PERRY’S MATERNAL CHILD
NURSING CARE (NURSING CARE OF
THE FAMILY DURING THE
POSTPARTUM PERIOD) QUESTIONS
AND THEIR VERIFIED 100%
SOLUTIONS
1. A 25-year-old gravida 2, para 2-0-0-2 gave birth 4
hours ago to a 9-lb, 7-ounce boy after augmentation of
labor with Pitocin. She puts on her call light and asks
for her nurse right away, stating, "I'm bleeding a lot."
The most likely cause of after birth hemorrhage in this
woman is:
a. retained placental fragments.
b. unrepaired vaginal lacerations.
c. uterine atony.
d. puerperal infection.
ANS: C
This woman gave birth to a macrosomic boy after Pitocin
augmentation. The most likely cause of bleeding 4 hours
after delivery, combined with these risk factors, is uterine
atony. Although retained placental fragments may cause
after birth hemorrhage, this typically would be detected in
the first hour after delivery of the placenta and is not the
most likely cause of hemorrhage in this woman. Although
unrepaired vaginal lacerations may cause bleeding, they
, typically would occur in the period immediately after birth.
Puerperal infection can cause subinvolution and
subsequent bleeding; however, this typically would be
detected 24 hours after delivery.
2. On examining a woman who gave birth 5 hours ago,
the nurse finds that the woman has completely
saturated a perineal pad within 15 minutes. The
nurse's first action is to:
a. begin an intravenous (IV) infusion of Ringer's
lactate solution.
b. assess the woman's vital signs.
c. call the woman's primary health care provider.
d. massage the woman's fundus.
ANS: D
The nurse should assess the uterus for atony. Uterine
tone must be established to prevent excessive blood loss.
The nurse may begin an IV infusion to restore circulatory
volume, but this would not be the first action. Blood
pressure is not a reliable indicator of impending shock
from impending hemorrhage; assessing vital signs should
not be the nurse's first action. The physician would be
notified after the nurse completes the assessment of the
woman.
3. A woman gave birth vaginally to a 9-lb, 12-ounce
girl yesterday. Her primary health care provider has
written orders for perineal ice packs, use of a sitz bath
tid, and a stool softener. What information is most
closely correlated with these orders?
a. The woman is a gravida 2, para 2.
b. The woman had a vacuum-assisted birth.
NURSING CARE (NURSING CARE OF
THE FAMILY DURING THE
POSTPARTUM PERIOD) QUESTIONS
AND THEIR VERIFIED 100%
SOLUTIONS
1. A 25-year-old gravida 2, para 2-0-0-2 gave birth 4
hours ago to a 9-lb, 7-ounce boy after augmentation of
labor with Pitocin. She puts on her call light and asks
for her nurse right away, stating, "I'm bleeding a lot."
The most likely cause of after birth hemorrhage in this
woman is:
a. retained placental fragments.
b. unrepaired vaginal lacerations.
c. uterine atony.
d. puerperal infection.
ANS: C
This woman gave birth to a macrosomic boy after Pitocin
augmentation. The most likely cause of bleeding 4 hours
after delivery, combined with these risk factors, is uterine
atony. Although retained placental fragments may cause
after birth hemorrhage, this typically would be detected in
the first hour after delivery of the placenta and is not the
most likely cause of hemorrhage in this woman. Although
unrepaired vaginal lacerations may cause bleeding, they
, typically would occur in the period immediately after birth.
Puerperal infection can cause subinvolution and
subsequent bleeding; however, this typically would be
detected 24 hours after delivery.
2. On examining a woman who gave birth 5 hours ago,
the nurse finds that the woman has completely
saturated a perineal pad within 15 minutes. The
nurse's first action is to:
a. begin an intravenous (IV) infusion of Ringer's
lactate solution.
b. assess the woman's vital signs.
c. call the woman's primary health care provider.
d. massage the woman's fundus.
ANS: D
The nurse should assess the uterus for atony. Uterine
tone must be established to prevent excessive blood loss.
The nurse may begin an IV infusion to restore circulatory
volume, but this would not be the first action. Blood
pressure is not a reliable indicator of impending shock
from impending hemorrhage; assessing vital signs should
not be the nurse's first action. The physician would be
notified after the nurse completes the assessment of the
woman.
3. A woman gave birth vaginally to a 9-lb, 12-ounce
girl yesterday. Her primary health care provider has
written orders for perineal ice packs, use of a sitz bath
tid, and a stool softener. What information is most
closely correlated with these orders?
a. The woman is a gravida 2, para 2.
b. The woman had a vacuum-assisted birth.
