NURS 3210 Clinical Practicum-postpartum Adaptations
exam questions with answers 2022
1. 1.ID: 38213172
Thirty minutes after delivery, the nurse can expect to palpate the fundus
• At the umbilicus
• Midway between the symphysis pubis and umbilicus Correct
• At the symphysis pubis
• Above the umbilicus
2. 2.ID: 38213178
The woman complains that the afterpains are worse after this baby than after her first child. The
nurse’s best response would be that
• Afterbirth pains should be the same unless the uterus is boggy
• Afterbirth pains should be the same unless the bladder is full
• Afterbirth pains should be easier with each pregnancy
• Afterbirth pains increase in intensity with each pregnancy
Correct 3. 3.ID: 38213184
The nurse should include in patient teaching that around day four the lochia should be
.
Correct Responses
• pinkish
4. 4.ID: 38213194
A woman is 2 days postpartum. Her current lab work shows a WBC level of 17,000/mm3. The
nurse’s next action should be
• Nothing—this is in the acceptable range Correct
• To notify the physician
• To ask for a retest
• To force
fluids 5. 5.ID:
38213700
NURS 3210 Clinical Practicum-postpartum Adaptations
exam questions with answers 2022
,NURS 3210 Clinical Practicum-postpartum Adaptations
exam questions with answers 2022
A postpartum woman overhears the nurse tell the obstetrics clinician that she has a positive
Homans’ sign and asks what it means. The nurse’s best response is
• “You have pitting edema in your ankles.”
• “You have deep tendon reflexes rated 2+.”
• “You have calf pain when the nurse flexes your foot.” Correct
• “You have a fleshy odor to your vaginal
drainage.” 6. 6.ID: 38213706
Which maternal event is abnormal in the early postpartal period?
• Diuresis and diaphoresis
• Flatulence and constipation
• Extreme hunger and thirst
• Lochial color changes from rubra to alba Correct
7. 7.ID: 38213717
A postpartum woman asks, “Will these stretch marks go away?” The nurse’s best response is
• “They will continue to fade and should be gone by your 6-week check-up.”
• “No, never.”
• “Yes, eventually.”
• “They will fade to silvery lines but won’t disappear completely.”
Correct 8. 8.ID: 38213732
A woman weighs herself the day after delivery and is upset because she just lost 14 pounds. The
nurse’s best response is based on knowledge that
• Prepregnancy weight should be reached at about 6 months Correct
• Weight loss will increase after 48 hours
• Weight loss will occur only with diet and exercise
• Prepregnancy weight should be reached at about 2 weeks
9. 9.ID: 38213737
Rh immune globulin will be ordered postpartum if which situation occurs?
• Mother is Rh negative, baby is Rh positive. Correct
• Mother is Rh negative, baby is Rh negative.
• Mother is Rh positive, baby is Rh positive.
NURS 3210 Clinical Practicum-postpartum Adaptations
exam questions with answers 2022
,NURS 3210 Clinical Practicum-postpartum Adaptations
exam questions with answers 2022
• Mother is Rh positive, baby is Rh negative.
10.10.ID: 38213746
Which nursing action is most appropriate to correct a boggy uterus that is displaced above and
to the right of the umbilicus?
• Notify the physician of an impending hemorrhage.
• Assess the blood pressure and pulse.
• Evaluate the lochia.
• Assist the woman in emptying her bladder.
Correct 11.11.ID: 38213754
The best measure to prevent abdominal distention following a cesarean birth is
• Rectal suppositories
• Early and frequent ambulation Correct
• Tightening and relaxing abdominal muscles
• Carbonated beverages
12.12.ID: 38213765
Reciprocal attachment behavior refers to
• The positive feedback an infant exhibits toward parents during the attachment process
Correct
• Behavior during the sensitive period when the infant is in the quiet alert stage
• Unidirectional behavior exhibited by the infant, initiated and enhanced by eye contact
• Behavior by the infant during the sensitive period to elicit feelings of falling in
love from the parents
13.13.ID: 38213778
The phase of maternal adjustment in which the mother relinquishes the baby of her
fantasies and accepts the real baby is called .
Correct Responses
• letting go
Which woman is most likely to have severe afterbirth pains and request a narcotic analgesic?
a.
Gravida 5, para 5
NURS 3210 Clinical Practicum-postpartum Adaptations
exam questions with answers 2022
, NURS 3210 Clinical Practicum-postpartum Adaptations
exam questions with answers 2022
b.
Woman who is bottle-feeding her first child
c.
Primipara who delivered a 7-lb boy
d.
Woman who wishes to breastfeed as soon as her baby is out of the
neonatal intensive care unit
Which finding 12 hours after birth requires further assessment?
a.
The fundus is palpable two fingerbreadths above the umbilicus.
b.
The fundus is palpable at the level of the umbilicus.
c.
The fundus is palpable one fingerbreadth below the umbilicus.
d.
The fundus is palpable two fingerbreadths below the umbilicus.
If the patient’s white blood cell (WBC) count is 25,000/mm3 on her second postpartum day, the nurse should
a.
Tell the physician immediately.
b.
Have the laboratory draw blood for reanalysis.
c.
Recognize that this is an acceptable range at this point postpartum.
d.
Begin antibiotic therapy immediately.
Postpartal overdistention of the bladder and urinary retention can lead to which complication?
a.
Postpartum hemorrhage and eclampsia
b.
Fever and increased blood pressure
c.
Postpartum hemorrhage and urinary tract infection
d.
Urinary tract infection and uterine rupture
A pregnant patient asks when the dark line on her abdomen (linea nigra) will go away. The nurse knows the
pigmentation will decrease after delivery because of
a.
Increased estrogen
NURS 3210 Clinical Practicum-postpartum Adaptations
exam questions with answers 2022
exam questions with answers 2022
1. 1.ID: 38213172
Thirty minutes after delivery, the nurse can expect to palpate the fundus
• At the umbilicus
• Midway between the symphysis pubis and umbilicus Correct
• At the symphysis pubis
• Above the umbilicus
2. 2.ID: 38213178
The woman complains that the afterpains are worse after this baby than after her first child. The
nurse’s best response would be that
• Afterbirth pains should be the same unless the uterus is boggy
• Afterbirth pains should be the same unless the bladder is full
• Afterbirth pains should be easier with each pregnancy
• Afterbirth pains increase in intensity with each pregnancy
Correct 3. 3.ID: 38213184
The nurse should include in patient teaching that around day four the lochia should be
.
Correct Responses
• pinkish
4. 4.ID: 38213194
A woman is 2 days postpartum. Her current lab work shows a WBC level of 17,000/mm3. The
nurse’s next action should be
• Nothing—this is in the acceptable range Correct
• To notify the physician
• To ask for a retest
• To force
fluids 5. 5.ID:
38213700
NURS 3210 Clinical Practicum-postpartum Adaptations
exam questions with answers 2022
,NURS 3210 Clinical Practicum-postpartum Adaptations
exam questions with answers 2022
A postpartum woman overhears the nurse tell the obstetrics clinician that she has a positive
Homans’ sign and asks what it means. The nurse’s best response is
• “You have pitting edema in your ankles.”
• “You have deep tendon reflexes rated 2+.”
• “You have calf pain when the nurse flexes your foot.” Correct
• “You have a fleshy odor to your vaginal
drainage.” 6. 6.ID: 38213706
Which maternal event is abnormal in the early postpartal period?
• Diuresis and diaphoresis
• Flatulence and constipation
• Extreme hunger and thirst
• Lochial color changes from rubra to alba Correct
7. 7.ID: 38213717
A postpartum woman asks, “Will these stretch marks go away?” The nurse’s best response is
• “They will continue to fade and should be gone by your 6-week check-up.”
• “No, never.”
• “Yes, eventually.”
• “They will fade to silvery lines but won’t disappear completely.”
Correct 8. 8.ID: 38213732
A woman weighs herself the day after delivery and is upset because she just lost 14 pounds. The
nurse’s best response is based on knowledge that
• Prepregnancy weight should be reached at about 6 months Correct
• Weight loss will increase after 48 hours
• Weight loss will occur only with diet and exercise
• Prepregnancy weight should be reached at about 2 weeks
9. 9.ID: 38213737
Rh immune globulin will be ordered postpartum if which situation occurs?
• Mother is Rh negative, baby is Rh positive. Correct
• Mother is Rh negative, baby is Rh negative.
• Mother is Rh positive, baby is Rh positive.
NURS 3210 Clinical Practicum-postpartum Adaptations
exam questions with answers 2022
,NURS 3210 Clinical Practicum-postpartum Adaptations
exam questions with answers 2022
• Mother is Rh positive, baby is Rh negative.
10.10.ID: 38213746
Which nursing action is most appropriate to correct a boggy uterus that is displaced above and
to the right of the umbilicus?
• Notify the physician of an impending hemorrhage.
• Assess the blood pressure and pulse.
• Evaluate the lochia.
• Assist the woman in emptying her bladder.
Correct 11.11.ID: 38213754
The best measure to prevent abdominal distention following a cesarean birth is
• Rectal suppositories
• Early and frequent ambulation Correct
• Tightening and relaxing abdominal muscles
• Carbonated beverages
12.12.ID: 38213765
Reciprocal attachment behavior refers to
• The positive feedback an infant exhibits toward parents during the attachment process
Correct
• Behavior during the sensitive period when the infant is in the quiet alert stage
• Unidirectional behavior exhibited by the infant, initiated and enhanced by eye contact
• Behavior by the infant during the sensitive period to elicit feelings of falling in
love from the parents
13.13.ID: 38213778
The phase of maternal adjustment in which the mother relinquishes the baby of her
fantasies and accepts the real baby is called .
Correct Responses
• letting go
Which woman is most likely to have severe afterbirth pains and request a narcotic analgesic?
a.
Gravida 5, para 5
NURS 3210 Clinical Practicum-postpartum Adaptations
exam questions with answers 2022
, NURS 3210 Clinical Practicum-postpartum Adaptations
exam questions with answers 2022
b.
Woman who is bottle-feeding her first child
c.
Primipara who delivered a 7-lb boy
d.
Woman who wishes to breastfeed as soon as her baby is out of the
neonatal intensive care unit
Which finding 12 hours after birth requires further assessment?
a.
The fundus is palpable two fingerbreadths above the umbilicus.
b.
The fundus is palpable at the level of the umbilicus.
c.
The fundus is palpable one fingerbreadth below the umbilicus.
d.
The fundus is palpable two fingerbreadths below the umbilicus.
If the patient’s white blood cell (WBC) count is 25,000/mm3 on her second postpartum day, the nurse should
a.
Tell the physician immediately.
b.
Have the laboratory draw blood for reanalysis.
c.
Recognize that this is an acceptable range at this point postpartum.
d.
Begin antibiotic therapy immediately.
Postpartal overdistention of the bladder and urinary retention can lead to which complication?
a.
Postpartum hemorrhage and eclampsia
b.
Fever and increased blood pressure
c.
Postpartum hemorrhage and urinary tract infection
d.
Urinary tract infection and uterine rupture
A pregnant patient asks when the dark line on her abdomen (linea nigra) will go away. The nurse knows the
pigmentation will decrease after delivery because of
a.
Increased estrogen
NURS 3210 Clinical Practicum-postpartum Adaptations
exam questions with answers 2022
