AM
NUR 221 FINAL EXAM QUESTONS AND ANSWERS
WITH COMPLETE SOLUTIONS VERIFIED LATEST
UPDATED VERSION 2025/2026
Terms in this set (38)
The nurse in a labor room is Place the client in Trendelenburg's position.
performing a vaginal
assessment on a pregnant
client in labor. The nurse notes
the presence of the umbilical
cord protruding from the
vagina.
What is the firstnursing action
with this finding?
The nurse is monitoring a client in An increase in the pulse rate from 88 to 102
the beats per minute.
immediate postpartum period During the fourth stage of labor, the
for signs of hemorrhage. Which maternal blood pressure, pulse, and
sign, if noted, would be an respiration should be checked every 15
early sign of excessive blood minutes during the first hour. An
loss? increasing pulse is an
early sign of excessive blood loss
because the heart pumps faster to
compensate for reduced blood
volume.
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, 8/17/25, 9:37
AM
The nurse is preparing to Monitor skin
care for a newborn receiving temperature
phototherapy. Which closely.
interventions should be Reposition the
included in the plan of care? newborn every 2
Select all that apply. hours.
Cover the newborn's eyes with eye shields or
patches.
Methylergonovine is Methylergonovine, an ergot alkaloid, is used to
prescribed for a woman to prevent or control postpartum
treat postpartum hemorrhage by contracting the uterus.
hemorrhage. Before Methylergonovine causes continuous
administration of uterine contractions and may elevate
methylergonovine, what is the the blood pressure. A priority
priority assessment? assessment before the administration of
the medication is to check the blood
pressure. The obstetrician needs to be
notified if hypertension is present.
Methylergonovine contraindicated in clients with
significant cardiovascular disease,
peripheral vascular disease,
hypertension, preeclampsia, or
eclampsia.
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