OB Q 2 chp 17-18 Flashcards

Which patient would be most likely to have severe afterbirth pains and request a narcotic analgesic?

Which maternal event is abnormal in the early postpartal period

Which fundal assessment finding at 12 hours after birth requires further assessment?

If the patient’s white blood cell (WBC) count is 25,000/mm3 on her second postpartum day,which action should the nurse take?

Postpartal overdistention of the bladder and urinary retention can lead to which complication?

A postpartum patient asks, “Will these stretch marks ever go away?” Which is the nurse’s best response?

A pregnant patient asks when the dark line on her abdomen (linea nigra) will go away. The nurse knows the pigmentation will fade after birth due to

Which clinical finding should the nurse suspect if the fundus is palpated on the right side of the abdomen above the expected level?

Which situation would require the administration of Rho(D) immune globulin?

If the rubella vaccine is indicated for a postpartum patient, which instructions should be provided?

Which measure is optimal in order to prevent following a cesarean birth?

To assess fundal contraction 6 hours after cesarean birth, which technique should the nurse utilize?

The nurse has completed a postpartum assessment on a patient who delivered 1 hour ago. Which amount of lochia consists of a moderate amount

The postpartum nurse has completed discharge teaching for a patient being discharged after an uncomplicated vaginal birth. Which statement by the patient indicates that further teaching is necessary?

The nurse is caring for a postpartum patient who delivered by the vaginal route 12 hours ago. Which assessment finding should the nurse report to the health care provider?

To facilitate adequate urinary elimination during the postpartum period, the nurse should incorporate which intervention into the plan of care?

When assessing the A of the acronym REEDA, the nurse should evaluate the

Which assessment finding 24 hours after vaginal birth would indicate a need for further intervention?

The nurse is providing care to a patient who delivered a 3525-g infant 14 hours ago. The nursepalpates the fundus of the uterus as firm and at the umbilicus. What is the nurse’s priority action related to this finding?

The nurse is providing care to a patient 2 hours after a cesarean birth. In the hand-off report, the preceding nurse indicated that the patient’s lochia was scant rubra. On initial assessment,the oncoming nurse notes the patient’s peripad is saturated with lochia rubra immediately after breastfeeding her infant. What is the nurse’s priority action with this finding?

The nurse includes the addition of ice sitz baths for the postpartum patient. Which assessment finding indicates the treatment has been effective?

Which description best explains the term reciprocal attachment behavior?

The postpartum patient who continually repeats the story of her labor, birth, and recovery experiences is performing which of the following tasks

During which stage of role attainment do the parents become acquainted with their baby and combine parenting activities with cues from the infant

The nurse observes a patient on her first postpartum day sitting in bed while her newborn lies awake in the bassinet. Which action is most appropriate for the nurse to take at this time?

The postpartum nurse is observing a patient holding the baby she delivered less than 24 hours ago. The partner is watching his wife and asking questions about newborn care. The 4-year-old big brother is punching his mother on the back what should the nurse do next

During which phase of maternal adjustment will the mother relinquish the baby of her fantasies and accept the real baby

A new father calls the nurse’s station stating that his wife, who delivered last week, is happy one minute and crying the next. He states, “She was never like this before the baby was born.”How should the nurse best respond?

To promote bonding and attachment immediately after birth, which action should the nurse take?

Which patient is more likely to have less stress adjusting to her role as a mother?

Which anticipatory guidance action by the nurse makes role transition to parenthood easier?

Which action should the nurse take in order to provide support and encouragement to the new postpartum patient?

Which should the nurse do to provide support to a patient who must return to full-time employment 6 weeks after a vaginal birth?

The postpartum nurse is reviewing dietary practices for an Asian patient. Which of the following should the nurse expect to observe as a dietary practice for this culture?

An example of binding in during the postpartum period is a

Which of the following behaviors would be applicable to a nursing diagnosis of Risk for Impaired Parenting?

A family is concerned about how their 2-year-old son is going to react to the new baby. Which intervention would help facilitate sibling attachment?

The nurse is developing a plan of care for the patient’s fourth stage of labor. One nursing intervention is to promote bonding. Specifically, which nursing action will facilitate the bonding process?

A postpartum patient calls the clinic and reports to the nurse feelings of fatigue, tearfulness, and anxiety. What is the nurse’s most appropriate response at this time?

Which vaccinations are indicated for the postpartum patient if she does not have immunity? (Select all that apply.)

The nurse is planning comfort measures to implement for a patient after a vaginal birth.Which measures should the nurse plan to include in the patient’s care plan? (Select all that apply.)

The nurse is teaching a non–breastfeeding patient measure to suppress lactation. Which information should the nurse include in the teaching session? (Select all that apply.)

The nurse is conducting discharge teaching for a patient going home after a cesarean birth. Which signs and symptoms should the patient be taught to report? (Select all that apply.)

Which of the following are nursing measures that can promote parent-infant bonding and attachment? (Select all that apply.)

Which statement by a postpartum patient indicates that further teaching regarding thrombus formation is unnecessary?

The nurse understands that late postpartum hemorrhage may be prevented by

A multiparous patient is admitted to the postpartum unit after a rapid labor and birth of a 4000-g infant. Her fundus is boggy, lochia is heavy, and vital signs are unchanged. The nurse has the patient void and massages her fundus; however, the fundus remains difficult to find and the rubra lochia remains heavy which action should the nurse take next

Early postpartum hemorrhage is defined as a blood loss greater than

A steady trickle of bright red blood from the vagina in the presence of a firm fundus suggests

A postpartum patient would be at increased risk for postpartum hemorrhage if she delivered a(n)

The nurse should expect medical intervention for subinvolution to include

If nonsurgical treatment for subinvolution is ineffective, which surgical procedure is appropriate to correct the cause of this condition?

A positive sign of thrombophlebitis includes

Which nursing measure would be most appropriate to prevent thrombophlebitis in the recovery period following a cesarean birth?

Which temperature indicates the presence of postpartum infection?

A white blood cell (WBC) count of 35,000 cells/mm3 on the morning of the first postpartum day indicates

The patient who is being treated for endometritis is placed in the Fowler position because this position

Nursing measures that help prevent postpartum urinary tract infection include

Which measure may prevent mastitis in a breastfeeding patient?

A patient with mastitis is concerned about breastfeeding while she has an active infection. Which is an appropriate response by the nurse?

The nurse suspecting a uterine infection in a postpartum patient should assess the

Following a difficult vaginal birth of a singleton pregnancy, the patient starts bleeding heavily. Clots are expressed and a Foley catheter is inserted to empty the bladder because the uterine fundus is soft and displaced laterally from midline. Vital signs are 37.6°C (99.8°F), pulse 90 beats/minute, respirations 20 breaths per minute, and BP 130/90 mm Hg. Which pharmacologic intervention is indicated?

Following a vaginal birth, a patient has lost a significant amount of blood and is starting to experience signs of hypovolemic shock. Which clinical signs would be consistent with this diagnosis?

A patient has been treated with oxytocin (Pitocin) for postpartum hemorrhage. Bleeding has stabilized and slowed down considerably. The peripad in place reveals a moderate amount of bright red blood, with no clots expelled when massaging the fundus . The patient now complains of having difficulty breathing. Auscultation of breath sounds reveals adventitious sounds. Based on this clinical presentation, the priority nursing action is to

A postpartum patient has developed deep vein thrombosis(DVT)stand treatment with warfarin (Coumadin) has been initiated. Which dietary selection should be modified in view of this treatment regimen?

To determine an adverse response to carboprost tromethamine (Hemabate), the nurse should frequently assess

If the nurse suspects a complication of a low forceps birth labor, she should immediately

Prior to ambulating the patient whose admission hemoglobin level was 10.2 g/dL to the bathroom, the nurse should

if a late postpartum hemorrhage is documented on a patient who delivered 3 days ago, the nurse recognizes that this hemorrhage occurred

Which patient data received during report should the nurse recognize as being at risk for postpartum complications?

Before administering methylergonovine (Methergine), the nurse checks the

To evaluate the desired response of methylergonovine(Methergine), the nurse would assess the patient’s

As you receive a report, which assessment finding should you recognize as an indication of a vaginal laceration?

The nurse observes the patient as she ambulates to the bathroom. Which clinical finding might indicate development of a DVT (deep vein thrombosis)

If a DVT (deep vein thrombosis) is suspected, the nurse should

If the nurse suspects a pulmonary embolism in the patient who suddenly complains of chest pain, she or he should immediately

To prevent infection of the reproductive tract, the nurse should instruct the patient to

The nurse notes that the fundus of a postpartum patient is boggy, shifted to the left of the midline, and 2 cm above the umbilicus. What is the nurse’s priority action?

Which information should the nurse recognize as contributing to mastitis in the breastfeeding mother? (Select all that apply.)

The visiting nurse must be aware that women who have had a postpartum hemorrhage are subject to a variety of complications after discharge from the hospital. These include which of the following? (Select all that apply.)