NUR 355 Final Exam Newest Actual Exam Preparation
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What complications may occur if a postpartum patient is
unable to void or has a distended bladder?
a) Decrease in bleeding
b) Increase in uterine tone
c) Uterine deviation
d) nothing - Answer-c) Uterine deviation
What is involution?
a) Uterus expanding to accommodate the growing fetus
b) The reduction in uterine size after birth to the non-
pregnant state
c) Failure of uterus to return to non-pregnant state -
Answer-b) The reduction in uterine size after birth to the
non-pregnant state
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True or false:
Breastfeeding is an effective form of birth control. -
Answer-False
Which of the following are symptoms of a blocked milk
duct? SATA.
a) Heat
b) Red streaks on breast
c) Fever
d) Palpable lump
e) Tenderness - Answer-a) Heat
d) Palpable lump
e) Tenderness
Fever and red streaks indicate a clogged milk duct has
progressed to mastitis
Which of the following patients would you be most
concerned for postpartum hemorrhage?
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a) A patient postpartum who delivered via a C-Section with
a QBL of 850
b) A postpartum patient with a heart rate of 105 bpm
c) A patient whose blood pressure went from 138/90
during labor to 119/78 postpartum
d) A postpartum patient who delivered vaginally with a
QBL of 750 - Answer-d) A postpartum patient who
delivered vaginally with a QBL of 750
Rationale:
• vaginal birth: Blood loss > 500 ml
• cesarean birth: Blood loss > 1000 ml
Signs of Hemodynamic instability
- HR >110
- BP < 85/45 (15% change)
- O2 Sat < 95%
Which of the following are symptoms of postpartum
depression? SATA.
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a) thoughts of harming self or baby
b) Questioning whether they can handle caring for a baby
c) Intense feelings of sadness, anxiety, or despair
d) Sadness lasting 1 week after delivery
e) Inability to complete daily tasks - Answer-a) thoughts of
harming self or baby
c) Intense feelings of sadness, anxiety, or despair
e) Inability to complete daily tasks
Rationale:
Questioning whether they can handle caring for a baby
and Sadness lasting 1 week after delivery are signs of
baby blues
When should you educate parents that a pause in
breathing has progressed from periodic breathing to
apnea?
a) 10 seconds without a breath
b) 15 seconds without a breath