QUESTIONS SOLUTIONS GRADED A+
◉ During ambulation to the bathroom, a postpartum client
experiences a gush of dark red blood that soon stops. On
assessment, a nurse finds the uterus to be firm, midline, and at the
level of the umbilicus. Which of the following findings should the
nurse interpret this data as being?
a. Evidence of a possible vaginal hematoma
b. An indication of a cervical or perineal laceration
c. A normal postural discharge of lochia
d. Abnormally excessive lochia rubra flow
Answer: c
◉ a nurse is completing postpartum discharge teaching to a client
who had no immunity to varicella and was given the varicella
vaccine. Which of the following statements by the client indicates
understanding of teaching?
Answer: I need a second vaccination at my postpartum visit
◉ a nurse is assessing a postpartum client for fundal height,
location, and consistency. The fundus is noted to be displaced
laterally to the right, and there is uterine atony. The nurse should
, identify which of the following conditions as the cause of uterine
atony?
Answer: urinary retention
◉ a nurse is providing education to a client who is 2 hr postpartum
and has perineal laceration. Which of the following information
should the nurse include?
Answer: use a perineal squeeze bottle to cleanse the perineum,
apply a topical anesthetic cream or spray to the perineum, apply
cold or ice packs to the perineum
◉ a nurse concludes that the parent of a newborn is not showing
positive indications of parent-infant bonding. The parents appears
very anxious and nervous when asked to bring the newborn to the
other parents. Which of the following actions should the nurse use
to promote parent-infant bonding?
Answer: provide education about infant care when the parent is
present
◉ a client in the early postpartum period is very excited and
talkative. They repeatedly tell the nurse every detail of the labor and
birth. Because the client will n to stop talking, the nurse is having
difficulty completing the postpartum assessments. Which of the
following action should the nurse take?
Answer: give the client time to express feelings