26 Questions
Which sign would be consistent with fetal alcohol syndrome?
Abnormal palmar creases
What is the priority intervention to include in the plan of care for a newborn with fetal alcohol syndrome?
Monitor the newborn's response to feedings and weight gain pattern
What intervention should be included in the plan of care for a woman with HIV and her newborn?
Initiating referral to evaluate for blindness, deafness, learning problems, or behavioral problems
What should be the initial nursing action when a nurse notes a firm fundus with excessive bleeding in a client in the fourth stage of labor?
Massage the fundus
Which client among the following is at the highest risk for hemorrhage after delivery?
A primiparous client who delivered 6 hours ago and had epidural anesthesia
In caring for a postpartum client diagnosed with cystitis, what is the priority nursing action?
Encouraging fluid intake
Which assessment best indicates the presence of a vulvar hematoma in a postpartum client who received epidural anesthesia?
Complaints of intense pain
If caring for a postpartum client with a small vulvar hematoma, what specific action should the nurse include in the care plan within the first 12 hours after delivery?
Assess vital signs every 4 hours
Which condition can cause cardiac decompensation during the postpartum period?
Decreased renal function
What suggests the need for further assessment in a client who delivered 24 hours ago?
A temperature of 100.2°F (37.9°C)
Which action would be inappropriate for a woman experiencing early postpartum hemorrhage?
Insertion of an indwelling urinary catheter
What would lead to the nursing judgment of a suspected pulmonary embolism in a woman with varicose veins post-delivery?
Sudden dyspnea and confusion
When caring for a client who gave birth to a stillborn infant, which strategy by the nurse would be most helpful?
Encourage the client to see, touch and hold the dead infant
What might be the cause of a reddened, painful breast and elevated temperature in a ten-day postpartum breastfeeding client?
Mastitis
What should the nurse prepare the client for based on the ultrasound findings of abruptio placentae?
Delivery of the fetus
Which assessment finding indicates that a client is at risk for preterm labor?
The client has a history of cardiac disease
What type of labor dystocia is the client experiencing if they have short, irregular, and weak contractions in the active stage of labor?
Hypotonic
After a precipitous delivery, the nurse notes that the new mother is passive and only touches her newborn infant briefly with her fingertips. What should the nurse do to help the woman process the delivery?
Support the mother in her reaction to the new-born infant
Which action is most appropriate for a client with abruptio placentae?
Promoting rest and reducing stress
What is a potential complication associated with hypertonic labor dystocia?
Risk of uterine rupture
What is the first and most important nursing intervention when a nurse observes profuse postpartum bleeding?
Palpate the uterus and massage it if it is boggy
Which assessment indicates adequate organ perfusion and oxygenation in a postpartum woman experiencing hemorrhagic shock?
Urinary output of at least 30 ml/hr
What is important in the prevention strategy for puerperal infection?
Strict aseptic technique, including handwashing, by all health care personnel
What is one of the first symptoms of puerperal infection to assess for in the postpartum woman?
Temperature of 38° C (100.4° F) or higher on 2 successive days starting 24 hours after birth
How can acute mastitis be minimized when establishing lactation?
Washing the nipples and breasts with mild soap and water once a day
If a postpartum woman is experiencing hemorrhagic shock, what is a sign of inadequate organ perfusion and oxygenation?
Restlessness
Test your knowledge on postpartum nursing assessment with questions related to conditions like cardiac decompensation, lochia assessment, and early postpartum hemorrhage management.
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