Span – Comprehensive Questions With Complete Solutions
1. A nurse is caring for a postpartum client who experienced
perineal lacerations during labor. What interventions should the
nurse make related to this perineal trauma? (Select all that
apply.)
Monitor the client's temperature every 4 hours
Encourage the client to take a sitz bath
Inspect the perineum for signs of hematoma
Perform a speculum and bimanual examination of the vagina
Apply ice to the perineum Correct Answers Monitor the
client's temperature every 4 hours
Encourage the client to take a sitz bath
Inspect the perineum for signs of hematoma
Apply ice to the perineum
1. A woman with post partum thyroid dysfunction
A. Almost always starts with symptoms of hyperthyroidism
,B. May present initially with hypothyroidism changing to
hyperthyroidism
C. May present with symptoms of post partum depression
D. Rarely progresses to permanent hypothyroidism Correct
Answers C. May present with symptoms of post partum
depression
1. Adaptation to parenthood is a natural process which does not
require assessment.
True
False Correct Answers False
1. Amniocentesis may be used in the assessment of
A. Amniotic fluid volume
B. Placental blood flow
C. Amniotic embolism
D. Fetal lung maturity Correct Answers D. Fetal lung maturity
1. In a woman diagnosed with intrauterine fetal demise:
A. Ask the parents if they want an induction of labor or would
prefer to wait for spontaneous labor to begin
,B. Order coagulation studies due to risk for coagulopathy
C. Wait for spontaneous labor to support a healthier grieving
process
D. Refer the woman for immediate induction of labor Correct
Answers A. Ask the parents if they want an induction of labor
or would prefer to wait for spontaneous labor to begin
1. It is not recommended for women who have received a kidney
transplant to attempt pregnancy
True
False Correct Answers False
1. Jackie is a 19-year-old client in her second trimester who has
just admitted that her boyfriend physically abuses her. Which of
the following interventions should the nurse make?
Help Jackie form a plan to implement the next time she fears
abuse
Tell Jackie to purchase a gun with which she can defend herself
, Advise Jackie to go home, pack up her things, and leave her
boyfriend for good
Take photos of the bruises on Jackie's neck and back caused by
the abuse
Ask Jackie whether there is a gun in her home Correct Answers
Help Jackie form a plan to implement the next time she fears
abuse
Take photos of the bruises on Jackie's neck and back caused by
the abuse
Ask Jackie whether there is a gun in her home
1. Missy presents at your clinic for a 7 day incision check
following a c-section. She informs you her breasts are sore with
cracked and bleeding nipples. Missy reports she is positioning
the baby properly and feels she has a good milk supply. What is
your BEST action?
A. Explain to Missy that it is natural to feel some discomfort and
reassure her it will get better in time
B. Encourage Missy to discontinue breastfeeding due to the pain