for fun
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?
Ensure the newborn has a successful latch
A nurse at a prenatal clinic is caring for a client who is in her first trimester of pregnancy. The client tells the nurse that she is upset because, although she wanted this pregnancy, her husband did not. She has been having many doubts and second thoughts about the upcoming changes in her life with her partner. Which of the following is an appropriate response by the nurses?
"Ambivalent feelings are quite common early in pregnancy."
The nurse is providing education to a postpartum client who wants to prevent pregnancy. Which of the following statements by the client warrants further education?
"I am breastfeeding so I do not need contraception"
The nurse is educating a postpartum client about proper care for a 1st degree laceration. Which of the following statements from the client indicates further teaching is needed?
"I can take warm sitz bath up to 24 hours of delivery"
A nurse is caring for a client who is beginning to breastfeed her newborn after delivery. The new mother states, "I don't want to take anything for pain because I am breastfeeding." Which of the following statements should the nurse make?
"We can time your medication so that you have an hour or two before the next feeding."
A nurse is assisting a client who is postpartum with her breastfeeding experience. When the client asks how much of the nipple she should put into the newborn's mouth, which of the following responses should the nurse make?
"You should place your nipple and the areola into her mouth."
The nurse notices a peri pad is heavily saturated with lochia and must calculate the cumulative volume of blood loss. The nurse knows the weight of a dry peri pad is 15 grams. The weight of the saturated pad is 171 grams. What is the blood loss of this patient?
156g. of blood loss
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, 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 at this time
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 most reliable?
An intrauterine device (IUD)
A nurse is caring for a client who reports unrelieved episiotomy pain 12 hours following a vaginal birth. Which action should the nurse take?
Apply an ice pack to the affected area
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?
A description of the lochia as being red in color
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 2 hr after a precipitous vaginal birth and the client saturated two perineal pads with blood in a 30-min period. Which of the following is the priority nursing intervention at this time?
Assess the client's fundus
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 assessing a client who is 4 hr postpartum following a vaginal delivery. Which of the following findings should the nurse identify as the priority?
Boggy uterus, midline, at the U+2
A nurse is caring for a client who is postpartum. The nurse should recognize which of the following statements by the client as an indications of inhibition of parental attachment?
Do you think you could keep him in the nursery for the next feeding so I can get some sleep?"
A nurse is caring for a client who is 1 hour postpartum and observes a moderate amount of lochia rubra and a small clot on the client's perineal pad. The fundus is midline and firm at the umbilicus. Which of the following actions should the nurse take?
Document the findings and continue to monitor the client
A nurse is caring for a client who is 1 hr postpartum and notes 10 cm of lochia rubra and several dime size clots on the client's perineal pad. The fundus is midline and firm at the umbilicus. Which of the following actions should the nurse take?
Document the findings and continue to monitor the client
The nurse on a postpartum unit focuses on how to assist the father in identifying his role with the neonate. Which intervention by the nurse is most helpful?
Encourage the couple to identify mutual expectations of the fathering role.
A nurse is caring for a client who experienced a vaginal birth 12 hours ago. The nurse recognizes the client is in the dependent, taking hold phase of maternal postpartum adjustment. Which finding should the nurse expect during this phase?
Expressions of excitement
A nurse is caring for a client who is postpartum and received methylergonovine 200 mcg IM. which of the following findings indicates that the medication was effective?
Fundus is firm
A nurse is planning care for a client who is 2 hours postpartum following a cesarean birth. The client has a history of thromboembolic disease. Which of the following nursing interventions should be included in the plan of care?
Have the client ambulate
A nurse is caring for a client who is 18 hours postpartum. Which findings should alert the nurse to the possibility of a postpartum complication?
Heart rate 120/min
A client in the first stage of pregnancy is discussing the options for feeding her infant, and asks the nurse, "Which is the most important reason I should consider breastfeeding my baby?" Which is the most significant reason the nurse presents?
Human milk contains multiple antibodies enzymes and immune factors
A nurse is assessing a client in labor who has had epidural anesthesia for pain relief. Which of the the following findings should the nurse identify as a complication from the epidural block?
Hypotension
The nurse is providing teaching to a client who is breastfeeding her newborn. The client expresses interest in maintaining a healthy nutritional status for both her and her baby. Which information does the nurse present to meet the client's needs? Select all that apply.
Increase caloric intake by 450 to 500 per day; Abstain from the intake of carbonated drinks; Eat mostly fresh fruits and vegetables; Drink 2 to 3 liters of fluid each day.
The nurse is providing postpartum care for an adolescent mother and her family. Which factor is most important for the nurse to consider when planning teaching about neonatal and postpartum care?
Information must be presented on an age appropriate level
A nurse is teaching a client who is postpartum and has a new prescription for an injection of Rho (D) immunoglobulin. Which of the following should be included in the teaching?
It prevents the formation of Rh antibodies and mothers who are Rh negative
When performing an initial screening on a client who is admitted to labor and delivery, the nurse identifies which of the following risk factors for a postpartum complication?
Macrosomic baby
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
The nurse is reviewing the medical record for the client who is postpartum. The nurse notices the client is rubella non-immune. What education does the nurse need to provide to the client? Select all that apply.
Maternal immunization carries over to the neonate; Pregnancy should be avoided for 4 weeks; The risks to the fetuses of any future pregnancies; The patient will need to be immunized before discharge.
The nurse is preparing to perform a visual assessment of the perineum of a postpartum patient. The nurse will use the REEDA acronym. Which specific assessments are covered by REEDA? Select all that apply.
Perineal coloration; Amount of swelling; Soft tissue trauma; Suture line appearance
A nurse is reviewing an order for Hemabate (carboprost) 250 mcg IM to a client who experienced a vaginal delivery three hours ago. 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 receives report about assigned clients at the start of the shift. Which of the following clients should the nurse plan to see first?
Shortly after giving birth
The nurse understands the postpartum client will be most receptive to learning in which maternal phase?
Taking-hold
The postpartum nurse is planning a home visit to a mother who delivered her baby 1 week ago. Which finding indicates to the nurse a possible problem with mother-infant bonding?
The mother focuses the visit on her physical recovery and concerns
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?
To prevent uterine inversion
A nurse is caring for a client who is 5 hours postpartum following a successful vaginal birth of twins. The nurse should recognize that this client is at risk for which of the following postpartum complications?
Uterine atony
Which information is important for the nurse to provide to mothers of infants of 2 months of age regardless of the method of infant feeding?
When and what order solid foods are introduced
A nurse is discussing postpartum depression with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of this condition?
"Postpartum depression is more likely to occur in women who have a history of depression"
The nurse is collecting information from a new mother who is bottle-feeding her infant. Which comment made by the mother requires the nurse to provide additional teaching?
"Sometimes I will add a little water to the formula if I am running low"