Spec Pop week 5 quiz

A nurse is caring for a client who is 6 hrs postpartum and asks the nurse to feed her newborn. Which of the following responses should the nurse provide?

Feeding an infant can feel a little intimidating at first, but I'll stay and help you

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

Fundus firm to palpation.

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

Fundus is firm at the level of the umbilicus

A nurse us caring for a client who is 2 hr postpartum following a vaginal birth. Which of the following findings indicates the bladder is distended?

Fundus palpable to the right of midline

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 receives report about assigned clients at the start of the shift. Which f the following clients should the nurse plan to see first?

A client who experienced a cesarean birth 4 hr ago and reports pain

A nurse is 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 if she has considered harming the newborn.

A nurse is caring for a client who is considering several methods of contraception. Which of the following methods of contraception should the nurse identify as being the most reliable?

An intrauterine device

A nurse is caring for a client who reports unrelieved episiotomy pain 8 hr following a vaginal birth. Which of the following actions should the nurse take?

Apply an icepack to the affected area

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 to find the uterine fundus?

At the level of the umbilicus

A nurse is leading a discussion about contraception with a group of 14 year old clients. After the presentation, a client asks the nurse which method would be best for her to use. Which of the following responses should the nurse make?

Before I can help you, I need to know more about your sexual activity.

A nurse is reinforcing teaching about reducing perineal infection with a client following vaginal delivery. Which of the following should he nurse include in the teaching?

Blot the perineal area dry Clean the perineal area front to back Preform hand hygiene before and after voiding Wash the perineal area using a squeeze bottle of warn water after each voiding

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 7 days postpartum and calls the clinic to report pain and redness of her left calf. Besides seeing her provider, which of the following interventions should the nurse suggest?

Elevate her leg. The client should elevate her leg to encourage venous return and to relieve pain.

A nurse is caring for a client who experienced a vaginal birth 12 hr ago. The nurse recognizes the client is in the dependent, taking phase of the maternal postpartum adjustment. Which of the following findings should the nurse expect during this phase?

Expression of excitement

A nurse is caring for a client who experiences a vaginal birth 3 hr ago. Upon palpation, the fundus is displaced to the right 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 12 hr postpartum. Which of the following findings should alert the nurse to the possibility of a postpartum complication?

Heart rate 110/min

A nurse is providing discharge teaching to a client who is 3 days postoperative following a cesarean birth. Which of the following client statements indicate to the nurse that the teaching is effective? SATA

I will resume taking my prenatal vitamins I will call my provider if I have discharge from my incision I should not have unrelieved pain in my abdomen

A nurse is teaching a client who is postpartum and has a new prescription for RhoGam. Which of the following should be included in the teaching?

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

A nurse us 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 caring fir a client 2 hr after a spontaneous vaginal birth and the client has saturated two perineal pads with blood in a 30 min period. Which of the following is the priority nursing intervention at this time?

Palpate the client's uterine fundus.

A nurse is assessing for postpartum infection. Which of the following findings should indicate to the nurse that the client requires further evaluations for endometritis?

Pelvic pain Indications of endometritis, the most common postpartum infection, include chills, fever, tachycardia, anorexia, fatigue, and pelvic pain

A nurse is assessing a client who is 12 hr postpartum and received spinal anesthesia for a cesarean birth. Which of the following finding requires immediate intervention by the nurse?

Respiratory rate 10/min

A nurse is caring for a client who us 5 hr postpartum following a vaginal birth of a newborn weighing 9lb 6oz. The nurse should recognize that this client is at risk for which of the following postpartum complications?

Uterine atony A uterus that is overdistended, such as from a macrocosmic fetus, has an increased risk of uterine atony.