Rasmussen College

NURSING NU278

Quiz4

1)A husband calls the perinatal clinic because he is worried about his wife’s emotional state after giving birth 2 weeks ago. Which question by the nurse would be most helpful?

1. 1. "Can you explain specifically what you are worried about?"
   2. "How is your wife's appetite? Is she eating enough?"
   3. "Is your wife still able to care for herself and the baby?"
   4. "When did all the symptoms start, before or after the birth?

2. A woman is 10 hours postpartum after an uncomplicated vaginal birth. She has voided four times, and each time the volume is less than 100 mL. What action by the nurse is best?

1. 1. Ask the woman to keep a voiding log for 24 hours.
   2. Palpate the fundus and assess the amount of lochia present.
   3. Request an order for a straight catheterization.
   4. Run the water in the bathroom faucet during voiding attempts.

3. A nurse assessing a postpartum woman 12 hours after uncomplicated vaginal birth finds her pulse to be 110 beats/minute. What action by the nurse is best?

1. 1. Assess the patient for causes of tachycardia.
   2. Document the findings and notify the provider.
   3. Facilitate a blood draw for laboratory studies.
   4. Place the patient on a 1,000-mL fluid restriction.

4. A woman complains of perineal pain. The nurse assesses swelling, but sees no other abnormalities. The woman does not wish pharmacological treatment. What suggestion by the nurse is most appropriate?

1. 1. Applying a covered ice pack to the perineum every 2 to 4 hours for 20 minutes
   2. Placing cool cabbage leaves on the woman's peri-pad
   3. Sitting on a donut-type pillow when out of bed
   4. Immersing in a sitz bath with a water temperature of 120 °F (48.9 °C)

5. A woman is 1 day post-cesarean birth. The nurse auscultates crackles in her lung bases. Which action by the nurse is best?

1. 1. Call respiratory therapy for a breathing treatment.
   2. Facilitate the woman having a chest x-ray.
   3. Have the woman use her incentive spirometer.
   4. Notify the provider and document the findings.

6. A woman gave birth 12 hours ago. The patient complains of severe abdominal cramping when she breastfeeds her infant. The perinatal nurse should document this condition as which of the following?

1. 1. Afterpains
   2. Bladder hypertonia
   3. Rectus abdominis diastasis
   4. Uterine hypertonia

7. The perinatal nurse is teaching the patient about breastfeeding and explains that which of the following is the most appropriate time to breastfeed?

1. 1. Four to 5 hours after the last feeding
   2. Only when her infant exhibits hunger-related crying
   3. When her infant is in a quiet alert state
   4. When her infant is in an active alert state

8. Two days after an uncomplicated vaginal birth, the nurse notes that the patient's hemoglobin is 13 mg/dL and the hematocrit is 48%. What does the nurse conclude about these values?

1. 1. Patient is dehydrated
   2. Needs further assessment
   3. Normal for this situation
   4. Serious anemia

9. A postpartum woman is complaining of a headache that is worsening despite having taken Tylenol (acetaminophen) an hour ago. She delivered yesterday with epidural anesthesia. What action by the nurse is best?

1. 1. Assess if the pain is worse when she sits upright.
   2. Call the provider and ask for stronger analgesics.
   3. Document the findings in the patient's chart.
   4. Notify the health-care provider immediately.

10. A diabetic patient is 1 day postpartum after an uncomplicated vaginal birth. She wants to know why her blood sugar levels are so much lower than usual. What explanation by the nurse is best?

1. 1. "Because you are dehydrated, your blood sugar decreases for a few     days."
   2. "I will call the dietician to see if you are getting enough calories."
   3. "The levels of hormones that cause an anti-insulin effect are                     decreased."
   4. "The exertion from childbirth is like a massive workout for your body."

11. A patient is receiving methylergonovine (Methergine) after a vaginal birth. What assessment finding by the nurse warrants immediate intervention?

1. 1. Headache
   2. Nausea
   3. Palpitations
   4. Uterine cramping

12. A nurse is assisting a postpartum woman to get up for the first time after an unmedicated vaginal birth. What action by the nurse is best?

1. 1. Apply a properly fitting gait belt before assisting the woman.
   2. Take the patient's blood pressure lying down and then in a standing position.
   3. Instruct the woman to sit on the edge of the bed prior to standing.
   4. Determine if the woman has normal sensation to her lower extremities

13. The perinatal nurse describes the need for an assessment for deep vein thrombosis (DVT) in the postpartum patient. Which of the following is one test that can be used as a screening measure for DVT?

1. 1. Chadwick's sign
   2. Homans' sign
   3. Grey Turner's sign
   4. McBurney's sign