Postpartum Nursing Assessment Quiz
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Questions and Answers

Which of the following postpartum clients would require the AM nurse to see first on their morning rounds?

  • The client who is 40 weeks gestation having contractions every 5 minutes lasting for 50 seconds.
  • One day postpartum client who has changed two peri-pads in the last 6 hours.
  • The diabetic obstetric client with blood glucose of 90 mg/dL
  • The client who is 32 weeks gestation with terbutaline (Brethine) intravenously. (correct)
  • Which nursing intervention is most appropriate for a multiparous client experiencing afterbirth pains while breastfeeding her infant?

  • Lie prone with a small pillow under the abdomen
  • Administer a p.r.n. order of simethicone (Mylicon)
  • Empty her bladder every 2 to 3 hours (correct)
  • Offer the infant a bottle at next feeding
  • Which of the following is the highest priority nursing care goal for a client who has had a vaginal delivery 2 hours earlier and has just been transferred to the postpartum unit?

  • Monitor for a temperature of 101°F
  • Assess for a moderate amount of lochia rubra
  • Observe for clear discharge from the breasts
  • Assess for a distended bladder (correct)
  • A primigravida reports feeling fetal movements 6 times in 2 hours. Which of the following is the most appropriate nursing action?

    <p>Instruct the client to continue monitoring fetal movements</p> Signup and view all the answers

    Which of the following postpartum clients would require the most urgent attention from the AM nurse?

    <p>A client 1 hour after delivery with a moderate amount of lochia rubra</p> Signup and view all the answers

    Which nursing intervention is most appropriate for a client experiencing afterbirth pains while breastfeeding her infant?

    <p>Administer a medication to reduce uterine cramping</p> Signup and view all the answers

    Which of the following indicates the phase of labor the 30-year-old multi-para is in?

    <p>Active Phase</p> Signup and view all the answers

    Before administering Methergine or Pitocin to treat Postpartum hemorrhage, the nurse's priority assessment is to check the:

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

    The initial nursing action in performing a fundal assessment on a postpartum client is to:

    <p>Ask the mother to urinate and empty her bladder</p> Signup and view all the answers

    According to the nurse's instructions, a woman should expect normal bowel elimination to return within how many days postpartum?

    <p>3 days postpartum</p> Signup and view all the answers

    A primiparous woman refuses to feed her baby 4 hours after a difficult labor and birth, stating she is too tired and wants to sleep. The nurse should:

    <p>Encourage the woman to feed the baby immediately to establish breastfeeding</p> Signup and view all the answers

    The mass palpated during an examination is the:

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

    On which postpartum day can the client expect lochia serosa?

    <p>Days 14-42</p> Signup and view all the answers

    Which specific intervention should the nurse include in the plan of care for a postpartum woman with a small vulvular hematoma during the first 12 hours following delivery?

    <p>Prepare an ice pack for application to the area</p> Signup and view all the answers

    Which of the following signs, if noted in the mother, would be an early sign of excessive blood loss?

    <p>An increase in pulse from 88 to 102 BPM</p> Signup and view all the answers

    Which of the following circumstances is most likely to cause uterine atony and lead to postpartum hemorrhage?

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

    What type of milk is present in the breasts 7 to 10 days Postpartum?

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

    Which of the following behaviors should the nurse recognize as a behavior of the 'taking hold' stage of maternal-newborn attachment?

    <p>Reassuring the woman that her rest is the priority</p> Signup and view all the answers

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