OB POST ASSESSMENT EXAM Q & A 100%
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1.) The oncoming nurse receives the following report on these assigned postpartum clients.
Two day post cesarean delivery client with symptoms of a unilateral area of swelling,
warmth, and redness on the left leg New admission client from labor and delivery who
delivered 1 hour ago and has a saturated perineal pad. A 36 hour post vaginal delivery
client with a temperature of 100.4 F degrees this morning.A 10 hours post vaginal
delivery client who has not urinated after delivery.
Which client will the nurse assess first after the Change-of-Shift Report?
The client that the nurse should assess first after the change of shift report is the patient that is 2
days post c-section with symptoms of a unilateral area of swelling, warmth, and redness on the
left leg because this indicates cellulitis which is a bacterial skin infection that if left untreated can
cause major complications for the mother such as tissue damage. Compared to the other
scenarios this is the most urgent and requires immediate attention due to infection already being
present on the patient. .
2.) The nurse is preparing to administer the Rho(0) immune globulin after an Rh-negative
client gives birth The client asks what the medication is for. What teaching should the
nurse provide regarding this medication?
Rho (0) immune globulin IM is administered around 28 weeks of gestation for women who are
RH-negative. It is standard practice that after amniocentesis patients who are Rh-negative to be
protected against the Rh isoimmunization. It is administered to reduce the immune response of
patients who are Rh-negative. Moreover, patients should be made aware that it is also given
within 72 hours after delivery. Rh immune globulins are concentrated with an immunoglobulin
solution that has antibodies of Rh. Additionally, the antibodies destroy the fetal red blood cells in
the client's circulation and prevent any Rh-negative mother from developing antibodies after
exposure to Rh-positive blood from a fetus. It is not given to Rh-positive clients.
3.) a nurse is caring for a client who is considering use of a hormonal intrauterine system.
, OB POST ASSESSMENT EXAM Q & A 100%
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What information regarding the advantages of an intrauterine device (IUD) should the
nurse provide?
The advantage of an intrauterine device (IUD) is its longevity because it can be effective and
work for 1 to 10 years but if it's hormonal then only 3 to 5 years. It can be inserted after giving
birth, having an abortion, or a miscarriage. It is easily removed and has no direct effect on
fertility after it is no longer used. Moreover, it can be used on patients that are breastfeeding and
hormonal intrauterine devices help decrease bleeding and cramping during the menstruation
period. Another major advantage of an intrauterine device is that women that are unable to use
the hormonal option can use the non-hormonal option made of copper and it does not interfere
with spontaneity.
4.) A nurse is providing care for an uncircumcised male newborn and his mother. What
information should be provided during discharge regarding bathing of the penile area of
the newborn male?
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1.) The oncoming nurse receives the following report on these assigned postpartum clients.
Two day post cesarean delivery client with symptoms of a unilateral area of swelling,
warmth, and redness on the left leg New admission client from labor and delivery who
delivered 1 hour ago and has a saturated perineal pad. A 36 hour post vaginal delivery
client with a temperature of 100.4 F degrees this morning.A 10 hours post vaginal
delivery client who has not urinated after delivery.
Which client will the nurse assess first after the Change-of-Shift Report?
The client that the nurse should assess first after the change of shift report is the patient that is 2
days post c-section with symptoms of a unilateral area of swelling, warmth, and redness on the
left leg because this indicates cellulitis which is a bacterial skin infection that if left untreated can
cause major complications for the mother such as tissue damage. Compared to the other
scenarios this is the most urgent and requires immediate attention due to infection already being
present on the patient. .
2.) The nurse is preparing to administer the Rho(0) immune globulin after an Rh-negative
client gives birth The client asks what the medication is for. What teaching should the
nurse provide regarding this medication?
Rho (0) immune globulin IM is administered around 28 weeks of gestation for women who are
RH-negative. It is standard practice that after amniocentesis patients who are Rh-negative to be
protected against the Rh isoimmunization. It is administered to reduce the immune response of
patients who are Rh-negative. Moreover, patients should be made aware that it is also given
within 72 hours after delivery. Rh immune globulins are concentrated with an immunoglobulin
solution that has antibodies of Rh. Additionally, the antibodies destroy the fetal red blood cells in
the client's circulation and prevent any Rh-negative mother from developing antibodies after
exposure to Rh-positive blood from a fetus. It is not given to Rh-positive clients.
3.) a nurse is caring for a client who is considering use of a hormonal intrauterine system.
, OB POST ASSESSMENT EXAM Q & A 100%
CORRECT DOWNLOAD TO SCORE
What information regarding the advantages of an intrauterine device (IUD) should the
nurse provide?
The advantage of an intrauterine device (IUD) is its longevity because it can be effective and
work for 1 to 10 years but if it's hormonal then only 3 to 5 years. It can be inserted after giving
birth, having an abortion, or a miscarriage. It is easily removed and has no direct effect on
fertility after it is no longer used. Moreover, it can be used on patients that are breastfeeding and
hormonal intrauterine devices help decrease bleeding and cramping during the menstruation
period. Another major advantage of an intrauterine device is that women that are unable to use
the hormonal option can use the non-hormonal option made of copper and it does not interfere
with spontaneity.
4.) A nurse is providing care for an uncircumcised male newborn and his mother. What
information should be provided during discharge regarding bathing of the penile area of
the newborn male?
