NUR 2310C PEDS Exam 7 Quiz FINAL Questions and
Answers- Keiser University
1) A nurse is caring for a client who is 1 hr postpartum and observes a large amount of lochia
rubra and several small clots on the client's perineal pad. The fundus is midline and firm at the
umbilicus. Which of the following actions should the nurse take?
A. Document the findings and continue to monitor the client.
B. Notify the client’s provider.
C. Increase the frequency of fundal massage.
D. Encourage the client to empty her bladder.
2) A nurse is caring for a client who is postpartum and received methylergonovine.
Which of the following findings indicates that the medication was effective?
A. Fundus firm to palpation
B. Increase in blood pressure
C. Increase in lochia
D. Report of absent breast pain
3) A nurse is teaching a client who is postpartum and has a new prescription for an injection
of Rho (D) immunoglobulin. Which of the following should be included in the teaching?
A. It prevents the formation of Rh antibodies in mothers who are Rh negative.
B. It destroys Rh antibodies in mothers who are Rh negative
C. It destroys Rh antibodies in newborns who are Rh positive.
D. It prevents the formation of Rh antibodies in newborns who are Rh positive.
4) A nurse is assessing a client who is 3 days postpartum and is breastfeeding. The nurse
notes that the fundus is three fingerbreadths below the umbilicus, lochia rubra is moderate,
and the breasts are hard and warm to palpation. Which of the following interpretations of these
findings should the nurse make?
A. The client is exhibiting early indications of mastitis.
B. Additional interventions are not indicated at this time.
C. Application of a heating pad to the breasts is indicated.
D. The client should be advised to remove her nursing bra.
5) A nurse is caring for a client who is 2 days postpartum, is breastfeeding, and reports nipple
soreness. Which of the following measures should the nurse suggest to reduce discomfort
during breastfeeding? (Select all that apply.)
A. Apply breast milk to the nipples before each feeding.
B. Place breast pads inside the nursing bra.
C. Massage the breasts and nipples prior to
feeding. D. Start breastfeeding with the nipple that
is less sore. E. Change the infant’s position on the
nipples.
, 6) A nurse is caring for a client who is postpartum who asks the nurse when her breast milk
will "come in." Which of the following responses should the nurse make?
A. Within 2
days B. In 3 to
5 days
C. In 6 to 8 days
D. In about 10 days
7) A nurse is assessing a client who is 8 hr. postpartum and multiparous. Which of the
following findings should alert the nurse to the client’s need to urinate?
A. Moderate lochia rubra
B. Fundus three fingerbreadths above the umbilicus
C. Moderate swelling of the labia
D. Blood pressure 130/84 mm Hg
8) A nurse is caring for a client who is 6 hr. postpartum. The client is Rh-negative, and her
newborn is Rh- positive. The client asks why an indirect Coombs test was ordered by the
provider. Which of the following is an appropriate response by the nurse?
A. It determines if kernicterus will occur in the newborn."
B. "It detects Rh-negative antibodies in the newborn’s
blood." C. "It detects Rh-positive antibodies in the
mother’s blood."
D. "It determines the presence of maternal antibodies in the newborn’s blood."
9) A nurse is caring for a client who is 12 hr postpartum following a vaginal delivery.
Which of the following findings should the nurse expect?
A. Fundus soft, 1 cm to the right of the
umbilicus B. Fundus firm, at the level of the
umbilicus
C. Fundus present, to the left of the umbilicus
D. Fundus soft, 2 cm above the umbilicus
10)A nurse is caring for a client who is postpartum and finds the fundus slightly boggy and
displaced to the right. Based on these findings, which of the following actions should the nurse
take?
A. Encourage the client to perform Kegel exercises.
B. Encourage the client to move to the left lateral position.
C. Ask the client to rate her pain.
D. Assist the client to the bathroom to void.
11)A nurse is caring for a client who is 4 hr postpartum following a vaginal birth. The client has
saturated a perineal pad within 10 min. Which of the following actions should the nurse take
first?
A. Assess client's blood pressure.
B. Assess the bladder for
distention. C. Massage the
client's fundus.
D. Prepare to administer a prescribed oxytocic preparation.
Answers- Keiser University
1) A nurse is caring for a client who is 1 hr postpartum and observes a large amount of lochia
rubra and several small clots on the client's perineal pad. The fundus is midline and firm at the
umbilicus. Which of the following actions should the nurse take?
A. Document the findings and continue to monitor the client.
B. Notify the client’s provider.
C. Increase the frequency of fundal massage.
D. Encourage the client to empty her bladder.
2) A nurse is caring for a client who is postpartum and received methylergonovine.
Which of the following findings indicates that the medication was effective?
A. Fundus firm to palpation
B. Increase in blood pressure
C. Increase in lochia
D. Report of absent breast pain
3) A nurse is teaching a client who is postpartum and has a new prescription for an injection
of Rho (D) immunoglobulin. Which of the following should be included in the teaching?
A. It prevents the formation of Rh antibodies in mothers who are Rh negative.
B. It destroys Rh antibodies in mothers who are Rh negative
C. It destroys Rh antibodies in newborns who are Rh positive.
D. It prevents the formation of Rh antibodies in newborns who are Rh positive.
4) A nurse is assessing a client who is 3 days postpartum and is breastfeeding. The nurse
notes that the fundus is three fingerbreadths below the umbilicus, lochia rubra is moderate,
and the breasts are hard and warm to palpation. Which of the following interpretations of these
findings should the nurse make?
A. The client is exhibiting early indications of mastitis.
B. Additional interventions are not indicated at this time.
C. Application of a heating pad to the breasts is indicated.
D. The client should be advised to remove her nursing bra.
5) A nurse is caring for a client who is 2 days postpartum, is breastfeeding, and reports nipple
soreness. Which of the following measures should the nurse suggest to reduce discomfort
during breastfeeding? (Select all that apply.)
A. Apply breast milk to the nipples before each feeding.
B. Place breast pads inside the nursing bra.
C. Massage the breasts and nipples prior to
feeding. D. Start breastfeeding with the nipple that
is less sore. E. Change the infant’s position on the
nipples.
, 6) A nurse is caring for a client who is postpartum who asks the nurse when her breast milk
will "come in." Which of the following responses should the nurse make?
A. Within 2
days B. In 3 to
5 days
C. In 6 to 8 days
D. In about 10 days
7) A nurse is assessing a client who is 8 hr. postpartum and multiparous. Which of the
following findings should alert the nurse to the client’s need to urinate?
A. Moderate lochia rubra
B. Fundus three fingerbreadths above the umbilicus
C. Moderate swelling of the labia
D. Blood pressure 130/84 mm Hg
8) A nurse is caring for a client who is 6 hr. postpartum. The client is Rh-negative, and her
newborn is Rh- positive. The client asks why an indirect Coombs test was ordered by the
provider. Which of the following is an appropriate response by the nurse?
A. It determines if kernicterus will occur in the newborn."
B. "It detects Rh-negative antibodies in the newborn’s
blood." C. "It detects Rh-positive antibodies in the
mother’s blood."
D. "It determines the presence of maternal antibodies in the newborn’s blood."
9) A nurse is caring for a client who is 12 hr postpartum following a vaginal delivery.
Which of the following findings should the nurse expect?
A. Fundus soft, 1 cm to the right of the
umbilicus B. Fundus firm, at the level of the
umbilicus
C. Fundus present, to the left of the umbilicus
D. Fundus soft, 2 cm above the umbilicus
10)A nurse is caring for a client who is postpartum and finds the fundus slightly boggy and
displaced to the right. Based on these findings, which of the following actions should the nurse
take?
A. Encourage the client to perform Kegel exercises.
B. Encourage the client to move to the left lateral position.
C. Ask the client to rate her pain.
D. Assist the client to the bathroom to void.
11)A nurse is caring for a client who is 4 hr postpartum following a vaginal birth. The client has
saturated a perineal pad within 10 min. Which of the following actions should the nurse take
first?
A. Assess client's blood pressure.
B. Assess the bladder for
distention. C. Massage the
client's fundus.
D. Prepare to administer a prescribed oxytocic preparation.
