Postpartum Nursing Assessment Quiz
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Questions and Answers

Which sign would be consistent with fetal alcohol syndrome?

  • Birth weight of 6 lb, 14 oz
  • Head circumference appropriate for gestational age
  • Abnormal palmar creases (correct)
  • Length of 19 inches
  • What is the priority intervention to include in the plan of care for a newborn with fetal alcohol syndrome?

  • Encourage frequent handling of the newborn by staff and parents
  • Maintain the newborn in a brightly lighted area of the nursery
  • Allow the newborn to establish own sleep-rest pattern
  • Monitor the newborn's response to feedings and weight gain pattern (correct)
  • What intervention should be included in the plan of care for a woman with HIV and her newborn?

  • Monitoring the newborn's vital signs routinely
  • Maintaining standard precautions at all times while caring for the newborn
  • Initiating referral to evaluate for blindness, deafness, learning problems, or behavioral problems (correct)
  • 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?

    <p>Massage the fundus</p> Signup and view all the answers

    Which client among the following is at the highest risk for hemorrhage after delivery?

    <p>A primiparous client who delivered 6 hours ago and had epidural anesthesia</p> Signup and view all the answers

    In caring for a postpartum client diagnosed with cystitis, what is the priority nursing action?

    <p>Encouraging fluid intake</p> Signup and view all the answers

    Which assessment best indicates the presence of a vulvar hematoma in a postpartum client who received epidural anesthesia?

    <p>Complaints of intense pain</p> Signup and view all the answers

    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?

    <p>Assess vital signs every 4 hours</p> Signup and view all the answers

    Which condition can cause cardiac decompensation during the postpartum period?

    <p>Decreased renal function</p> Signup and view all the answers

    What suggests the need for further assessment in a client who delivered 24 hours ago?

    <p>A temperature of 100.2°F (37.9°C)</p> Signup and view all the answers

    Which action would be inappropriate for a woman experiencing early postpartum hemorrhage?

    <p>Insertion of an indwelling urinary catheter</p> Signup and view all the answers

    What would lead to the nursing judgment of a suspected pulmonary embolism in a woman with varicose veins post-delivery?

    <p>Sudden dyspnea and confusion</p> Signup and view all the answers

    When caring for a client who gave birth to a stillborn infant, which strategy by the nurse would be most helpful?

    <p>Encourage the client to see, touch and hold the dead infant</p> Signup and view all the answers

    What might be the cause of a reddened, painful breast and elevated temperature in a ten-day postpartum breastfeeding client?

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

    What should the nurse prepare the client for based on the ultrasound findings of 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>The client has a history of cardiac disease</p> Signup and view all the answers

    What type of labor dystocia is the client experiencing if they have short, irregular, and weak contractions in the active stage of labor?

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

    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?

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

    Which action is most appropriate for a client with abruptio placentae?

    <p>Promoting rest and reducing stress</p> Signup and view all the answers

    What is a potential complication associated with hypertonic labor dystocia?

    <p>Risk of uterine rupture</p> Signup and view all the answers

    What is the first and most important nursing intervention when a nurse observes profuse postpartum bleeding?

    <p>Palpate the uterus and massage it if it is boggy</p> Signup and view all the answers

    Which assessment indicates adequate organ perfusion and oxygenation in a postpartum woman experiencing hemorrhagic shock?

    <p>Urinary output of at least 30 ml/hr</p> Signup and view all the answers

    What is important in the prevention strategy for puerperal infection?

    <p>Strict aseptic technique, including handwashing, by all health care personnel</p> Signup and view all the answers

    What is one of the first symptoms of puerperal infection to assess for in the postpartum woman?

    <p>Temperature of 38° C (100.4° F) or higher on 2 successive days starting 24 hours after birth</p> Signup and view all the answers

    How can acute mastitis be minimized when establishing lactation?

    <p>Washing the nipples and breasts with mild soap and water once a day</p> Signup and view all the answers

    If a postpartum woman is experiencing hemorrhagic shock, what is a sign of inadequate organ perfusion and oxygenation?

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

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