Postpartum Nursing Care Quiz

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What should the nurse do first to care for the newborn after delivery?

Perform a physical examination

Clear the respiratory tract (correct)

Cut the umbilical cord

Stimulate the infant to cry

How should the nurse respond to a client who is nervous about a pelvic examination?

The exam is a routine procedure

You will feel a little discomfort

The exam is necessary for the prescription

What part of the exam makes you most nervous? (correct)

What is a common symptom of placenta previa?

Fever with chills

Nausea and vomiting

Painful abdominal pain

Painless red vaginal bleeding (correct)

What should the nurse expect to observe in the umbilical cord after delivery?

Two arteries and one vein Signup and view all the answers

What is the priority nursing action after observing a large amount of lochia rubra and several small clots on the client's perineal pad?

Encourage the client to empty her bladder Signup and view all the answers

What is the most reliable method of contraception?

An intrauterine device (IUD) Signup and view all the answers

What is the first priority nursing action for a newborn immediately following birth?

Assure a patent airway Signup and view all the answers

What is the typical duration of urinary frequency in pregnancy?

It occurs during the first trimester and near the end of the pregnancy Signup and view all the answers

What does a negative rubella titer indicate?

The client requires a rubella vaccination at this time Signup and view all the answers

What should the nurse do when the client has a large amount of painless, bright red vaginal bleeding at 38 weeks of gestation?

Call the physician immediately Signup and view all the answers

When is rubella immunization recommended for a client who does not have immunity?

Shortly after giving birth Signup and view all the answers

What is the primary purpose of a pelvic examination?

To assess the client's reproductive health Signup and view all the answers

What is a characteristic of placenta previa?

Painless red vaginal bleeding Signup and view all the answers

What should the nurse teach the client about oral contraceptives?

They must be taken at the same time every day Signup and view all the answers

What is the primary reason for administering vitamin K to a newborn?

To prevent bleeding disorders Signup and view all the answers

What is the primary concern for a client with a large amount of lochia rubra and several small clots?

Bleeding Signup and view all the answers

Study Notes

Placenta Previa

Painless red vaginal bleeding supports the diagnosis of placenta previa
Increasing abdominal pain with a non-relaxed uterus is not a characteristic of placenta previa

Postpartum Care

Large amounts of lochia rubra and small clots on the perineal pad are normal findings in the postpartum period
The nurse should document the findings and continue to monitor the client
Fundal massage is not necessary in this situation

Newborn Care

After assuring a patent airway, the priority nursing action is to dry the skin
Administering vitamin K, eye prophylaxis, and placing an identification bracelet are important but not the priority action

Urinary Frequency During Pregnancy

Urinary frequency typically occurs during the first trimester and near the end of pregnancy
The nurse should reassure the client that it is a normal symptom of pregnancy

Rubella Immunization

Rubella immunization is recommended shortly after giving birth
The nurse should understand that immunization during pregnancy is contraindicated

Newborn Care After Delivery

Clearing the respiratory tract is the first nursing action after delivery
Drying the infant, stimulating the infant to cry, and cutting the umbilical cord are important but not the first action

Pelvic Examination

The nurse should acknowledge the client's anxiety about the pelvic examination and ask what part of the exam makes her most nervous

Umbilical Cord Examination

The nurse should expect to observe two arteries and one vein in the umbilical cord

Contraception Methods

The nurse should identify the intrauterine device (IUD) as the most reliable method of contraception

Rubella Titer

A negative rubella titer indicates that the client is not immune to the rubella virus
The nurse should understand that the client requires a rubella immunization following delivery

Studying That Suits You

Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

Description

Test your knowledge of postpartum nursing care with these questions on placenta previa and lochia rubra. Identify the correct diagnoses and interventions for a safe delivery.