PACK COMPLETE QUESTION SET AND CORE
CONCEPT SUMMARY
◉ a nurse is caring for a pt who reports unrelieved episiotomy pain
8hr following a vaginal birth, what action should the nurse take.
Answer: apply an ice pack to the affected area
◉ T/F, for breast engourgement, fresh cabbage leaves placed inside
the bra can help alleviate pain. Answer: F
apply cold compress
cabbage leaves must be cold
◉ a nurse is caring for a pt 2 hours after a spontaneous vaginal birth
and the pt has saturated 2 perineal pads with blood in a 30 min
period, what priority nursing intervention should be given at this
time. Answer: palpate the pt's uterine fundus
◉ a nurse is caring for a newborn with hyperbilirubinemia, what
intervention should be taken during phototherapy. Answer:
maintain an eye mask over the newborn's eyes
,◉ a laboring pt received meperidine IV one hour prior to delivery,
what med should the nurse have available to counteract this med.
Answer: naloxone
◉ a nurse is caring for a pt who is 1 day postpartum and is taking a
sitz bath, determine the pt's tolerance of the procedure, what
assessment should the nurse perform. Answer: pulse rate
◉ prior to an amniocentesis, what action by the pt will need to be
completed. Answer: empty the bladder
◉ a nurse in a clinic is caring for a pt who is 3 weeks postpartum
following the birth of a healthy newborn, the pt reports feeling down
and sad, having no energy, and wanting to cry, what priority action
should be taken by the nurse. Answer: ask the client if she has
considered harming the newborn
◉ a nurse is teaching the parent of a newborn about bottle feeding,
what indicates need for further instruction. Answer: i will tip the
nipple so air is present as my baby sucks
◉ a nurse is caring for a laboring client and notes that the fetal heart
rate begins to decelerate after the contraction has started, the lowest
point of decel occurs after the peak of the contraction, what is the
priority nursing action. Answer: change the pt's position
, ◉ a nurse is assessing a newborn following a vaccum assisted
delivery, what finding should the nurse report. Answer: poor sucking
◉ a postpartum pts fundus is firm, 3cm above the umbilicus and
displaced to the right, what interventions should the nurse take?.
Answer: assist the pt to void then reassess the fundus
◉ a nurse is caring for a pt who is experiencing urinary
incontinence, what recommendations should the nurse plan to
teach. Answer: reduce intake of caffeinated and carbonated
beverages
◉ a nurse is caring for a pt who has just delivered her first newborn,
the nurse anticipates hyperbilirubinemia due to the incompatibility,
the nurse should understand that hyperbilirubinemia occurs with
Rh incompatability for which of the following reasons?. Answer: the
client's blood does not contain the Rh factor, so she produces anti-Rh
antibodies that cross the placental barrier and cause hemolysis of
red blood cells in newborns
◉ which of the following would increase a client's risk of ovarian
cancer. Answer: endometriosis