Nursing Assessment and Postpartum Health Quiz
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Questions and Answers

In caring for a postpartum client with petechiae and oozing from her IV site, the nurse should closely monitor for which clotting disorder?

  • Hemorrhage
  • Disseminated intravascular coagulation (correct)
  • Amniotic fluid embolism
  • HELLP syndrome
  • What is a common laboratory marker indicative of disseminated intravascular coagulation (DIC)?

  • Presence of fibrin split products (correct)
  • Bleeding time of 10 minutes
  • Hyperfibrinogenemia
  • Thrombocytopenia
  • What is traditionally classified as early or late postpartum hemorrhage?

  • PPH is easy to recognize early; after all, the woman is bleeding
  • Nurses and doctors tend to overestimate blood loss
  • More than 1000 ml of blood loss after vaginal birth defines PPH
  • PPH has classifications based on birth method (correct)
  • What should nurses anticipate as the first step in caring for a woman with disseminated intravascular coagulation (DIC)?

    <p>Administration of blood</p> Signup and view all the answers

    What is the initial intervention to manage postpartum hemorrhage when a woman presents with lacerations of the genital tract?

    <p>Checking for the source of blood</p> Signup and view all the answers

    What nursing action should be implemented when caring for an immediate postpartum client experiencing petechiae and oozing from an IV site?

    <p>Prepare for invasive hemodynamic monitoring</p> Signup and view all the answers

    What is the priority nursing action for a client undergoing induction of labor at 41 weeks gestation with moderate contractions every 2-3 minutes and a baseline fetal heart rate of 120-122?

    <p>Notify the health care provider</p> Signup and view all the answers

    What assessment finding should a nurse expect to note in a pregnant client with suspected abruptio placentae in the second trimester?

    <p>Uterine tenderness</p> Signup and view all the answers

    If a pregnant client in the third trimester is suspected to have placenta previa and is experiencing vaginal bleeding, which prescription should the nurse question?

    <p>Obtain equipment for a manual pelvic exam</p> Signup and view all the answers

    During an ultrasound on a client at term gestation with moderate vaginal bleeding, what should be considered if the client has placenta previa?

    <p>Placenta appearing low-lying and covering the cervix</p> Signup and view all the answers

    If a pregnant client experiences contractions every 2-3 minutes lasting 60 seconds, what intervention could help determine uterine activity?

    <p>Assessing cervical dilation</p> Signup and view all the answers

    What is an important nursing action when caring for a pregnant client with an internal fetal heart rate monitor in place?

    <p>Maintaining sterility of the monitor site</p> Signup and view all the answers

    What advice does the nurse give to the client based on the assessment of the client's complaints?

    <p>&quot;Notify your physician because you may need medication.&quot;</p> Signup and view all the answers

    Which statement by a postpartal woman indicates a need for further teaching regarding thrombus formation?

    <p>&quot;I'll sit in my rocking chair most of the time.&quot;</p> Signup and view all the answers

    What is a measure for preventing late postpartum hemorrhage?

    <p>Inspect the placenta after delivery.</p> Signup and view all the answers

    Which condition is a transient, self-limiting mood disorder that affects new mothers after childbirth?

    <p>Postpartum blues</p> Signup and view all the answers

    What should the nurse do if a multiparous woman's fundus remains difficult to find and lochia is heavy after childbirth?

    <p>Continue to massage the fundus.</p> Signup and view all the answers

    In which scenario is it appropriate for a woman to use only the unaffected breast for breastfeeding?

    <p>When she suspects mastitis in one breast.</p> Signup and view all the answers

    What should a nurse suspect when a woman who has recently given birth complains of pain and tenderness in her leg, with warmth and redness over an enlarged, hardened area?

    <p>Thrombophlebitis; using real time and color Doppler ultrasound</p> Signup and view all the answers

    Which conditions are considered medical emergencies that require immediate treatment in postpartum hemorrhage?

    <p>Inversion of the uterus and hypovolemic shock</p> Signup and view all the answers

    What infection is most commonly contracted by first-time mothers who are breastfeeding?

    <p>Mastitis</p> Signup and view all the answers

    In abnormal adherence of the placenta, what happens when the zygote implants in an area of defective endometrium?

    <p>It results in little to no zone separation between the placenta and decidua</p> Signup and view all the answers

    How can a diagnosis of thrombophlebitis in a postpartum patient be confirmed?

    <p>By conducting a color Doppler ultrasound</p> Signup and view all the answers

    What is the appropriate action when a nurse notices retained placenta in a postpartum woman?

    <p>Prepare for manual removal or surgical intervention</p> Signup and view all the answers

    What should the nurse prepare the client for based on the ultrasound results indicating abruptio placentae?

    <p>Delivery of the fetus</p> Signup and view all the answers

    Which assessment finding indicates that a client is at risk for preterm labor?

    <p>History of cardiac disease</p> Signup and view all the answers

    What type of labor dystocia is the client experiencing if contractions are short, irregular, and weak?

    <p>Hypotonic</p> Signup and view all the answers

    After a precipitous delivery, what should the nurse do to help the new mother process the delivery?

    <p>Support the mother in her reaction to the newborn infant</p> Signup and view all the answers

    In a client with abruptio placentae, what is not an anticipated prescription based on ultrasound findings?

    <p>Immediate discharge from the hospital</p> Signup and view all the answers

    Which client characteristic does not indicate a risk for preterm labor?

    <p>Normal hemoglobin level</p> Signup and view all the answers

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