Question 1

Rho(D)  immune globulin will be ordered postpartum if which situation occurs?

Accepted Answer

A)   Mother Rh-negative, baby Rh-positive
B)   Mother Rh-negative, baby Rh-negative
C)   Mother Rh-positive, baby Rh-positive
D)   Mother Rh-positive, baby Rh-negative

Question 2

The nurse is teaching a client with a midline episiotomy about perineal care after a vaginal birth. Which statements by the client indicate she understands the teaching? (Select all that apply.)

Accepted Answer

A)   "I will gently pat the perineum dry rather than wipe."
B)   "I will only use the perineal bottle after bowel movements."
C)   "I will use cold water in the perineal bottle as I cleanse."
D)   "I will use the perineal bottle without touching the perineum."

Question 3

Postpartal overdistention of the bladder and urinary retention can lead to which complication?

Accepted Answer

A)   Fever and increased blood pressure
B)   Postpartum hemorrhage and eclampsia
C)   Urinary tract infection and uterine rupture
D)   Postpartum hemorrhage and urinary tract infection

Question 4

The nurse decides to perform a prescribed PRN intermittent sterile catheterization on a postpartum client if which occurs? (Select all that apply.)

Accepted Answer

A)   The client has not voided but the bladder cannot be palpated.
B)   The fundus is displaced from the midline and the client has been unable to void.
C)   The client has been medicated for pain but she has not voided; the fundus is midline.
D)   The amount voided is less than 150 mL and the fundus is displaced from the midline. B, D

Question 5

The nurse has completed a postpartum assessment on a client who delivered an hour ago. Which amount of lochia consists of a moderate amount?

Accepted Answer

A)   Saturated peripad
B)   4- to 6-inch stain on the peripad
C)   1- to 4-inch stain on the peripad
D)   Less than a 1-inch stain on the peripad

Question 6

Which assessment finding 24 hours after vaginal birth would indicate a need for further intervention?

Accepted Answer

A)   Pain level 5 on scale of 0 to 10
B)   Saturated pad over a 2-hour period
C)   Urinary output of 500 mL in one voiding
D)   Uterine fundus 2 cm above the umbilicus D

Question 7

Which of the following would indicate an abnormal finding during the postpartum period?

Accepted Answer

A)   Lochia flow changing from alba to rubra
B)   Unable to palpate uterine fundus at 6-week postpartum checkup
C)   Presence of afterbirth pains
D)   Lochia flow heavier in the early morning 2 days following vaginal birth

Question 8

If rubella vaccine is indicated for a postpartum client, which instructions to the client should be included?

Accepted Answer

A)   No specific instructions
B)   Drinking plenty of fluids to prevent fever
C)   Recommendation to stop breastfeeding for 24 hours after the injection
D)   Explanation of the risks of becoming pregnant within 28 days following injection

Question 9

Which client would be most likely to have severe afterbirth pains and request a narcotic analgesic?

Accepted Answer

A)   Gravida 5, para 5
B)   Primipara who delivered a 7-lb boy
C)   Client who is bottle feeding her first child
D)   Client who wishes to breastfeed as soon as her baby is out of the neonatal intensive care unit

Question 10

The postpartum nurse is administering ibuprofen (Advil) to a client with episiotomy discomfort. The prescribed order is 400 mg of Advil by mouth every 6 to 8 hours PRN for discomfort. The Advil sent by the pharmacy is 200 mg/tablet. How many tablet(s) should the nurse administer to the client? Record your answer as a whole number.
_____ tab(s)

Accepted Answer

2
Use the medication calculati...

Question 11

The Centers for Disease Control and Prevention (CDC)  recommends the use of which personal protective equipment with which the nurse is likely to come into contact?

Accepted Answer

A)   Any body fluids
B)   Any client at any time
C)   Blood and blood products
D)   Any client suspected of being HIV-positive

Question 12

Which maternal event is abnormal in the early postpartal period?

Accepted Answer

A)   Diuresis and diaphoresis
B)   Flatulence and constipation
C)   Extreme hunger and thirst
D)   Lochial color changes from rubra to alba

Question 13

Which fundal assessment finding at 12 hours after birth requires further assessment?

Accepted Answer

A)   The fundus is palpable at the level of the umbilicus.
B)   The fundus is palpable two fingerbreadths above the umbilicus.
C)   The fundus is palpable one fingerbreadth below the umbilicus.
D)   The fundus is palpable two fingerbreadths below the umbilicus.

Question 14

Which vaccinations are indicated for the postpartum client if she does not have immunity? (Select all that apply.)

Accepted Answer

A)   Pertussis
B)   Rubella
C)   Diphtheria, tetanus (Tdap) 
D)   RhoGAM A, B, C

Question 15

The nurse is planning comfort measures to implement for a client after a vaginal birth. Which measures should the nurse plan to implement? (Select all that apply.)

Accepted Answer

A)   Sitz baths four times a day
B)   Use of only warm water with the sitz baths
C)   Topical anesthetic spray after perineal care
D)   Ice pack to the perineum for the first 24 hours
E)   Sitting while relaxing the perineal and buttock areas

Question 16

The nurse is teaching a non-breastfeeding client measures to suppress lactation. Which should the nurse include in the teaching session? (Select all that apply.)

Accepted Answer

A)   Avoid massaging the breasts.
B)   Allow warm shower water to run over the breasts.
C)   If the breasts become engorged, pumping is recommended .
D)   Ice packs can be applied to the breasts to relieve discomfort.
E)   Wear a sports bra 24 hours a day until the breasts become soft.

Question 17

The nurse is caring for a postpartum client who delivered by the vaginal route 12 hours ago. Which assessment finding should the nurse report to the health care provider?

Accepted Answer

A)   Pulse rate of 50
B)   Temperature of 38° C (100.4° F) 
C)   Firm fundus, but excessive lochia
D)   Lightheaded when moving from a lying to standing position

Question 18

Which documentation in the client's chart on the 14th postpartum day indicates a normal involution process?

Accepted Answer

A)   Breasts firm and tender
B)   Episiotomy slightly red and puffy
C)   Moderate bright red lochial flow
D)   Fundus below the symphysis and not palpable

Question 19

Vaginal exam findings reveal a slitlike opening of the cervix. What is the correct interpretation of this finding with regard to obstetric history?

Accepted Answer

A)   Client has not been pregnant.
B)   Client has had a C section as a method of birth.
C)   Client has been treated for an STD with resultant scarring of the cervix.
D)   Client has a history of pregnancy.

Question 20

The nurse includes the addition of ice sitz baths for the postpartum patient. Which assessment finding indicates the treatment has been effective?

Accepted Answer

A)   No swelling or edema to the perineal area
B)   Patient complains that the sitz bath is too cold
C)   Patient reports she took two sitz baths in 12 hours
D)   Edges of the perineal laceration are well approximated

Exam 17: Postpartum Physiologic Adaptations

Rho(D) immune globulin will be ordered postpartum if which situation occurs?

Correct Answer
verified

The nurse is teaching a client with a midline episiotomy about perineal care after a vaginal birth. Which statements by the client indicate she understands the teaching? (Select all that apply.)

Correct Answer
verified

Postpartal overdistention of the bladder and urinary retention can lead to which complication?

Correct Answer
verified

The nurse decides to perform a prescribed PRN intermittent sterile catheterization on a postpartum client if which occurs? (Select all that apply.)

Correct Answer
verified
B, D

The nurse has completed a postpartum assessment on a client who delivered an hour ago. Which amount of lochia consists of a moderate amount?

Correct Answer
verified

Which assessment finding 24 hours after vaginal birth would indicate a need for further intervention?

Correct Answer
verified
D

Which of the following would indicate an abnormal finding during the postpartum period?

Correct Answer
verified

If rubella vaccine is indicated for a postpartum client, which instructions to the client should be included?

Correct Answer
verified

Which client would be most likely to have severe afterbirth pains and request a narcotic analgesic?

Correct Answer
verified

Correct Answer
verified
2
Use the medication calculati...
View Answer

The Centers for Disease Control and Prevention (CDC) recommends the use of which personal protective equipment with which the nurse is likely to come into contact?

Correct Answer
verified

Which maternal event is abnormal in the early postpartal period?

Correct Answer
verified

Which fundal assessment finding at 12 hours after birth requires further assessment?

Correct Answer
verified

Which vaccinations are indicated for the postpartum client if she does not have immunity? (Select all that apply.)

Correct Answer
verified
A, B, C

The nurse is planning comfort measures to implement for a client after a vaginal birth. Which measures should the nurse plan to implement? (Select all that apply.)

Correct Answer
verified

The nurse is teaching a non-breastfeeding client measures to suppress lactation. Which should the nurse include in the teaching session? (Select all that apply.)

Correct Answer
verified

The nurse is caring for a postpartum client who delivered by the vaginal route 12 hours ago. Which assessment finding should the nurse report to the health care provider?

Correct Answer
verified

Which documentation in the client's chart on the 14th postpartum day indicates a normal involution process?

Correct Answer
verified

Vaginal exam findings reveal a slitlike opening of the cervix. What is the correct interpretation of this finding with regard to obstetric history?

Correct Answer
verified

The nurse includes the addition of ice sitz baths for the postpartum patient. Which assessment finding indicates the treatment has been effective?

Correct Answer
verified

Exam 17: Postpartum Physiologic Adaptations

Rho(D) immune globulin will be ordered postpartum if which situation occurs?

Correct AnswerverifiedShow Answer

The nurse is teaching a client with a midline episiotomy about perineal care after a vaginal birth. Which statements by the client indicate she understands the teaching? (Select all that apply.)

Correct AnswerverifiedShow Answer

Postpartal overdistention of the bladder and urinary retention can lead to which complication?

Correct AnswerverifiedShow Answer

The nurse decides to perform a prescribed PRN intermittent sterile catheterization on a postpartum client if which occurs? (Select all that apply.)

Correct AnswerverifiedB, D

The nurse has completed a postpartum assessment on a client who delivered an hour ago. Which amount of lochia consists of a moderate amount?

Correct AnswerverifiedShow Answer

Which assessment finding 24 hours after vaginal birth would indicate a need for further intervention?

Correct AnswerverifiedD

Which of the following would indicate an abnormal finding during the postpartum period?

Correct AnswerverifiedShow Answer

If rubella vaccine is indicated for a postpartum client, which instructions to the client should be included?

Correct AnswerverifiedShow Answer

Which client would be most likely to have severe afterbirth pains and request a narcotic analgesic?

Correct AnswerverifiedShow Answer

Correct Answerverified2Use the medication calculati...View AnswerShow Answer

The Centers for Disease Control and Prevention (CDC) recommends the use of which personal protective equipment with which the nurse is likely to come into contact?

Correct AnswerverifiedShow Answer

Which maternal event is abnormal in the early postpartal period?

Correct AnswerverifiedShow Answer

Which fundal assessment finding at 12 hours after birth requires further assessment?

Correct AnswerverifiedShow Answer

Which vaccinations are indicated for the postpartum client if she does not have immunity? (Select all that apply.)

Correct AnswerverifiedA, B, C

The nurse is planning comfort measures to implement for a client after a vaginal birth. Which measures should the nurse plan to implement? (Select all that apply.)

Correct AnswerverifiedShow Answer

The nurse is teaching a non-breastfeeding client measures to suppress lactation. Which should the nurse include in the teaching session? (Select all that apply.)

Correct AnswerverifiedShow Answer

The nurse is caring for a postpartum client who delivered by the vaginal route 12 hours ago. Which assessment finding should the nurse report to the health care provider?

Correct AnswerverifiedShow Answer

Which documentation in the client's chart on the 14th postpartum day indicates a normal involution process?

Correct AnswerverifiedShow Answer

Vaginal exam findings reveal a slitlike opening of the cervix. What is the correct interpretation of this finding with regard to obstetric history?

Correct AnswerverifiedShow Answer

The nurse includes the addition of ice sitz baths for the postpartum patient. Which assessment finding indicates the treatment has been effective?

Correct AnswerverifiedShow Answer

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B, D

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D

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2
Use the medication calculati...
View Answer

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A, B, C

Correct Answer
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