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    Exam Review

    1. Exhibits The nurse should recognize that the client is at risk of ▾ Postpartum Hemorrhage due to ▾ Oligohydramnios
      Dropdown 1:
      Option 1: Chorioamnionitis
      Option 2: Postpartum Hemorrhage
      Option 3: Gestational Hypertension
      Option 4: Sexually Transmitted Infection
      Dropdown 2:
      Option 1: STI
      Option 2: Oligohydramnios
      Option 3: Elevated blood pressure
      Option 4: polyhydramnios
      Option 5: Multiple gestation
    2. On the fourth postpartum day, a client experiences breast engorgement. To relieve her discomfort, which of these nursing interventions is most effective to meet the expected outcome?
      A)Remove the client's bra
      B)Alternate with warm compresses and ice packs to the breasts
      C)Administer acetaminophen as prescribed
      D)Limit breastfeeding to twice a day
    3. When a woman is diagnosed with postpartum depression, what is one of the main concerns?
      A)She may have outbursts of anger
      B)She may harm her infant
      C)She may lose interest in her husband
      D)She may neglect her hygiene
    4. A nurse is caring for a client who is 1 hr postpartum following a vaginal birth of a newborn weighing 9 lb 6 oz. (4252 g). The nurse should recognize that this client is at risk for which postpartum complication?
      A)Kernicterus
      B)Uterine atony
      C)Gestational diabetes
      D)Retained placental fragments
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    Exam Review

    1. A client who is breastfeeding tells her nurse that she is concerned that her baby is not getting enough food since her milk has not come in. The best response from the nurse is which statement.
      A)"I understand your concern, but your baby will be okay."
      B)"Milk normally comes in around the third day.
      C)"You can bottle feed until your milk comes in."
      D)"Your baby seems content, so you should not worry about him getting enough to eat."
    2. The nurse is assessing a postpartum patient who had an uncomplicated vaginal delivery one hour ago. Which assessment finding requires immediate intervention?
      A)Respiratory rate of 16 breaths/min
      B)Pulse of 120 beats per minute
      C)Temperature of 98.8 F (37.7 C)
      D)Blood pressure of 120/88 mmHg
    3. When discussing the need to support the lower uterine segment, which statement by the new nurse indicates understanding.
      A)"Supporting the uterus decreases the amount of pain."
      B)"This is necessary because the ligaments that hold the uterus are stretched."
      C)"This will decrease the severity of a uterine bleeding"
      D)"This will help with uterine involution."
    4. When discussing the need to support the lower uterine segment, which statement by the new nurse indicates understanding.
      A)"Supporting the uterus decreases the amount of pain."
      B)"This is necessary because the ligaments that hold the uterus are stretched."
      C)"This will decrease the severity of a uterine bleeding"
      D)"This will help with uterine involution."
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    Exam Review

    1. A client gave birth 2 days ago and is preparing for discharge. The nurse assesses respirations to be 26 breaths/min and labored, and the client complains of chest pain & short of breath ambulating from the bathroom this morning. Lung sounds are clear. The nurse alerts the primary care provider and the nurse- midwife to her concern that the client may be experiencing:
      A)pulmonary embolism.
      B)mitral valve collapse.
      C)upper respiratory infection.
      D)thrombophlebitis.
    2. Which of the following clients is most likely to complain of afterbirth pains during her postpartum period?
      A)G2P1 who was GBS+ and treated with penicillin
      B)G3P2 who gave birth to a 9lb baby
      C)G1P1 who gave birth to a 7lb baby
      D)G3PO diagnosed with preterm labor
    3. A nurse is conducting a teaching session for postpartum patients on the benefits of breastfeeding. The nurse concludes that the patient's have a good understanding of breastfeeding when they make the following statements: (Select All that Apply.)(SATA)
      A)"Breast feeding will decrease the risk of ear infections for my baby."
      B)"Breastfeeding can protect my baby from RSV."
      C)"Breastfeeding can increase the likelihood of my baby getting gastroenteritis."
      D)"Breast milk is rich in antibodies for my baby."
    4. A nurse is teaching a first-time postpartum mom about newborn feeding cues. Which of the following should she include in her teaching? (Select All that Apply.)(SATA)
      A)licking/smacking lips
      B)putting hand to mouth
      C)sleeping
      D)sucking on fingers
      E)smiling
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    Exam Review

    1. Exhibits The nursing priority is to ▾ Massage the fundus
      Dropdown 1:
      Option 1: Massage the fundus
      Option 2: Encourage the client to ambulate
      Option 3: Offer the client fluids
      Option 4: Administer pain medication
    2. A lactation consultant is conducting a teaching session with a new mother about breastfeeding. Which of the client responses would indicate the need for further teaching?
      A)"I will use an alternate breast at each feeding."
      B)"I will wash my breasts with water before each feeding."
      C)"I will try to empty my breasts at each feeding."
      D)"I will wash my breasts with soap and water before feeding."
    3. The nurse is administering Labetalol 40MG IV q4h. On hand is a 5ML multi-dose vial with a concentration of 5MG/ML. How many ML will the nurse administer every four hours?
      A)0.5ML
      B)20ML
      C)8 ML
      D)4 ML
    4. The nurse is teaching prenatal clients about the benefits of skin to skin. Which statement made is correct?
      A)"Skin to skin will help your baby not have jaundice."
      B)"Skin to skin cannot be done if you have a Cesarean-section."
      C)"Skin to skin decreases the rates of post partum hemorrhage."
      D)"Skin to skin helps you bond with your baby, increase milk supply, and reduces your stress."
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    Exam Review

    1. A nurse is counseling a woman about postpartum blues. Which of the following should be included in the discussion? Select two that Apply.)(SATA)
      A)Signs and symptoms of postpartum blues include: lack of appetite, feeling let down, tearfulness, and insomnia.
      B)Medications are available to relieve the symptoms.
      C)Postpartum blues last about a week or two.
      D)The father may become sad and weepy.
      E)Very few women experience postpartum blues.
    2. A client who gave birth 15 days ago has returned to the emergency room with reports of a gush of foul-smelling rubra lochia and a temperature of 39°C (102.2°F). The nurse suspects postpartum hemorrhage and understands that this is most likely caused by
      A)coagulation disorder
      B)cervical laceration
      C)hypertonic uterus
      D)Endometritis
    3. A 25 year-old woman gave birth to her second child 6 hours ago. She informs the nurse that she is bleeding more than with her previous birth experience. The initial nursing action is to:
      A)Assess the location and firmness of the fundus.
      B)Explain that this is normal for second-time moms.
      C)Administer Pitocin as per standing order.
      D)Change her pad and return in 1 hour and reassess.
    4. A breastfeeding mother expresses concern about whether her one-week-old newborn is getting enough milk. Which finding is a concrete indicator that the baby is getting enough milk?
      A)The newborn stops exhibiting hunger cues.
      B)The newborn suckles and appears to swallow while breastfeeding.
      C)The newborn has six to eight wet diapers and several stools per day.
      D)The newborn appears satiated and falls asleep while breastfeeding.
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    Exam Review

    1. The nurse is preparing a care plan for her 12-hour postpartum patient which include prevention of thrombosis. During implementation, the nurse is expected to
      A)Administer pain reliever round-the-clock to promote extended rest periods
      B)Keep a bedside commode to prevent frequent trips to the bathroom
      C)Offer the woman assistance to ambulate around the unit
      D)Maintain strict bedrest until the woman has fully recovered
    2. A nurse is reviewing the prescribed orders for a client who is two days postpartum and has a fourth degree perineal laceration. Which of these orders should the nurse question?
      A)Administer acetaminophen for pain
      B)Encourage oral fluids
      C)Administer a sitz bath
      D)Administer an Enema
    3. A nurse is caring for a client at 12 hours postpartum who has voided a total of 200 ml. Upon assessment the nurse notes that the bladder is distended. What is the priority intervention by the nurse?
      A)No intervention is needed at this time. 200 ML is adequate output.
      B)Notify the provider immediately of urinary retention.
      C)Notify the provider if the client does not void in 24 hours.
      D)Encourage the client to consume more fluids.
    4. A nurse is assessing a client who is four hours postpartum. Her temperature is 39 C (102.2F), pulse 96 beats per minute, and respirations 18 breaths per minute. Based on this information, which of these orders is most appropriate for treating the client at this time?
      A)Administer Lactated Ringers IV fluids as ordered.
      B)Administer pyridoxine as ordered.
      C)Administer antipyretic Tylenol 1000mg PO as ordered.
      D)Administer Zofran 4mg IV push as ordered.
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