Question 1

A patient who is hemorrhaging after a vaginal delivery is being considered for a uterine tamponade. What should the nurse instruct the patient about this process?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Accepted Answer

A)   A balloon is inserted into the uterus
B)   The balloon is kept in place for 12 hours
C)   The balloon is inflated with 300 to 500 m L of saline
D)   After removal, the uterus is packed with sterile gauze
E)   The tube has an open tip to permit bleeding to be visualized

Question 2

The postpartum client has developed thrombophlebitis in her right leg. Which finding requires immediate intervention?

Accepted Answer

A)   The client reports she had this condition after her last pregnancy.
B)   The client develops pain and swelling in her left lower leg.
C)   The client appears anxious, and describes pressure in her chest.
D)   The client becomes upset that she cannot go home yet.

Question 3

The nurse is assisting a multiparous woman to the bathroom for the first time since her delivery 3 hours ago. When the client stands up, blood runs down her legs and pools on the floor. The client turns pale and feels weak. What would be the first action of the nurse?

Accepted Answer

A)   Assist the client to empty her bladder
B)   Help the client back to bed to check the fundus
C)   Assess her blood pressure and pulse
D)   Begin an I V of lactated Ringer's solution

Question 4

A postpartum patient weighing 165 l b is prescribed a subcutaneous injection of Enoxaparin 1 m g/k g twice daily. The medication available is 50 m g/m L. How many m L of medication should the nurse provide for each injection? (Calculate to the nearest tenth decimal point.)

Accepted Answer

The answer of A postpartum patient weighing 165 l b...

Question 5

The nurse understands that the classic symptom of endometritis in a postpartum client is which of the following?

Accepted Answer

A)   Purulent, foul-smelling lochia
B)   Decreased blood pressure
C)   Flank pain
D)   Breast is hot and swollen

Question 6

The nurse selects the following diagram to take when making a home visit to a postpartum patient. For which health problem is the nurse preparing educational material?

Accepted Answer

A)   Cystitis
B)   Metritis
C)   Mastitis
D)   Parametritis

Question 7

Which of the following is a risk factor for urinary retention after childbirth?

Accepted Answer

A)   Multiparity
B)   Precipitous labor
C)   Unassisted childbirth
D)   Not sufficiently recovering from the effects of anesthesia

Question 8

The nurse is calling clients at 4 weeks postpartum. Which of the following clients should be seen immediately?

Accepted Answer

A)   The client who describes feeling sad all the time
B)   The client who reports hearing voices talking about the baby
C)   The client who states she has no appetite and wants to sleep all day
D)   The client who says she needs a refill on her sertraline (Zoloft)  next week

Question 9

Risk factors associated with increased risk of thromboembolic disease include which of the following?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Accepted Answer

A)   Diabetes mellitus
B)   Varicose veins
C)   Hypertension
D)   Adolescent pregnancy
E)   Malignancy

Question 10

A postpartal client recovering from deep vein thrombosis is being discharged. What areas of teaching on self-care and anticipatory guidance should the nurse discuss with the client?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Accepted Answer

A)   Avoid crossing the legs.
B)   Avoid prolonged standing or sitting.
C)   Take frequent walks.
D)   Take a daily aspirin dose of 650 m g.
E)   Avoid long car trips.

Question 11

The postpartum client who delivered 2 days ago has developed endometritis. Which entry would the nurse expect to find in this client's chart?

Accepted Answer

A)   "Cesarean birth after extended labor with ruptured membranes."
B)   "Unassisted childbirth and afterbirth."
C)   "External fetal monitoring used throughout labor."
D)   "The client has history of pregnancy-induced hypertension."

Question 12

The postpartum client is concerned about mastitis because she experienced it with her last baby. Preventive measures the nurse can teach include which of the following?

Accepted Answer

A)   Wearing a tight-fitting bra
B)   Limiting breastfeedings
C)   Frequent breastfeedings
D)   Restricting fluid intake

Question 13

A postpartum client reports sharp, shooting pains in her nipple during breastfeeding and flaky, itchy skin on her breasts. Which of the following does the nurse suspect?

Accepted Answer

A)   Nipple soreness
B)   Engorgement
C)   Mastitis
D)   Letdown reflex

Question 14

The client delivered by cesarean birth 3 days ago and is being discharged. Which statement should the nurse include in the discharge teaching?

Accepted Answer

A)   "If your incision becomes increasingly painful, call the doctor."
B)   "It is normal for the incision to ooze greenish discharge in a few days."
C)   "Increasing redness around the incision is a part of the healing process."
D)   "A fever is to be expected because you had a surgical delivery."

Question 15

The client delivered her second child yesterday, and is preparing to be discharged. She expresses concern to the nurse because she developed an upper urinary tract infection (U T I)  after the birth of her first child. Which statement indicates that the client needs additional teaching about this issue?

Accepted Answer

A)   "If I start to have burning with urination, I need to call the doctor."
B)   "Drinking 8 glasses of water each day will help prevent another U T I."
C)   "I will remember to wipe from front to back after I move my bowels."
D)   "Voiding 2 or 3 times per day will help prevent a recurrence."

Exam 35: The Postpartum Family at Risk

The postpartum client is concerned about mastitis because she experienced it with her last baby. Preventive measures the nurse can teach include which of the following?

Correct Answer
verified

A postpartal client recovering from deep vein thrombosis is being discharged. What areas of teaching on self-care and anticipatory guidance should the nurse discuss with the client? Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Correct Answer
verified

The client delivered by cesarean birth 3 days ago and is being discharged. Which statement should the nurse include in the discharge teaching?

Correct Answer
verified

Which of the following is a risk factor for urinary retention after childbirth?

Correct Answer
verified

A postpartum patient weighing 165 l b is prescribed a subcutaneous injection of Enoxaparin 1 m g/k g twice daily. The medication available is 50 m g/m L. How many m L of medication should the nurse provide for each injection? (Calculate to the nearest tenth decimal point.)

Correct Answer
verified

The postpartum client who delivered 2 days ago has developed endometritis. Which entry would the nurse expect to find in this client's chart?

Correct Answer
verified

The postpartum client has developed thrombophlebitis in her right leg. Which finding requires immediate intervention?

Correct Answer
verified

A patient who is hemorrhaging after a vaginal delivery is being considered for a uterine tamponade. What should the nurse instruct the patient about this process? Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Correct Answer
verified

The nurse understands that the classic symptom of endometritis in a postpartum client is which of the following?

Correct Answer
verified

Correct Answer
verified

The nurse selects the following diagram to take when making a home visit to a postpartum patient. For which health problem is the nurse preparing educational material?

Correct Answer
verified

A postpartum client reports sharp, shooting pains in her nipple during breastfeeding and flaky, itchy skin on her breasts. Which of the following does the nurse suspect?

Correct Answer
verified

The nurse is calling clients at 4 weeks postpartum. Which of the following clients should be seen immediately?

Correct Answer
verified

Risk factors associated with increased risk of thromboembolic disease include which of the following? Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Correct Answer
verified

The nurse is assisting a multiparous woman to the bathroom for the first time since her delivery 3 hours ago. When the client stands up, blood runs down her legs and pools on the floor. The client turns pale and feels weak. What would be the first action of the nurse?

Correct Answer
verified

Exam 35: The Postpartum Family at Risk

The postpartum client is concerned about mastitis because she experienced it with her last baby. Preventive measures the nurse can teach include which of the following?

Correct AnswerverifiedShow Answer

A postpartal client recovering from deep vein thrombosis is being discharged. What areas of teaching on self-care and anticipatory guidance should the nurse discuss with the client? Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Correct AnswerverifiedShow Answer

The client delivered by cesarean birth 3 days ago and is being discharged. Which statement should the nurse include in the discharge teaching?

Correct AnswerverifiedShow Answer

Which of the following is a risk factor for urinary retention after childbirth?

Correct AnswerverifiedShow Answer

A postpartum patient weighing 165 l b is prescribed a subcutaneous injection of Enoxaparin 1 m g/k g twice daily. The medication available is 50 m g/m L. How many m L of medication should the nurse provide for each injection? (Calculate to the nearest tenth decimal point.)

Correct AnswerverifiedShow Answer

The postpartum client who delivered 2 days ago has developed endometritis. Which entry would the nurse expect to find in this client's chart?

Correct AnswerverifiedShow Answer

The postpartum client has developed thrombophlebitis in her right leg. Which finding requires immediate intervention?

Correct AnswerverifiedShow Answer

A patient who is hemorrhaging after a vaginal delivery is being considered for a uterine tamponade. What should the nurse instruct the patient about this process? Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Correct AnswerverifiedShow Answer

The nurse understands that the classic symptom of endometritis in a postpartum client is which of the following?

Correct AnswerverifiedShow Answer

Correct AnswerverifiedShow Answer

The nurse selects the following diagram to take when making a home visit to a postpartum patient. For which health problem is the nurse preparing educational material?

Correct AnswerverifiedShow Answer

A postpartum client reports sharp, shooting pains in her nipple during breastfeeding and flaky, itchy skin on her breasts. Which of the following does the nurse suspect?

Correct AnswerverifiedShow Answer

The nurse is calling clients at 4 weeks postpartum. Which of the following clients should be seen immediately?

Correct AnswerverifiedShow Answer

Risk factors associated with increased risk of thromboembolic disease include which of the following? Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Correct AnswerverifiedShow Answer

The nurse is assisting a multiparous woman to the bathroom for the first time since her delivery 3 hours ago. When the client stands up, blood runs down her legs and pools on the floor. The client turns pale and feels weak. What would be the first action of the nurse?

Correct AnswerverifiedShow Answer

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Correct Answer
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