OB QUIZ 3

Which of the following actions by a postpartum patient needs intervention? SELECT ALL (3)

○ A woman who discusses or gives negative comments about her newborn ○ Failure of a mother to identify needs of her baby ○ Avoidance of eye contact with infant

A nurse is caring for a client who is 2 hr post-partum. The client has an IV of lactated ringers with 25 units of oxytocin infusing and large rubra lochia with hypotonic uterus. Vital signs include blood pressure 146/94mmhg pulse 80pulse and respirations 18min. Which of the following description should the nurse clarify with the provider?

○ Administer methylergonovine 0.2 mg IM now

A client experiences unrelieved episiotomy, pain 8hr following delivery. What is your nursing action?

○ Apply an ice pack to the perineum

nurse is collecting data from a client who is 12 hrs postpartum following a spontaneous vaginal delivery. The nurse should expect to find the uterine fundus at which of the following positions on the clients abdomen?

○ At level of the umbilicus

A nurse is caring for a client following a cesarean birth. The client tells the nurse that she is hungry. Which of the following actions should the nurse take first?

○ Auscultate the client's abdomen (BOWEL SOUND)

A client is 2 days postpartum. She is breastfeeding and reports nipple soreness. Which nursing measure(s) can lessen discomfort? SELECT ALL (3)

○ Change position while breastfeeding ○ Apply breast milk to nipple ○ Alternate each breast

A nurse is caring for a client who is experiencing shaking chills.the immediate postpartum period which of the following actions should the nurse take?

○ Cover the client with warm blankets

A nurse on the postpartum unit is collecting data from a client who experienced abruptio placentae. The nurse observes petechiae and bleeding around the IV access site. The nurse should recognize this client is at risk for which of the following postpartum complications?

○ DIC (Disseminated intravascular coagulation)

A nurse is collecting data from a client who is postpartum 2 hr following delivery of a healthy newborn. Which of the following indicates the clients bladder is distended?

○ Elevated fundus level

A nurse is assisting in the client who is experiencing sore nipples from breastfeeding. Which of the following actions should the nurse take?

○ Encourage the client to change the newborns positions with each feeding

A nurse is caring for a client who is requesting to go to the bathroom immediately after a Vaginal birth. Which of the following actions should a nurse take?

○ Evaluate the side effects of analgesia used during labor

A nurse is collecting data from a client who is 3 day postpartum and is breastfeeding. Her fundus is three fingerbreadths below the umbilicus and her lochia rubra is moderate. Her breast feels hard and warm. Which are the following recommendations should the nurse give the client?

○ Express milk from both breast

A nurse is caring for a client who is 12hr postpartum. The nurse recognizes the client is in the dependent, taking in phase of maternal postpartum adjustment. Which of the following is an expected finding during this period?

○ Expressions of excitement

A client is 6 weeks postpartum with her first baby. She states, "I think something is wrong with me because I am exhausted all the time and having a hard time sleeping." What is your nursing action?

○ Find a quiet place to talk to her about her feelings related to her new role of being a mother

A nurse is assisting with the care of a client who is receiving oxytocin via IV infusion following a vaginal delivery. Which of the following findings should the nurse monitor to evaluate the effectiveness of this medication?

○ Fundal consistency

A nurse is caring for a 1 day postpartum following a cesarean birth. To prevent thrombophlebitis, the nurse should contribute which of the following interventions to the client's plan of care?

○ Have the client ambulate frequently in the hallway

A nurse is collecting data from a client who is 3 hrs postpartum. The nurse notes that the client fundus is displace. A client experiences unrelieved episiotomy, pain 8hr following delivery. What is your nursing action?

○ Have the client urinate

A nurse is reinforcing discharge teaching with a client who is 3 days following a c-section. Which of the following client statements indicates that the teaching was effective? (3)SELECT ALL

○ I will call my provider if I have discharge from my incision ○ I should not have unrelieved pain in abdomen ○ My partner and I will use a condom until I can get an IUD

A nurse is caring for a postpartum client who saturates a perineal pad 10 min. Which of the following actions should the nurse take first?

○ Massage the fundus

14. You are assessing a client who just delivered her newborn several hours ago and you note the uterus is soft and boggy. What medications should the health care provider provide? SELECT ALL (3)

○ Methogervonie ○ Oxytocin ○ Hemabate

14. A nurse is collecting data from a client who gave birth one week ago. Which of the following findings should the nurse identify as a manifestation....?

○ Pelvic Pain

How much of the nipple should the client put into the baby's mouth during breastfeeding?

○ Place nipple and some of the areola into the mouth

A nurse is reinforcing the medical record of a client who experienced a vagina birth 2 hrs ago. The nurse should identify that which of the following findings places the client at Risk for postpartum hemorrhage?

○ Precipitous birth

Methylergonovine IM will help prevent contraction to prevent the nurse should explain to client this medication will help which of the following?

○ Prevent hemorrhage

A nurse is caring for a client who is postpartum and is breastfeeding her infant. Which of the following findings indicates mastitis?

○ Red and painful area in one breast

A client is one day post episiotomy. Which of the following suggests infection?

○ Redness of perineum with separation of suture line

14. A nurse is preparing a sitz bath for a client who is 1 day postpartum. Which of the following actions should the nurse take?

○ Set the water temperature to 40 C (104 F)

A client is 2 days postpartum and diagnosed with depression. What should you include in teaching?

○ Sleep as much as possible

hyRefactoring discharge teaching with a client who's 2 days postpartum. What teaching should the nurse include?

○ Wash hands before and after using the bathroom, and before breastfeeding

you are working in postpartum unit and planning to delegate client care to an AP, what kind of skill can you delegate after vaginal delivery or episiotomy.

sitz bath/Change the perineal pad

A nurse is reinforcing teaching about comfort measures for breast engorgement with a client who is postpartum and is bottle feeding her newborn which of the following statements by the client indicates a need for further teaching?

○ "I should stimulate my nipples by squeezing softly"

A nurse is receiving a report about assigned clients at the start of his shift. Which of the following clients should the nurse plan to attend to first?

○ A client who experienced a c-section four hrs ago and rates her pain level 6