palpate the firmness of the fundus
D. Inspect the perineum for lacerations
A woman who thinks she could be pregnant calls her Correct Answer: A
neighbor, who is a nurse, to ask when she should use a
home pregnancy test. Which response is appropriate? Home urine test are based on the chemical detection of human chorionic
gonadotrophin, which begins to increase 6-8 days after conception. Best detected at 2
A. "A home pregnancy test can be used right after your first weeks gestation or immediately after first missed period.
missed period."
B. "These tests are most accurate after you missed your
second period."
C "Home pregnancy tests often give false positives and
should not be trusted."
D. "The test can provide accurate information when used
right after ovulation."
When explaining "postpartum blues" to a client who is 1 day Correct Answers: A,C
postpartum, which symptoms should the nurse include in the
teaching plan? (Select all that apply) "Postpartum blues" is a common emotional response related to the rapid decrease in
placental hormones after delivery and include mood swings, teaefulness, feeling low,
A. Mood swings emotional, and fatigued.
B. Panic attacks B,D, and E indicate "Postpartum Depression"
C. Tearfulness
D. Decreased need for sleep
E. Disinterest in the infant
, One hour after giving birth to an 8-pound infant, a client's Correct Answer: D
lochia rubra has increased from small to large and her
fundus is boggy despite massage. HR is 84 bpm, BP Methergine is contraindicated for clients with elevated BP, so the nurse should contact
156/96. The M.D. prescribe Methergine 0.2 mg IM x 1. the HP and question the prescription.
Which action should the nurse take immediately?
A. Give the medication as prescribed and monitor for
efficacy
B. Encourage the client to breastfeed rather than bottle feed
C. Have the client empty her bladder and massage her
fundus
D. Call the HP to question the prescription
The nurse should encourage the laboring patient to begin Correct Answer: C
pushing when
Pushing begins with the second stage of labor (i.e. when the cervix is completely
A. there is only an anterior or posterior lip of cervix left dilated at 10 cm). Pushing before this point could case the cervix to become
B. the client describes the need to have a BM edematous = operative delivery.
C. the cervix is completely dilated
C. the cervix is completely effaced
A client at 32-weeks gestation is hospitalized with severe Correct Answer: C
pregnancy-induced hypertension (PIH), and magnesium
sulfate is prescribed to control the symptoms. Which Magnesium sulfate, a CNS depressant, helps prevent seizures.** RR <12 indicate
assessment finding indicates the therapeutic drug level has toxicity, Urine output should be at least 30 ml/hr
been achieved?
A. 4+ reflexes
B. Urinary output of 50 ml/hr
C. A decrease in RR from 24 to 16
D. A decreased body temp
Twenty-four hours after admission to the newborn nursery, a Correct Answer: A
full-term male infant develops localized edema on the right
side of his head. The nurse knows that, in the newborn, an A slight abnormal variation of the newborn, usually arises within first 24 hours after
accumulation of blood between the periosteum and skull delivery. Trauma from delivery causes capillary bleeding between the periosteum and
which does not cross the suture line is a newborn variation the skull
known as (B) a cranial distortion lasting 5-7 days, caused by pressure on the cranium
(C&D) involves cranial bleeding; cannot be detected on physical exam alone
A. a cephalhematoma, caused by forceps trauma and may
last up to 8 weeks
B. a subarachnoid hematoma, which requires immediate
drainage to prevent complications
C. molding, caused by pressure during labor and will
disappear within 2 to 3 days
D. a subdural hematoma which can result in lifelong damage
A couple has been trying to conceive for nine months Correct Answer: D
without success. Which information obtained from the clients
is most likely to have an impact on the couple's ability to The use of lubricants has the potential to affect fertility because some lubricants
conceive a child? interfere with sperm motility
A. Exercise regimen of both partners includes running four
miles each morning
B. History of having sexual intercourse 2-3 times per week
C. The woman's menstrual period occurs every 35 days
D. They use lubricants with each sexual encounter to
decrease friction
Which action should the nurse implement when preparing to Correct Answer: A
measure the fundal height of a pregnant client?
The bladder must be completely empty to accurately measure the fundal height.
A. Have the client empty the bladder
B. Request the client lie on her left side
C. Perform Leopold's maneuvers first
D. Give the client some juice
An off-duty nurse finds a woman in a supermarket parking Correct Answer: D
lot delivering an infant while her husband is screaming for
someone to help his wife. Which intervention has the Putting the newborn to breast will help contract the uterus and prevent a postpartum
highest priority? hemorrhage. Preventing hemorrhage is the highest priority.
A. Use a thread to tie off the umbilical cord
B. Provide as much privacy as possible
C. Reassure the husband and try to keep him calm
D. Put the newborn to breast
A client at 28-weeks gestation calls the antepartal clinic and Correct Answer: A
states that she is experiencing a small amount of vaginal
bleeding which she describes as bright red. She further Third trimester painless bleeding is characteristic of a placental previa. Bright red
states that she is not experiencing any uterine contractions bleeding may be intermittent, occur in gushes, or be continuous
or abdominal pain. Which instruction should the nurse **Bleeding that is sudden and accompanied by intense uterine pain indicates placental
provide? abruption, which IS life threatening
A. Come to the clinic today for an ultrasound
B. Go immediately to the emergency room
C. Lie on your left side for about one hour and see if the
bleeding stops
D. Bring a urine sample to the lab tomorrow to determine if
you have a UTI
