(9) NR327 Exam 2 Review Questions #9 Care of the High-Risk Mother, Newborn & Family With Special

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1. 1. Which statement by a postpartum client indicates that further teaching is not needed regarding thrombus formation? * Mark only one oval. a. "I'll keep my legs elevated with pillows." b. "I'l... l sit in my rocking chair most of the time." c. "I'll stay in bed for the first 3 days after my baby is born." d. "I'll put my support stockings on every morning before rising." 2. 2. The nurse knows that late postpartum hemorrhage can be prevented by: * Mark only one oval. a. manually removing the placenta. b. inspecting the placenta after birth. c. administering broad-spectrum antibiotics. d. pulling on the umbilical cord to hasten the birth of the placenta 3. 3. A multiparous client is admitted to the postpartum unit after a rapid labor and birth of a 4000-g infant. Her fundus is boggy, lochia is heavy, and vital signs are unchanged. The nurse has the client void and massages her fundus, but the fundus remains difficult to find and the rubra lochia remains heavy. Which action should the nurse take next? * Mark only one oval. a. Recheck vital signs. b. Insert a Foley catheter. c. Notify the health care provider. d. Continue to massage the fundus. 4. 4. Early postpartum hemorrhage is defined as a blood loss greater than: * Mark only one oval. a. 500 mL within 24 hours after a vaginal birth. b. 750 mL within 24 hours after a vaginal birth. c. 1000 mL within 48 hours after a cesarean birth. d. 1500 mL within 48 hours after a cesarean birth. 2/5/2019 (9) ✅ NR327 Exam 2 Review Questions #9 Care of the High-Risk Mother, Newborn & Family With Special Needs (aka Postpartum Mater… https://docs.google.com/forms/d/1TRbahmm6nSQEZBUCeWVYbaNydgu69GGQv3jra6b2sXs/edit 2/10 5. 5. A steady trickle of bright red blood from the vagina in the presence of a firm fundus suggests: * Mark only one oval. a. uterine atony. b. perineal hematoma. c. infection of the uterus. d. lacerations of the genital tract. 6. 6. A postpartum client would be at increased risk for postpartum hemorrhage if she delivered a(n): * Mark only one oval. a. 5-lb, 2-oz infant with outlet forceps. b. 6.5-lb infant after a 2-hour labor. c. 7-lb infant after an 8-hour labor. d. 8-lb infant after a 12-hour labor. 7. 7. Which instruction should be included in the discharge teaching plan to assist the client in recognizing early signs of complications? * Mark only one oval. a. Palpate the fundus daily to ensure that it is soft. b. Report any decrease in the amount of brownish red lochia. c. The passage of clots as large as an orange can be expected. d. Notify the health care provider of any increase in the amount of lochia or a return to bright red bleeding. 8. 8. The nurse should expect medical intervention for subinvolution to include: * Mark only one oval. a. oral fluids to 3000 mL/day. b. intravenous fluid and blood replacement. c. oxytocin intravenous infusion for 8 hours. d. oral methylergonovine maleate (Methergine) for 48 hours. 9. 9. If nonsurgical treatment for subinvolution is ineffective, which surgical procedure is appropriate to correct the cause of this condition? * Mark only one oval. a. Hysterectomy b. Laparoscopy c. Laparotomy d. Dilation and curettage (D&C) 2/5/2019 (9) ✅ NR327 Exam 2 Review Questions #9 Care of the High-Risk Mother, Newborn & Family With Special Needs (aka Postpartum Mater… https://docs.google.com/forms/d/1TRbahmm6nSQEZBUCeWVYbaNydgu69GGQv3jra6b2sXs/edit 3/10 10. 10. A sign of thrombophlebitis is: * Mark only one oval. a. visible varicose veins. b. positive Homans sign. c. pedal edema in the affected leg. d. local tenderness, heat, and swelling. 11. 11. Which nursing measure would be appropriate to prevent thrombophlebitis in the recovery period following a cesarean birth? * Mark only one oval. a. Limit the client's oral intake of fluids for the first 24 hours. b. Assist the client in performing leg exercises every 2 hours. c. Ambulate the client as soon as her vital signs are stable. d. Roll a bath blanket and place it firmly behind the client's knees. 12. 12. Which temperature indicates the presence of postpartum infection? * Mark only one oval. a. 99.6° F in the first 48 hours b. 100° F for 2 days postpartum c. 100.4° F in the first 24 hours d. 100.8° F on the second and third postpartum days 13. 13. A white blood cell (WBC) count of 35,000 cells/mm3 on the morning of the first postpartum day indicates: * Mark only one oval. a. possible infection. b. normal WBC limit. c. serious infection. d. suspicion of a sexually transmitted disease. 14. 14. The client who is being treated for endometritis is placed in the Fowler position because it: * Mark only one oval. a. promotes comfort and rest. b. facilitates drainage of lochia. c. prevents spread of infection to the urinary tract. d. decreases tension on the reproductive organs. 2/5/2019 (9) ✅ NR327 Exam 2 Review Questions #9 Care of the High-Risk Mother, Newborn & Family With Special Needs (aka Postpartum Mater… https://docs.google.com/forms/d/1TRbahmm6nSQEZBUCeWVYbaNydgu69GGQv3jra6b2sXs/edit 4/10 15. 15. Nursing measures that help prevent postpartum urinary tract infection include: * Mark only one oval. a. forcing fluids to at least 3000 mL/day. b. promoting bed rest for 12 hours after birth. c. encouraging the intake of orange, grapefruit, or apple juice. d. discouraging voiding until the sensation of a full bladder is present. 16. 16. Which measure may prevent mastitis in a breastfeeding client? * Mark only one oval. a. Wearing a tight-fitting bra b. Applying ice packs prior to feeding c. Initiating early and frequent feedings d. Nursing the infant for 5 minutes on each breast 17. 17. A client with mastitis is concerned about breastfeeding while she has an active infection. Which is an appropriate response by the nurse? * Mark only one oval. a. Organisms will be inactivated by gastric acid. b. Organisms that cause mastitis are not passed to the milk. c. The infant is not susceptible to the organisms that cause mastitis. d. The infant is protected from infection by immunoglobulins in the breast milk. 18. 18. The nurse expecting a uterine infection in a postpartum client should assess the: * Mark only one oval. a. episiotomy site. b. odor of the lochia. c. abdomen for distention. d. pulse and blood pressure 19. 19. Following a difficult vaginal birth of a singleton pregnancy, the client starts bleeding heavily. Clots are expressed and a Foley catheter is inserted to empty the bladder because the uterine fundus is soft and displaced laterally from midline. Vital signs are 99.8° F, pulse 90 beats/min, respirations 20 breaths/min, and BP 130/90 mm Hg. Which pharmacologic intervention is indicated? * Mark only one oval. a. Oxytocin (Pitocin) to be administered in a piggyback solution b. Administration of methylergonovine (Methergine) c. Administration of prostaglandin analogue d. Increase in parenteral fluids [Show More]

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