NURS 1102 Passpoint-postpartum – Fairleigh Dickinson University | NURS1102 Passpoint-postpartum

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NURS 1102 Passpoint-postpartum – Fairleigh Dickinson University Question 1   See full question A client gives birth to a stillborn neonate at 36 weeks' gestation. When caring for this client, ... which strategy by the nurse would be most helpful? You Selected: • Provide information about possible causes of the stillbirth only if the client requests it. Correct response: • Encourage the client to see, touch, and hold the dead neonate.  Explanation:  Remediation: Question 2   See full question During the postpartum period, a nurse should assess for signs of normal involution. Which statement would indicate that a client is progressing normally? You Selected: • Perineal pad usage remains at 10 to 15 per day. Correct response: • The uterus is descending at the rate of one fingerbreadth per day.  Explanation:  Remediation: Question 3   See full question Which response would be most appropriate for the nurse when comforting a primiparous client whose critically ill neonate delivered at 25 weeks dies while the mother is present? You Selected: • "You can stay with your baby as long as you want and say anything you want." Correct response: • "You can stay with your baby as long as you want and say anything you want."  Explanation:  Remediation: Question 4   See full question While the nurse is caring for a primiparous client on the first postpartum day, the client asks, “How is that woman doing who lost her baby from prematurity? We were in labor together.” Which response by the nurse would be most appropriate? You Selected: • Tell the client “I’m not sure how the other woman is doing today.” Correct response: • Explain to the client that “Nurses are not allowed to discuss other clients on the unit.”  Explanation:  Remediation: Question 1   See full question A client gave birth to a healthy full-term girl 2 hours ago by cesarean birth. When assessing this client, which finding requires immediate nursing action? You Selected: • Tachycardia and hypotension Correct response: • Tachycardia and hypotension  Explanation:  Remediation: Question 2   See full question Lochia normally progresses in which pattern? You Selected: • Rubra, serosa, alba Correct response: • Rubra, serosa, alba  Explanation:  Remediation: Question 3   See full question A client who had a cesarean birth 1 day ago asks for pain medication when the nurse enters the room to perform her shift assessment. The client states that her pain level is an 8 on a 0-to-10-point scale. The priority of care should be for the nurse to: You Selected: • administer any ordered pain medication. Correct response: • administer any ordered pain medication.  Explanation:  Remediation: Question 4   See full question While the nurse is caring for a primiparous client on the first postpartum day, the client asks, “How is that woman doing who lost her baby from prematurity? We were in labor together.” Which response by the nurse would be most appropriate? You Selected: • Explain to the client that “Nurses are not allowed to discuss other clients on the unit.” Correct response: • Explain to the client that “Nurses are not allowed to discuss other clients on the unit.”  Explanation:  Remediation: Question 5   See full question While changing the neonate’s diaper, the client asks the nurse about some red-tinged drainage from the neonate’s vagina. Which response would be most appropriate? You Selected: • “Sometimes baby girls have this from hormones received from the mother.” Correct response: • “Sometimes baby girls have this from hormones received from the mother.”  Explanation:  Remediation: Question 5   See full question While making a home visit to a multigravida 2 weeks after the birth of viable twins at 38 weeks’ gestation, the nurse observes that the client looks pale, has dark circles around her eyes, and is breastfeeding one of the twins. The client’s apartment is clean, and nothing appears out of place. The client tells the nurse that she completed three loads of laundry this morning. A priority need for this client is: You Selected: • possible anemia related to large volume of blood loss and twin birth. Correct response: • fatigue related to home maintenance and caring for twins.  Explanation: /.modal - - - - - - - - - - - - - - - - - - - - - - - - Footer - - - - - - - - - - - - - - - - - - - - - - - - - TAKE A PRACTICE QUIZ Question 1   See full question A client is at the end of her first postpartum day. The nurse is assessing the client's uterus. Which finding requires further evaluation? You Selected: •  Fundus two fingerbreadths above the umbilicus Correct response: •  Fundus two fingerbreadths above the umbilicus   Explanation:   Remediation: Question 2   See full question A nurse is assessing the parent-neonate attachment of postpartum clients. Which finding most indicates a need for further evaluation? You Selected: •  Limited parent-neonate contact immediately after birth Correct response: •  Limited parent-neonate contact immediately after birth   Explanation:   Remediation: Question 3   See full question A nurse encourages a postpartum client to discuss the childbirth experience. Which client outcome is most appropriate for this client? You Selected: •  "The client demonstrates an understanding of the neonate's physical needs related to labor and birth." Correct response: •  "The client demonstrates the ability to integrate the childbirth experience and progress to the task of maternal role attainment."   Explanation:   Remediation: Question 4   See full question Lochia normally progresses in which pattern? You Selected: •  Rubra, serosa, alba Correct response: •  Rubra, serosa, alba   Explanation:   Remediation: Question 5   See full question When caring for a multiparous client who is human immunodeficiency virus (HIV)–positive and asking to breastfeed her neonate as soon as possible, which information about breast milk should the nurse include in the teaching plan? You Selected: •  It has been found to contain the retrovirus HIV. Correct response: •  It has been found to contain the retrovirus HIV.   Explanation:   Remediation: A client who gave birth 24 hours ago continues to experience urine retention after several catheterizations. The physician orders bethanechol, 10 mg by mouth three times per day. The client asks, "How does bethanechol act on the bladder?" How should the nurse respond? You Selected: • "It stimulates the smooth muscle of the bladder." Correct response: • "It stimulates the smooth muscle of the bladder."  Explanation:  Remediation: Question 2   See full question A nurse is assessing a client on the second postpartum day. Upon palpation, the nurse discovers that the fundus is deviated to the right. To further investigate this finding, what should the nurse ask the client? You Selected: • "Are you having afterpains?" Correct response: • "Have you voided recently?"  Explanation:  Remediation: Question 3   See full question When caring for a client who has recently given birth, the nurse assesses the client for urinary retention with overflow. Which sign or symptom provides the most accurate picture of retention with overflow? You Selected: • A varying urge to urinate with an average output of 100 ml Correct response: • A varying urge to urinate with an average output of 100 ml  Explanation:  Remediation: Question 4   See full question When caring for a multiparous client who is human immunodeficiency virus (HIV)–positive and asking to breastfeed her neonate as soon as possible, which information about breast milk should the nurse include in the teaching plan? You Selected: • It has been found to contain the retrovirus HIV. Correct response: • It has been found to contain the retrovirus HIV.  Explanation:  Remediation: Question 5   See full question A nurse meets his/her neighbor and new baby at the local market. The neighbor states that she received outstanding nursing care from one of the nurse's colleagues during her labor and childbirth. What is the best way for the nurse to recognize her nursing colleague’s professional efforts? You Selected: • Post accolades to the nurse at the nurses’ station. Correct response: • Share the feedback with the nursing colleague directly.  Explanation: /.modal - - - - - - - - - - - - - - - - - - - - - - - - Footer - - - - - - - - - - - - - - - - - - - - - - - - - TAKE A PRACTICE QUIZ Question 6   See full question An adolescent primiparous client 24 hours postpartum asks the nurse how often she can hold her baby without “spoiling” him. Which response would be most appropriate? You Selected: •  “Hold him as much as you want to hold him.” Correct response: •  “Hold him as much as you want to hold him.”   Explanation:   Remediation: Question 7   See full question While assisting a primiparous client with her first breastfeeding session, which action should the nurse instruct the mother to do to stimulate the neonate to open the mouth and grasp the nipple? You Selected: •  Brush the neonate’s lips lightly with the nipple. Correct response: •  Brush the neonate’s lips lightly with the nipple.   Explanation:   Remediation: Question 8   See full question After giving birth to a viable neonate 12 hours ago, the client’s fundus is firm at midline, and her breasts are soft. She has scant lochia and she is voiding sufficiently. The client reports pain in her lower back. What should the nurse do next? You Selected: •  Administer a prescribed mild analgesic. Correct response: •  Administer a prescribed mild analgesic.   Explanation:   Remediation: Question 9   See full question A client and her partner just experienced spontaneous bleeding at 11 weeks gestation, which resulted in the loss of the fetus. The couple wonders if the bleeding could have been caused from the client working long hours in a stressful work environment. What is the most appropriate response from the nurse? You Selected: •  “I can understand your need to find an answer to what caused this. Let’s talk about this further.” Correct response: •  “I can understand your need to find an answer to what caused this. Let’s talk about this further.”   Explanation:   Remediation: Question 10   See full question The nurse is educating an expectant mother about breastfeeding. What statement made by the mother would prevent the mother from breastfeeding the newborn? You Selected: •  “I have been HIV positive for 4 years.” Correct response: •  “I have been HIV positive for 4 years.” Question 1   See full question A nurse is teaching a client about hormonal contraceptive therapy. If a client misses three or more pills in a row, the nurse should instruct the client to: You Selected: •  take all the missed doses as soon as she discovers the oversight. Correct response: •  discard the pack, use an alternative contraceptive method until her period begins, and start a new pack on the regular schedule.   Explanation:   Remediation: Question 2   See full question During a home visit on the fifth postpartum day, the client begins to cry and says that she is worried about her ability to care for her baby adequately. She tells the nurse, “I wish I could just get organized—I need 8 hours of sleep!” The nurse determines that she is experiencing which condition? You Selected: •  Postpartum blues phase of childbearing; she needs psychological counseling. Correct response: •  Taking-hold phase of childbearing; she is feeling inadequate about neonatal care.   Explanation:   Remediation: Question 3   See full question A 24-year-old primipara decides to breastfeed her baby but says, “I am worried that I will not be able to breastfeed my baby because my breasts are so small.” What would the nurse include in the explanation to the client? You Selected: •  The woman's motivation to breast-feed is more important than breast size. Correct response: •  Breast size poses no influence on a woman's ability to breastfeed a baby.   Explanation:   Remediation: Question 4   See full question On the first postpartum day after a cesarean birth, the client is prescribed a full liquid diet as tolerated. Before providing a full liquid breakfast, the nurse should assess which factor? You Selected: •  desire to eat Correct response: •  bowel sounds   Explanation:   Remediation: Question 5   See full question While assisting a multiparous client to the bathroom for the first time 1 hour after a vaginal birth of a viable neonate, the nurse notes that the client’s urine has two small blood clots in the measuring container. What should the nurse do next? You Selected: •  Document this observation as a normal finding. Correct response: •  Document this observation as a normal finding.   Explanation:   Remediation: Question 6   See full question Twenty-four hours after giving birth to a term neonate, a primipara receives acetaminophen with codeine for perineal pain. One hour after administering the medication, which finding should alert the nurse to the development of a possible side effect? You Selected: •  dizziness Correct response: •  dizziness   Explanation: Question 7   See full question Which client statement indicates effective teaching about burping a breastfed neonate? You Selected: •  “Breastfed babies who are burped frequently will take more on each breast.” Correct response: •  “When I switch to the other breast, I’ll burp the baby.”   Explanation:   Remediation: Question 8   See full question A nurse is assisting a grieving client and his/her spouse to deal with their loss of their 24-week-old infant. Which of the following actions would be most appropriate from the nurse? Select all that apply. You Selected: •  Provide an early opportunity for the couple to see their child if they desire. •  Answer the parents’ questions accurately. •  Offer to stay with the grieving parents. Correct response: •  Provide an early opportunity for the couple to see their child if they desire. •  Offer to stay with the grieving parents. •  Answer the parents’ questions accurately.   Explanation:   Remediation: Question 9   See full question A postpartum client tells the nurse that she and her husband had an argument about continuing breastfeeding before he left for work in the morning. He was up all night, not able to sleep with the baby crying, and he wants the client to give the baby formula. What is the most appropriate immediate response from the nurse? You Selected: •  “What are your feelings about breastfeeding?” Correct response: •  “What are your feelings about breastfeeding?”   Explanation:   Remediation: Question 1   See full question A client with cardiac disease gives birth. Afterward, the nurse assesses the client for signs and symptoms of cardiac decompensation. During the postpartum period, which assessment finding indicates a need for further investigation? You Selected: • Diuresis Correct response: • Tachycardia  Explanation:  Remediation: Question 2   See full question Rho (D) immune globulin (RhoGAM) is prescribed for a client before she is discharged after a spontaneous abortion. The nurse instructs the client that this drug is used to prevent which condition? You Selected: • development of Rh-positive antibodies Correct response: • development of Rh-positive antibodies  Explanation:  Remediation: - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Question 3   See full question A nurse on the labor-and-birth unit transfers a primiparous client and her term neonate to the mother-baby unit 2 hours after the client gave vaginal birth to the neonate. Which information is a priority for the nurse to report to the nurse receiving the client on the mother-baby unit? You Selected: • firm fundus when gentle massage is used Correct response: • firm fundus when gentle massage is used  Explanation:  Remediation: Question 4   See full question A primiparous client who underwent a cesarean birth 30 minutes ago is to receive Rho(D) immune globulin (RhoGAM). The nurse should administer the medication within which time frame after birth? You Selected: • 72 hours Correct response: • 72 hours  Explanation:  Remediation: Question 5   See full question Which of the following interventions will help prevent a pulmonary embolus (PE) in a postpartum woman? Select all that apply. You Selected: • Encourage the client to increase fluid intake. Correct response: • Encourage the client to increase fluid intake. • Teach the client leg exercises she can do in bed. • Encourage the client to ambulate in the room.  Explanation:  Remediation: /.modal - - - - - - - - - - - - - - - - - - - - - - - - Footer - - - - - - - - - - - - - - - - - - - - - - - - - TAKE A PRACTICE QUIZCE QUIZ Question 2   See full question When assessing a postpartum client, the nurse notes a continuous flow of bright red blood from the vagina. The uterus is firm and no clots can be expressed. Which action should the nurse take? You Selected: •  Notify the physician. Correct response: •  Notify the physician.   Explanation:   Remediation: Question 3   See full question A primiparous client planning to breastfeed her term neonate born vaginally asks, “When will my ‘real’ milk come in?” The nurse explains to the client that after childbirth, breasts begin to produce milk within what time period? You Selected: •  2 to 4 days Correct response: •  2 to 4 days   Explanation:   Remediation: Question 4   See full question A woman who is breastfeeding tells the nurse that she plans to return to work in 6 months and will probably wean her baby then. The client asks the nurse, “How will I stop producing milk when I want to wean the baby?” What information should the nurse give the client? You Selected: •  gradual decrease in milk supply as the baby nurses less Correct response: •  gradual decrease in milk supply as the baby nurses less   Explanation:   Remediation: Question 5   See full question The nurse is caring for a primipara who gave birth to a viable neonate vaginally 12 hours ago. The client is diagnosed with class II heart disease. The nurse should instruct the client to: You Selected: •  keep fluid intake to a minimum to avoid fluid overload. Correct response: •  allow the nursing staff to assist her in baby care.   Explanation:   Remediation: Question 6  See full question A nurse is palpating the uterine fundus of a client who gave birth to a neonate 8 hours ago. Identify the area where the nurse should expect to feel the fundus. You Selected: • Your selection and the correct area, market by the green box.   Explanation:   Remediation: Question 7   See full question The nurse assesses a swollen ecchymosed area to the right of an episiotomy on a primiparous client 6 hours after a vaginal birth. The nurse should next: You Selected: •  apply an ice pack to the perineal area. Correct response: •  apply an ice pack to the perineal area.   Explanation:   Remediation: Question 8   See full question A primiparous client who gave birth vaginally 8 hours ago desires to take a shower. The nurse anticipates remaining nearby the client to assess for which problem? You Selected: •  fainting Correct response: •  fainting   Explanation:   Remediation: Question 9   See full question The nurse finds that a client who gave birth 3 hours ago has completely saturated a perineal pad within 15 minutes. Which of the following actions should the nurse take? Select all that apply. You Selected: •  Begin an intravenous infusion of lactated Ringer's solution. •  Assess the client's vital signs. •  Palpate the client's fundus. Correct response: •  Assess the client's vital signs. •  Palpate the client's fundus.   Explanation:   Remediation: Question 10   See full question A client tells the nurse during a postpartum parenting class that she has switched her 6-month infant from formula to cow's milk to save money on the cost of formula. Which one of the following statements made by the nurse would be the best? You Selected: •  “Cow’s milk can be safely given to an infant older than one year of age.” Correct response: •  “Cow’s milk can be safely given to an infant older than one year of age.” Question 1   See full question Lochia normally progresses in which pattern? You Selected: •  Rubra, serosa, alba Correct response: •  Rubra, serosa, alba   Explanation:   Remediation: Question 2   See full question While caring for a the postpartum client who is receiving treatment with bed rest and intravenous heparin therapy for a deep vein thromobosis, the nurse should contact the client’s health care provider (HCP) immediately if the client exhibited which symptom? You Selected: •  Dyspnea Correct response: •  Dyspnea   Explanation: Question 3   See full question After suction and evacuation of a complete hydatidiform mole, the 28-year-old multigravid client asks the nurse when she can become pregnant again. The nurse would advise the client not to become pregnant again for at least how long? You Selected: • 6 months Correct response: • 12 months  Explanation:  Remediation: Question 4   See full question The nurse is assessing a cesarean section client who gave birth 12 hours ago. Findings include a distended abdomen with faint bowel sounds × 1 quadrant, fundus firm at umbilicus, lochia scant, rubra, and pain rated 2 on a scale of 1 to 10. The IV and Foley catheter have been discontinued, and the client received medication 3 hours ago for pain. The client can have pain medication every 3 to 4 hours. The nurse should first: You Selected: • have the client use the incentive spirometry. Correct response: • ambulate the client from the bed to the hallway and back.  Explanation:  Remediation: Question 5   See full question The partner of a postpartum client asks the nurse what is wrong with his infant’s mother and why she isn’t more joyful about the birth of their child. Which of the following would be the most appropriate response by the nurse? You Selected: • “Do any family members suffer from depression?” Correct response: • “How many days has it been since she gave birth?”  Explanation:  Remediation: /.modal - - - - - - - - - - - - - - - - - - - - - - - - Footer - - - - - - - - - - - - - - - - - - - - - - - - - TAKE A PRACTICE QUIZ   Remediation: Question 3   See full question Normal lochial findings in the first 24 hours after birth include: You Selected: •  bright red blood. Correct response: •  bright red blood.   Explanation:   Remediation: Question 4   See full question A client has just given birth to her first child, a healthy, full-term girl. The client is Rho(D)-negative and her neonate is Rh-positive. What intervention will be performed to reduce the risk of Rh incompatibility? You Selected: •  Administration of Rho(D) immune globulin I.M. to the mother within 72 hours Correct response: •  Administration of Rho(D) immune globulin I.M. to the mother within 72 hours   Explanation:   Remediation: Question 5   See full question The nurse assigns an unlicensed assistive personnel (UAP) to care for a client who is 1 day postpartum. Which tasks would be appropriate to delegate to this person? Select all that apply. You Selected: •  assisting the client with ambulation shortly after birth •  reinforcing good hygiene while assisting the client with washing the perineum •  changing the perineal pad and reporting the drainage Correct response: •  changing the perineal pad and reporting the drainage •  reinforcing good hygiene while assisting the client with washing the perineum •  assisting the client with ambulation shortly after birth   Explanation: Question 6   See full question A client is at the end of her first postpartum day. The nurse is assessing the client's uterus. Which finding requires further evaluation? You Selected: •  Fundus two fingerbreadths above the umbilicus Correct response: •  Fundus two fingerbreadths above the umbilicus   Explanation:   Remediation: Question 7   See full question A nurse is caring for a client during the first postpartum day. The client asks the nurse how to relieve pain from her episiotomy. What should the nurse instruct the woman to do? You Selected: •  Apply an ice pack to her perineum. Correct response: •  Apply an ice pack to her perineum.   Explanation:   Remediation: Question 8   See full question A nurse is assessing a client who gave birth yesterday. Where should the nurse expect to find the top of the client's fundus? You Selected: •  At the level of the umbilicus Correct response: •  One fingerbreadth below the umbilicus   Explanation:   Remediation: Question 9   See full question A primiparous client, 20 hours after giving birth, asks the nurse about starting postpartum exercises. What instructions would be most appropriate to include in the plan of care? You Selected: •  Flex the knees while supine, and then inhale deeply and exhale while contracting the abdominal muscles. Correct response: •  Flex the knees while supine, and then inhale deeply and exhale while contracting the abdominal muscles.   Explanation:   Remediation: Question 10   See full question A postpartum client requires teaching about breast-feeding. Which client statement indicates understanding of how to prevent breast engorgement? You Selected: •  "I will breast-feed as often as the infant is hungry — typically every 1 to 3 hours." Correct response: •  "I will breast-feed as often as the infant is hungry — typically every 1 to 3 hours." Question 1   See full question During an annual checkup, a client tells the nurse that she and her partner have decided to start a family. Ideally, when should the nurse plan for childbirth education to begin and end? You Selected: •  It should begin before conception and end 3 months after childbirth. Correct response: •  It should begin before conception and end 3 months after childbirth.   Explanation:   Remediation: Question 2   See full question A primipara calls the birthing unit 3 days after a vaginal birth. She tells the nurse that she is bottle-feeding and her breasts are swollen and painful. Which instructions would be appropriate? You Selected: •  Use ice packs for 20 minutes every 3 to 4 hours. Correct response: •  Use ice packs for 20 minutes every 3 to 4 hours.   Explanation:   Remediation: Question 3   See full question A new primiparous client asks the nurse, “Can my baby see?” Which statement about neonatal vision should the nurse include in the explanation? You Selected: •  They can see objects up to 12 inches (30.5 cm) away. Correct response: •  They can see objects up to 12 inches (30.5 cm) away.   Explanation:   Remediation: Question 4   See full question A 15-year-old unmarried primiparous client is being cared for in the hospital’s birthing center after vaginal birth of a viable neonate. The neonate is being placed for adoption through a social service agency. Four hours postpartum, the client asks if she can feed her baby. Which response would be most appropriate? You Selected: •  “I will bring the baby to you for feeding.” Correct response: •  “I will bring the baby to you for feeding.”   Explanation:   Remediation: Question 5   See full question A breastfeeding primiparous client with a midline episiotomy is prescribed ibuprofen 200 mg orally. The nurse instructs the client to take the medication: You Selected: •  immediately after a feeding. Correct response: •  immediately after a feeding.   Explanation: Question 6   See full question The community health nurse is providing education to a client who has given birth 74 hours earlier. The nurse teaches the client that which of the following would be a late sign or symptom of hemorrhage? You Selected: •  Peripad soaked over the course of 1 hour Correct response: •  Peripad soaked over the course of 1 hour   Explanation:   Remediation: Question 7   See full question A postpartum client tells the nurse that she and her husband had an argument about continuing breastfeeding before he left for work in the morning. He was up all night, not able to sleep with the baby crying, and he wants the client to give the baby formula. What is the most appropriate immediate response from the nurse? You Selected: •  “What are your feelings about breastfeeding?” Correct response: •  “What are your feelings about breastfeeding?”   Explanation:   Remediation: Question 8   See full question A nurse and a nursing student drive to the home of a client with postpartum depression and discover the client and her baby completely naked in the backyard. The client is unable to communicate in an effective manner. What is the nurse’s most appropriate response to resolve this situation? You Selected: •  Contact the nursing supervisor to clarify the appropriate actions in this acute mental health situation. Correct response: •  Contact the nursing supervisor to clarify the appropriate actions in this acute mental health situation.   Explanation:   Remediation: Question 1   See full question As she tries to decide on a birth control method, a client requests information about medroxyprogesterone. Which statement represents the nurse's best response? You Selected: • Medroxyprogesterone needs to be administered every 12 weeks. Correct response: • Medroxyprogesterone needs to be administered every 12 weeks.  Explanation:  Remediation: Question 2   See full question Which information would the nurse include in the primiparous client’s discharge teaching plan about measures to provide visual stimulation for the neonate? You Selected: • Use brightly colored animals and cartoon figures on the wall. Correct response: • Maintain eye contact while talking to the baby.  Explanation:  Remediation: Question 3   See full question A primiparous client who gave vaginal birth 1 hour ago voices anxiety because she has a nephew with Down syndrome. After teaching the client about Down syndrome, which client statements indicate the need for additional teaching? You Selected: • “Older mothers are more likely to have a baby with chromosomal abnormalities.” Correct response: • “Down syndrome is an abnormality that can result from a missing chromosome.”  Explanation:  Remediation: Question 4   See full question A primiparous client diagnosed with cystitis at 48 hours postpartum who is receiving intravenous ampicillin asks the nurse, “Can I still continue to breastfeed my baby?” The nurse should tell the client: You Selected: • "You can continue to breastfeed as long as you want to do so." Correct response: • "You can continue to breastfeed as long as you want to do so."  Explanation:  Remediation: Question 5   See full question A postpartum client has a nursing diagnosis of risk for impaired urinary elimination related to loss of bladder sensation after childbirth. Which of the following priorities outcome criteria should the client achieve? You Selected: • Client voids more than 30 mL/hour without urinary retention beginning 1 hour after birth. Correct response: • Client voids more than 30 mL/hour without urinary retention beginning 1 hour after birth.  Explanation:  Remediation: Question 1   See full question The nurse has assisted a multigravida with a precipitous birth of a viable neonate. Because a precipitous birth can lead to decreased uterine tone, what nursing action should help to prevent this complication? You Selected: • Encourage the mother to breastfeed the infant. Correct response: • Encourage the mother to breastfeed the infant.  Explanation:  Remediation: Question 2   See full question While the nurse is preparing to assist the primiparous client to the bathroom to void 6 hours after a vaginal birth under epidural anesthesia, the client says that she feels dizzy when sitting up on the side of the bed. The nurse explains that this is most likely caused by which factor? You Selected: • effects of analgesics used during labor Correct response: • decreased blood volume in the vascular system  Explanation:  Remediation: Question 3   See full question The nurse assigns an unlicensed assistive personnel (UAP) to care for a client who is 1 day postpartum. Which tasks would be appropriate to delegate to this person? Select all that apply. You Selected: • assisting the client with ambulation shortly after birth • reinforcing good hygiene while assisting the client with washing the perineum • changing the perineal pad and reporting the drainage Correct response: • changing the perineal pad and reporting the drainage • reinforcing good hygiene while assisting the client with washing the perineum • assisting the client with ambulation shortly after birth  Explanation: Question 4   See full question A breastfeeding client is seen at home by the visiting nurse 10 days after a vaginal birth. The client is reporting a warm, red, painful breast, a temperature of 100° F (37.7°C), and flulike symptoms. What should the nurse do? You Selected: • Inform the client that she needs to discontinue breastfeeding. Correct response: • Refer the woman to her health care provider (HCP).  Explanation: Question 5   See full question A breastfeeding primiparous client asks the nurse how breast milk differs from cow’s milk. The nurse responds by saying that breast milk is higher in which nutrient? You Selected: • sodium Correct response: • fat  Explanation:  Remediation: /.modal - - - - - - - - - - - - - - - - - - - - - - - - Footer - - - - - - - - - - - - - - - - - - - - - - - - - TAKE A PRACTICE QUIZ Question 9   See full question A couple in the antenatal unit is not satisfied with the care they are receiving. They have spent the past 15 minutes expressing dissatisfaction to the nurse about the care the client is receiving today. What is the most appropriate response by the nurse? You Selected: •  Encourage the family to identify their frustrations and fears. Correct response: •  Encourage the family to identify their frustrations and fears.   Explanation:   Remediation: Question 10   See full question A postpartum client has a nursing diagnosis of risk for impaired urinary elimination related to loss of bladder sensation after childbirth. Which of the following priorities outcome criteria should the client achieve? You Selected: •  The client will state that she has no discomfort with urinary elimination. Correct response: •  Client voids more than 30 mL/hour without urinary retention beginning 1 hour after birth. Question 1   See full question A postpartum client is ready for discharge. Which client statement reflects an understanding of the teaching session? You Selected: •  "I will call my physician if I notice redness, warmth, and pain in my breasts." Correct response: •  "I will call my physician if I notice redness, warmth, and pain in my breasts."   Explanation:   Remediation: Question 2   See full question Staff nurses on the postpartum floor are concerned that discharge teaching is consuming a large portion of their time. How can the nurses teach their clients in a more efficient manner? You Selected: •  Conduct a class for clients who require the same discharge teaching. Correct response: •  Conduct a class for clients who require the same discharge teaching.   Explanation:   Remediation: Question 3   See full question Following a cesarean birth for abruptio placentae, a multigravid client tells the nurse, "I feel like such a failure. None of my other childbirths were like this." Which factor is most important for the nurse to consider when responding to the client? You Selected: •  The client will most likely have postpartum blues. Correct response: •  The client's feeling of grief is a normal reaction.   Explanation:   Remediation: Question 4   See full question A client has just had a cesarean section for a prolapsed cord. In reviewing the client's history, which factors places a client at risk for cord prolapse? Select all that apply. You Selected: •  rupture of membranes •  breech presentation •  low lying placenta Correct response: •  negative 2 station •  low birthweight infant •  rupture of membranes •  breech presentation   Explanation:   Remediation: Question 5   See full question A woman who has given birth to a healthy baby is being discharged. As a part of the discharge teaching, the nurse should instruct the client to observe vaginal discharge for postpartum hemorrhage and notify the healthcare provider (HCP) about: You Selected: •  saturating a pad in an hour. Correct response: •  saturating a pad in an hour.   Explanation:   Remediation: Question 6   See full question In response to the nurse’s question about how she is feeling, a postpartum client states that she is fine. She then begins talking to the baby, checking the diaper, and asking infant care questions. The nurse determines the client is in which postpartal phase of psychological adaptation? You Selected: •  taking hold Correct response: •  taking hold   Explanation:   Remediation: Question 7   See full question After the nurse counsels a primiparous, breastfeeding client about diet and nutritional needs during the lactation period, which client statement indicates a need for additional teaching? You Selected: •  “I should drink at least five glasses of fluid daily.” Correct response: •  “I should drink at least five glasses of fluid daily.”   Explanation:   Remediation: Question 8   See full question Two weeks after a breastfeeding primiparous client is discharged, she calls the birthing center and says that she is afraid she is “losing my breast milk. The baby had been nursing every 4 hours, but now she is crying to be fed every 2 hours.” The nurse interprets the neonate’s behavior as most likely caused by which factor? You Selected: •  the neonate’s temporary growth spurt, which requires more feedings Correct response: •  the neonate’s temporary growth spurt, which requires more feedings   Explanation:   Remediation: Question 9   See full question A nurse is walking down the hall in the main corridor of a hospital when the infant security alert system sounds and a code for an infant abduction is announced. The first responsibility of the nurse when this situation occurs is to take which action? You Selected: •  Observe individuals in the area for large bags or oversized coats. Correct response: •  Observe individuals in the area for large bags or oversized coats.   Explanation:   Remediation: Question 1   See full question When caring for a client who has had a cesarean birth, which action by a nurse requires intervention? You Selected: • Monitoring pain status and providing necessary relief Correct response: • Removing the initial dressing for incision inspection  Explanation:  Remediation: Question 2   See full question A nurse is providing discharge teaching to a postpartum client. Which instruction is the priority to include in her teaching? You Selected: • "The neonate can sleep in the bed with you." Correct response: • "If you have excessive vaginal bleeding, massage your fundus and call the physician."  Explanation:  Remediation: Question 3   See full question In which phase of postpartal psychological adaption would discharge teaching regarding infant care most likely be successful? You Selected: • taking hold Correct response: • taking hold  Explanation:  Remediation: Question 4   See full question While observing a new mother interact with her first baby, the nurse observes that the client appears hesitant to care for the neonate. Which action would be most important for the nurse to do? You Selected: • Make a referral to the medical social worker. Correct response: • Continue to provide praise and support to the client.  Explanation:  Remediation: Question 5   See full question The nurse is caring for a postpartum client and suspects that the client has developed a postpartum adjustment reaction with depressed mood, also known as the “baby blues.” Which of the following client findings support the nurse’s assessment? Select all that apply. You Selected: • Expresses anxiety about caring for the newborn after discharge • Is tearful without an identifiable reason • Presence of fatigue and physical discomfort Correct response: • Is tearful without an identifiable reason • Expresses anxiety about caring for the newborn after discharge • Presence of fatigue and physical discomfort  Explanation:  Remediation: Question 1   See full question A registered nurse is staff-shared to the maternal-neonatal unit where she has never worked before. How can this nurse be best employed? You Selected: • Assign her a client care assignment in the postpartum unit. Correct response: • Assign her a client care assignment in the postpartum unit.  Explanation: Question 2   See full question Which information would the nurse include in the primiparous client’s discharge teaching plan about measures to provide visual stimulation for the neonate? You Selected: • Maintain eye contact while talking to the baby. Correct response: • Maintain eye contact while talking to the baby.  Explanation:  Remediation: Question 3   See full question A multiparous client at 24 hours postpartum is found to have a swelling and pain in her right leg. She demonstrates a positive Homan sign with discomfort. The nurse should: You Selected: • ask the client to ambulate around the room Correct response: • notify the client’s health care provider (HCP) immediately  Explanation:  Remediation: Question 4   See full question A breastfeeding primiparous client who gave birth 8 hours ago asks the nurse, “How will I know that my baby is getting enough to eat?” Which guideline should the nurse include in the teaching plan as evidence of adequate intake? You Selected: • regain of lost birth weight by the third day Correct response: • six to eight wet diapers by the fifth day  Explanation:  Remediation: Question 5   See full question The nurse is caring for a postpartum client and suspects that the client has developed a postpartum adjustment reaction with depressed mood, also known as the “baby blues.” Which of the following client findings support the nurse’s assessment? Select all that apply. You Selected: • Presence of fatigue and physical discomfort • Is tearful without an identifiable reason • Expresses anxiety about caring for the newborn after discharge Correct response: • Is tearful without an identifiable reason • Expresses anxiety about caring for the newborn after discharge • Presence of fatigue and physical discomfort  Explanation:  Remediation: /.modal - - - - - - - - - - - - - - - - - - - - - - - - Footer - - - - - - - - - - - - - - - - - - - - - - - - - TAKE A PRACTICE QUIZ Question 10   See full question The nurse is caring for a postpartum client and suspects that the client has developed a postpartum adjustment reaction with depressed mood, also known as the “baby blues.” Which of the following client findings support the nurse’s assessment? Select all that apply. You Selected: •  Presence of fatigue and physical discomfort •  Is tearful without an identifiable reason Correct response: •  Is tearful without an identifiable reason •  Expresses anxiety about caring for the newborn after discharge •  Presence of fatigue and physical discomfort [Show More]

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