CH 12 Test bank OB

After pregnancy and birth, a mother may notice a condition called diastasis recti abdominis, which is a(n) _______________ of the rectus muscle.

seperation

A postpartum patient calls the OB office 8 days following a vaginal delivery. The patient reports concern regarding vaginal bleeding. Which patient-reported symptom causes the nurse concern? 1. Increased flow noticed with physical activity 2. A description of the lochia as being red in color 3. Discharge that is noted to have a fleshy odor 4. Bleeding that is described as scant

2

Prior to discharge from the birthing center, the nurse informs the patient that she will receive vaccines for rubella, hepatitis B, pertussis, and influenza. For which reason does the nurse explain the need for the vaccinations? 1. Discharge with a neonate is discouraged if the mother is not vaccinated. 2. Vaccinating the mother will protect the neonate from serious illnesses. 3. The mother's immune system has been suppressed during pregnancy. 4. Vaccination is more easily accomplished while the mother is under medical care.

2

The nurse is collecting the urine of a postpartum patient who is passing large clots. For which reason does the nurse examine the large collected clots? 1. To validate the presence of clotting 2. To determine the presence of tissue 3. To obtain an accurate description 4. To document the number of clots

2

The nurse is preparing a postpartum patient for discharge. Which patient teaching is most important for the nurse to provide? 1. The signs and symptoms of uterine infection 2. The signs and symptoms of secondary hemorrhage 3. The signs and symptoms of postpartum depression 4. The signs and symptoms of a boggy uterus

2

The nurse is providing care to a patient who is postpartum. Using anatomy and physiology knowledge, which expectation does the nurse relate to the cardiovascular system? 1. Patient reporting of being cold related to blood loss 2. WBC laboratory level of 30,000/mm a few hours after delivery 3. Risk for hemorrhage due to decrease in circulating clotting factors 4. A normal postpartum hemoglobin laboratory value of less than 11 g/dL

2

The nurse in a postpartum unit frequently teaches patients regarding breast care. Which teaching is most helpful to the breastfeeding patient? 1. Run warm water over breasts while in the shower. 2. Wear a supportive bra for 24 hours a day. 3. Express milk by a breast pump or manually. 4. Take analgesics for breast pain management.

3

The nurse is discussing contraception with a couple before discharge following the birth of a first child. The couple are uncertain about the method but are certain about avoiding pregnancy for at least 2 years. Which method does the nurse recommend? 1. Emergency contraceptives 2. Oral estrogen/progesterone pill 3. Depo-Provera 4. Natural family planning

3

The nurse is providing postpartum care to a patient 24 hours after a vaginal delivery. Which action does the nurse perform prior to assessing the patient's uterus? 1. Place the patient on the left side. 2. Assess the passage of lochia. 3. Ask the patient to void. 4. Administer a dose of oxytocin.

3

A patient who is 12 hours postpartum after a vaginal delivery continues to have difficulty in initiating urination. The nurse is aware that an integrative method used when a woman is unable to void is peppermint oil. In which manner will the peppermint oil be used? 1. A thin layer is applied to the urinary meatus. 2. A small amount on a cotton ball is left at the bedside. 3. A small amount is added to the water of a vaporizer. 4. A saturated cotton ball is placed in a "hat" on the toilet.

4

The nurse is palpating a patient's uterus 12 hours after a vaginal delivery. For which reason does the nurse place one hand just above the symphysis pubis? 1. To prevent uterine prolapse. 2. To prevent uterine movement 3. To prevent uterine hemorrhage 4. To prevent uterine inversion

4

A multiparous patient reports severe uterine cramps the first day after a vaginal delivery. The nurse is aware the patient is breastfeeding and associates the patient's pain primarily with which occurrence? 1. An increase in oxytocin release related to the newborn suckling 2. The presence of intense afterbirth pains related to multiparity 3. An expected response to the daily administration of oxytocin 4. The efforts of the uterus to return to a prepregnancy condition

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