NURS 325 Practice Questions

a nurse is caring for a client who is postpartum and has a prescription for Rho (D) immunoglobulin. The nurse should verify which of the following prior to administration.

Client is Rh negative and the newborn is Rh positive

a nurse is caring for a client who is postpartum. the nurse should recognize which of the following statements by the client as an indication of inhibition of parental attachment

I wish he had more hair. I will keep a hat on his head until he grows some

a nurse receives a report about assigned clients at the start of the shift. which of the following clients should the nurse plan to see first.

a client who experienced a cesarean birth 4 hours ago and reports pain

a nurse is assessing a client who Is 3 days postpartum and is breastfeeding. the nurse notes that the fundus is three fingerbreadths below the umbilicus, the lochia rubra is moderate, and the breasts are hard and warm to palpation. which of the following interpretations of these findings should the nurse make.

additional interventions are not indicated a this time

A nurse is caring for a client who is 2 days postpartum, is breastfeeding, and reports nipple soreness. which of the following measures should the nurse suggest to reduce discomfort during breastfeeding?

apply breastmilk to the nipples before each feeding start breastfeeding with the nipple that is less sore change the infants position on the nipples

a nurse in a clinic is caring for a client who is 3 weeks postpartum following the birth of a healthy newborn. the client reports feeling down and sad having no energy and wanting to cry. which of the following is a priority action by the nurse.

ask the client if she has considered harming her newborn

a nurse is caring for a client who is postpartum and finds the fundus slightly boggy and displaced to the right. based on these findings, which of the following actions should the nurse take

assist the client to the bathroom to void

a nurse is caring for a client who experienced a vaginal delivery 12 hr ago. when palpating the client's abdomen, at which of the following positions should the nurse expect find the uterine fundus

at the level of the umbilicus

a nurse is caring for a client who is breastfeeding and states that her nipples are sore. which of the following interventions should the nurse suggest?

change the newborn's position on the nipples with each feeding

A nurse is caring for a client who is postpartum and received methylergonovine which of the following findings indicated that the medication was effective.

fundus firm to palpation

a nurse is caring for a client who is 12hr postpartum following a vaginal delivery. which of the following findings should the nurse expect

fundus firm, at the level of the umbilicus

a nurse is assessing a client who is 8 hr postpartum and multiparous. which of the following findings should alert the nurse to the client's need to urinate

fundus three fingerbreadths above the umbilicus

a nurse is caring for a client who experienced a vaginal birth 3 hr ago. upon palpation, the fundus is displaced to the right of the midline, is firm, and Is two fingerbreadths above the umbilicus. which of the following actions should the nurse complete at this time.

have the client urinate

a nurse is caring for a client who is postpartum who asks the nurse when her breast milk will come in which of the following responses should the nurse make

in 3-5 days

a nurse is teaching a client who is postpartum and has a new prescription for an injection of Rh (D) immunoglobulin which of the following should be included in the teaching

it prevents the formation of Rh antibodies in mothers who are Rh negative

a nurse is caring for a client who is 4 hr postpartum following a vaginal birth. the client has saturated a perineal pad within 10 min. which of the following actions should the nurse take first

massage the client's fundus

a nurse is reinforcing teaching about reducing perineal infection with a client following a vaginal delivery. which of the following should the nurse include in the teaching (select all that apply)

perform hand hygiene before and after voiding wash the perineal area using a squeeze bottle of warm water after each voiding clean the perineal area from front to back blot the perineal area dry after cleansing

a nurse is preparing to administer methylergonovine IM to a client who experienced a vaginal delivery. the nurse should explain to the client that the purpose of this medication is to prevent which of the following conditions

postpartum hemorrhage

a nurse is caring for a client who is 1 day postpartum and is taking a sitz bath. to determine the client's tolerance of the procedure, which of the following assessments should the nurse perform

pulse rate

a nurse is caring for a client who is postpartum. the client tells the nurse that the newborn's maternal grandmother was born deaf and asks how to tell if her newborn hears well. which of the following statements should the nurse make?

we do routine hearing screenings on newborns. you'll know the results before you leave the hospital

a nurse is caring for a client who is postpartum and is breastfeeding. the client states that she is concerned about dietary precautions since she has a family history of food allergies. the nurse offers which of the following responses.

you might want to avoid eating peanuts