NURS 215 - EXAM 2 - CHAPTERS 17, 18, 23 (STUDY SET 1
OF 3) QUESTIONS WITH ACCURATE ANSWERS
Ch. 17
1. During pregnancy a woman's cardiovascular system expands to care for the
growing fetus. After birth, during the early postpartum period, the woman
eliminates the additional fluid volume she has been carrying. What is one way she
does this?
A) Urinary elimination
B) Elimination of solid wastes
C) Being too tired to eat
D) Breathing off fluid vapor correct answer ANS: A
Ch. 17
2. A nurse is assessing a woman during the first 24 hours after birth. Which
assessment finding would the nurse determine as acceptable during this time?
Select all that apply.
A) Inverted nipples following breastfeeding
B) Fundus one fingerbreadth below the umbilicus
C) Hypotonic bowel sounds
D) Urination of 100 mL every 4 hours
E) Moderate saturation of peripad every 3 hours correct answer ANS: B, E
Ch. 17
,3. A G1 P0101 woman delivered by cesarean is now in the recovery room. She
received Duramorph via intrathecal catheter. On review of orders before transfer
to the postpartum unit, the nurse notes one entry that needs clarification by the
physician.
Which order is the source of the nurse's concern?
A) Maintain IV with 1 L LR with 20 units Pitocin over 8 hours.
B) Maintain compression stockings until ambulatory.
C) Monitor I & O.
D) Monitor respirations every 4 hours for 24 hours. correct answer ANS: D
Ch. 17
4. Based on the nurse's knowledge about the postpartum period and an increase
in blood coagulability during the first 48 hours, the nurse closely assesses the
client for which condition?
A) hyperglycemia
B) varicose veins
C) thromboembolism
D) calcium depletion correct answer ANS: C
Ch. 17
5. A woman who had a cesarean birth of twins 6 hours ago reports shortness of
breath and pain in her right calf. What complication should the nurse expect?
A) infection
, B) hemorrhage
C) pulmonary emboli
D) fluid volume overload correct answer ANS: C
Ch. 17
6. Which finding would the nurse describe as "light" or "small" lochia?
A) 1- to 2-inch lochia stain on the perineal pad or a 10 ml loss
B) 4-inch stain or a 10 to 25 ml loss
C) 4- to 6-inch stain with an estimated loss of 25 to 50 ml
D) pad is saturated within 1 hour after changing it correct answer ANS: B
Ch. 17
7. When giving a postpartum client self-care instructions in preparation for
discharge, the nurse instructs her to report heavy or excessive bleeding. How
should the nurse describe "heavy bleeding?"
A) saturating 1 pad in 3 hours
B) saturating 1 pad in 1 hour
C) saturating 1 pad in 6 hours
D) saturating 1 pad in 8 hours correct answer ANS: B
Ch. 17
8. A client who has given birth a week ago reports discomfort when defecating
and ambulating. The birth involved an episiotomy. Which suggestions should the
nurse provide to the client to provide local comfort? Select all that apply.
OF 3) QUESTIONS WITH ACCURATE ANSWERS
Ch. 17
1. During pregnancy a woman's cardiovascular system expands to care for the
growing fetus. After birth, during the early postpartum period, the woman
eliminates the additional fluid volume she has been carrying. What is one way she
does this?
A) Urinary elimination
B) Elimination of solid wastes
C) Being too tired to eat
D) Breathing off fluid vapor correct answer ANS: A
Ch. 17
2. A nurse is assessing a woman during the first 24 hours after birth. Which
assessment finding would the nurse determine as acceptable during this time?
Select all that apply.
A) Inverted nipples following breastfeeding
B) Fundus one fingerbreadth below the umbilicus
C) Hypotonic bowel sounds
D) Urination of 100 mL every 4 hours
E) Moderate saturation of peripad every 3 hours correct answer ANS: B, E
Ch. 17
,3. A G1 P0101 woman delivered by cesarean is now in the recovery room. She
received Duramorph via intrathecal catheter. On review of orders before transfer
to the postpartum unit, the nurse notes one entry that needs clarification by the
physician.
Which order is the source of the nurse's concern?
A) Maintain IV with 1 L LR with 20 units Pitocin over 8 hours.
B) Maintain compression stockings until ambulatory.
C) Monitor I & O.
D) Monitor respirations every 4 hours for 24 hours. correct answer ANS: D
Ch. 17
4. Based on the nurse's knowledge about the postpartum period and an increase
in blood coagulability during the first 48 hours, the nurse closely assesses the
client for which condition?
A) hyperglycemia
B) varicose veins
C) thromboembolism
D) calcium depletion correct answer ANS: C
Ch. 17
5. A woman who had a cesarean birth of twins 6 hours ago reports shortness of
breath and pain in her right calf. What complication should the nurse expect?
A) infection
, B) hemorrhage
C) pulmonary emboli
D) fluid volume overload correct answer ANS: C
Ch. 17
6. Which finding would the nurse describe as "light" or "small" lochia?
A) 1- to 2-inch lochia stain on the perineal pad or a 10 ml loss
B) 4-inch stain or a 10 to 25 ml loss
C) 4- to 6-inch stain with an estimated loss of 25 to 50 ml
D) pad is saturated within 1 hour after changing it correct answer ANS: B
Ch. 17
7. When giving a postpartum client self-care instructions in preparation for
discharge, the nurse instructs her to report heavy or excessive bleeding. How
should the nurse describe "heavy bleeding?"
A) saturating 1 pad in 3 hours
B) saturating 1 pad in 1 hour
C) saturating 1 pad in 6 hours
D) saturating 1 pad in 8 hours correct answer ANS: B
Ch. 17
8. A client who has given birth a week ago reports discomfort when defecating
and ambulating. The birth involved an episiotomy. Which suggestions should the
nurse provide to the client to provide local comfort? Select all that apply.
