Which of the following tasks may be delegated to the nursing assistant?
a. checking the cervix of the patient who is less likely to deliver soon
b. administering oxygen to the mother who has decreasing oxygen saturations
c. providing ice chips for a mother who complains of a dry mouth
d. Tearing off a strip of paper from the fetal heart rate monitor and putting it in the chart -
ANSWER C- When working in L&D the UAP can help with ADLs. They cannot be delegated
tasks that require formulating a care plan, taking off orders, or administering medications
Which of the following situations would most likely warrant contact with a physician for
further orders for care or treatment?
A. A patient has a 3rd degree perineal laceration after delivery
B. A patient has lost 100 mL of blood with delivery
C. A patient has a boggy uterus that does not firm with massage
D. A patient is having rectal pain - ANSWER C. When caring for postpartum patients, the
nurse must be familiar with what conditions are common occurrences following delivery and
what situations warrant a call to the physician for further help. Postpartum complications
often include infection, blood clots, and hemorrhage. Excess bleeding may occur when the
uterus is boggy and it does not firm up with massage.
Following removal of the epidural, the patient develops a severe headache when she sits up
in bed. The physician has instructed the patient that she will need a blood patch. Which best
describes this procedure?
A. Removing blood from a vein in the patient and injecting it into the epidural space in the
back
B. Placement of a large bandage over the site of the epidural insertion.
C. Replacement of the epidural catheter into the same space for long-term control
1
,D. Placement of a nerve block in the spinal column at the location of the affected epidural
space - ANSWER A- When CSF leaks out of the epidural space a severe headache in the
patient can occur. A blood patch can be performed by a physician to close the site. The small
amount of blood is withdrawn from the mother's arm and the blood clots in the space.
Which of the patients described should the nurse see first?
A. 20 yr old patient who just had her first baby and doesn't know how to breastfeed
B. 27 yr old diabetic patient who delivered her second child yesterday and needs her
morning dose of insulin
C. 24 yr old patient who has had a large amount of lochia and has developed a hematoma on
her perineum
D. 30 yr old patient who needs to take a shower and eat breakfast before the physician
comes to dismiss her - ANSWER C. A patient with a hematoma is at risk of hemorrhage
and the nurse should assess her first
On the first following delivery, the physician ordered a hemoglobin level for the patient; the
result was 9.9 g/dL. The physician did not list any other orders in the patient's chart since
that time. Which response of the nurse is most appropriate>
A. call the physician and ask if he wants a blood transfusion for the patient
B. ask the physician about the hemoglobin level when he comes in for rounds
C. Contact the laboratory and ask them to repeat the test
D. continue to monitor the patient and document the result - ANSWER B. A postpartum
patient is at risk of hemorrhage following delivery; often the physician will order a
hemoglobin level 1-2 days after delivery to check the mother's risk status. A level of 9.9 g/dL
is lower than normal for a female patient, but is not necessarily low enough to warrant a
blood transfusion.
The patient's medical record states that she tested positive for group B Streptococcus
infection. which of the following precautions should be given in this situation?
A. the patient should receive antibiotics at this time
b. the patient should be given antibiotics during labor
c. the fetus should receive antibiotics as a prenatal infusion
2
, d. there is no treatment necessary - ANSWER B- B. Streptococcus can be transferred to
the baby during delivery to cause an infection. the test for the bacteria is performed at
approximately 35 weeks gestation, but antibiotics are typically not given until the mother is
in labor to reduce the chance that she will pass the infection to her child
When reviewing information about infant care, the nurse should explain that the
postpartum client should call the physician if her infant developed which of the following
conditions?
A. The infant is only sleeping 4 hours at night
B. the baby wants to eat every hour
C. The baby's cord has not fallen off within 7 days
D. The baby has a dry mouth - ANSWER D- If a baby has dry mouth or dry mucous
membranes, he or she could be dehydrated and not getting enough to eat.
Which of the following patients would be at high risk of developing pre-eclampsia? Select all
that apply.
A. A patient who is pregnant with her 3rd child
B. A patient who is married
C. A patient who is 40 yrs old
D. A patient who is overweight
E. A patient who is pregnant with twins - ANSWER C, D, E-Pre-eclampsia is a state that
develops during pregnancy in which a mother has high blood pressure and starts losing
protein into the urine.Certain risks that increase such as a first time pregnancy, advanced
maternal age, overweight or obesity in the mother, and pregnancy with multiple babies
A high risk pregnant patient has had a complicated delivery and is in the recovery room with
active bleeding. The physician has ordered hetastarch in sodium chloride (Hespan) IV
infusion. Which best describes the indications for this fluid?
A. increasing plasma volume during shock or bleeding
B. Causing blood coagulation to promote blood clotting
C. Improving circulation by causing vasodilation
3
a. checking the cervix of the patient who is less likely to deliver soon
b. administering oxygen to the mother who has decreasing oxygen saturations
c. providing ice chips for a mother who complains of a dry mouth
d. Tearing off a strip of paper from the fetal heart rate monitor and putting it in the chart -
ANSWER C- When working in L&D the UAP can help with ADLs. They cannot be delegated
tasks that require formulating a care plan, taking off orders, or administering medications
Which of the following situations would most likely warrant contact with a physician for
further orders for care or treatment?
A. A patient has a 3rd degree perineal laceration after delivery
B. A patient has lost 100 mL of blood with delivery
C. A patient has a boggy uterus that does not firm with massage
D. A patient is having rectal pain - ANSWER C. When caring for postpartum patients, the
nurse must be familiar with what conditions are common occurrences following delivery and
what situations warrant a call to the physician for further help. Postpartum complications
often include infection, blood clots, and hemorrhage. Excess bleeding may occur when the
uterus is boggy and it does not firm up with massage.
Following removal of the epidural, the patient develops a severe headache when she sits up
in bed. The physician has instructed the patient that she will need a blood patch. Which best
describes this procedure?
A. Removing blood from a vein in the patient and injecting it into the epidural space in the
back
B. Placement of a large bandage over the site of the epidural insertion.
C. Replacement of the epidural catheter into the same space for long-term control
1
,D. Placement of a nerve block in the spinal column at the location of the affected epidural
space - ANSWER A- When CSF leaks out of the epidural space a severe headache in the
patient can occur. A blood patch can be performed by a physician to close the site. The small
amount of blood is withdrawn from the mother's arm and the blood clots in the space.
Which of the patients described should the nurse see first?
A. 20 yr old patient who just had her first baby and doesn't know how to breastfeed
B. 27 yr old diabetic patient who delivered her second child yesterday and needs her
morning dose of insulin
C. 24 yr old patient who has had a large amount of lochia and has developed a hematoma on
her perineum
D. 30 yr old patient who needs to take a shower and eat breakfast before the physician
comes to dismiss her - ANSWER C. A patient with a hematoma is at risk of hemorrhage
and the nurse should assess her first
On the first following delivery, the physician ordered a hemoglobin level for the patient; the
result was 9.9 g/dL. The physician did not list any other orders in the patient's chart since
that time. Which response of the nurse is most appropriate>
A. call the physician and ask if he wants a blood transfusion for the patient
B. ask the physician about the hemoglobin level when he comes in for rounds
C. Contact the laboratory and ask them to repeat the test
D. continue to monitor the patient and document the result - ANSWER B. A postpartum
patient is at risk of hemorrhage following delivery; often the physician will order a
hemoglobin level 1-2 days after delivery to check the mother's risk status. A level of 9.9 g/dL
is lower than normal for a female patient, but is not necessarily low enough to warrant a
blood transfusion.
The patient's medical record states that she tested positive for group B Streptococcus
infection. which of the following precautions should be given in this situation?
A. the patient should receive antibiotics at this time
b. the patient should be given antibiotics during labor
c. the fetus should receive antibiotics as a prenatal infusion
2
, d. there is no treatment necessary - ANSWER B- B. Streptococcus can be transferred to
the baby during delivery to cause an infection. the test for the bacteria is performed at
approximately 35 weeks gestation, but antibiotics are typically not given until the mother is
in labor to reduce the chance that she will pass the infection to her child
When reviewing information about infant care, the nurse should explain that the
postpartum client should call the physician if her infant developed which of the following
conditions?
A. The infant is only sleeping 4 hours at night
B. the baby wants to eat every hour
C. The baby's cord has not fallen off within 7 days
D. The baby has a dry mouth - ANSWER D- If a baby has dry mouth or dry mucous
membranes, he or she could be dehydrated and not getting enough to eat.
Which of the following patients would be at high risk of developing pre-eclampsia? Select all
that apply.
A. A patient who is pregnant with her 3rd child
B. A patient who is married
C. A patient who is 40 yrs old
D. A patient who is overweight
E. A patient who is pregnant with twins - ANSWER C, D, E-Pre-eclampsia is a state that
develops during pregnancy in which a mother has high blood pressure and starts losing
protein into the urine.Certain risks that increase such as a first time pregnancy, advanced
maternal age, overweight or obesity in the mother, and pregnancy with multiple babies
A high risk pregnant patient has had a complicated delivery and is in the recovery room with
active bleeding. The physician has ordered hetastarch in sodium chloride (Hespan) IV
infusion. Which best describes the indications for this fluid?
A. increasing plasma volume during shock or bleeding
B. Causing blood coagulation to promote blood clotting
C. Improving circulation by causing vasodilation
3
