quiz in post partum

Question 1

A client is complaining of painful contractions, or afterpains, on postpartum day 2. Which of the following conditions could increase the severity of afterpains?

Answer 1

multiple gestation

Question 2

Which of the following findings would be expected when assessing the postpartum client?

Answer 2

Fundus 1 cm above the umbilicus 1 hour postpartum

Question 3

During the 3rd postpartum day, which of the following observations about the client would the nurse be most likely to make?

Answer 3

The client appears interested in learning about neonatal care

Question 4

On completing a fundal assessment, the nurse notes the fundus is situated on the client’s left abdomen. Which of the following actions is appropriate?

Answer 4

Ask the client to empty her bladder

Question 5

A postpartum nurse is taking the vital signs of a woman who delivered a healthy newborn infant 4 hours ago. The nurse notes that the mother’s temperature is slightly elevated to 37.7 C. Which of the following actions would be most appropriate?

Answer 5

Increase hydration by encouraging oral fluids

Question 6

The nurse is assessing a client who is 6 hours postpartum after delivering a full-term healthy infant. The client complains to the nurse of feelings of faintness and dizziness. Which of the following nursing actions would be most appropriate?

Answer 6

Instruct the mother to request help when getting out of bed

Question 7

A nurse is preparing to perform a fundal assessment on a postpartum client. The initial nursing action in performing this assessment is which of the following?

Answer 7

Ask the mother to urinate and empty her bladder

Question 8

Which type of lochia should the nurse expect to find in a client 2 days postpartum?

Answer 8

Lochia rubra

Question 9

Parents can facilitate the adjustment of their other children to a new baby by doing which of the following?

Answer 9

Having the children choose or make a gift to give to the new baby upon its arrival home

Question 10

Select all of the physiological maternal changes that occur during the postpartum period.

1. Fundus begins to descend into the pelvis after 24 hours
2. Cervical involution ceases immediately
3. Vaginal distention decreases slowly
4. Cardiac output decreases with resultant tachycardia in the first 24 hours
5. Normoactive bowel sounds immediately

Answer 10

1. Fundus begins to descend into the pelvis after 24 hours
2. Cervical involution ceases immediately
3. Vaginal distention decreases slowly

Question 11

The nurse is assessing the lochia on a 2-day postpartum woman. The nurse notes that the lochia is red and has a foul-smelling odor. Which of the following is the appropriate assessment finding of the nurse?

Answer 11

Indicates the presence of infection

Question 12

Which of the following interventions would be helpful to a breastfeeding mother who is experiencing engorged breasts?

Answer 12

Teaching how to express her breasts in a warm shower

Question 13

Which of the following behaviors characterizes the postpartum mother in the taking-in phase?

Answer 13

Passive and dependent

Question 14

Which of the following physiological responses is considered normal in the early postpartum period?

Answer 14

Rapid diuresis

Question 15

When performing a postpartum check, which of the following should the nurse do?

Answer 15

Assist the woman into a lateral position with upper leg flexed forward to facilitate the examination of her perineum

Question 16

After expulsion of the placenta in a client who has six living children, an infusion of lactated ringer’s solution with 10 units of pitocin is ordered. The nurse understands that this is indicated for this client because of which reason?

Answer 16

Multigravidas are at increased risk for uterine atony.

Question 17

A nurse is monitoring a new mother in the postpartum period for signs of hemorrhage. Which of the following signs, if noted in the mother, would be an early sign of excessive blood loss?

Answer 17

An increase in the pulse from 88 to 102 BPM

Question 18

Which of the following factors might result in a decreased supply of breastmilk in a postpartum mother?

Answer 18

Supplemental feedings with formula

Question 19

A primiparous woman is in the taking-in stage of psychosocial recovery and adjustment following birth. The nurse, recognizing the needs of women during this stage, should:

Answer 19

Provide time for the mother to reflect on the events of and her behavior during childbirth

Question 20

Methergine or pitocin is prescribed for a woman to treat postpartum hemorrhage. Before administration of these medications, Which of the following is the priority nursing assessment to check?

Answer 20

Blood pressure