front 1 which patient would be most likely to have severe afterbirth pains and request a narcotic analgesic? | back 1 gravida 5, para 5 |
front 2 which maternal event is abnormal in the early postpartal period? | back 2 lochial color changes from rubra to alba |
front 3 which fundal assessment finding at 12 hours after birth requires further assessment? | back 3 the fundus is palpable two fingerbreadths above the umbilicus |
front 4 if the patients white blood cell count is 25,000 on her 2nd postpartum day. which action should the nurse take? | back 4 document the finding |
front 5 postpartal overdistention of the bladder and urinary retention can lead to which complication? | back 5 postpartum hemorrhage and urinary tract infection |
front 6 a postpartum patient asks "will these stretch marks ever go away?" which is the nurses best response | back 6 they will fade to silvery lines but wont disappear completely |
front 7 a pregnant patient asks when the dark line on her abdomen will go away. The nurse knows the pigmentation will fade after birth due to | back 7 decreased melanocyte stimulating hormone |
front 8 which clinical finding should the nurse suspect if the fundus is palpated on the right side of the abdomen above the expected level | back 8 distended bladder |
front 9 which situation would require the administration of Rho(D) immune globulin? | back 9 mother Rh negative and baby Rh positive |
front 10 if the rubella vaccine is indicated for a postpartum patient, which instructions should be provided? | back 10 explanation of the risks of becoming pregnant within 28 days following injection |
front 11 which measure is optimal in order to prevent abdominal distention following a cesarean? | back 11 early and frequent ambulation |
front 12 to assess fundal contraction 6 hours after cesarean birth, which technique should the nurse utilize? | back 12 gently palpate, applying the same technique used for vaginal deliveries |
front 13 the nurse has completed a postpartum assessment on a patient who delivered 1 hour ago. which amount of lochia consists of a moderate amount? | back 13 10 to 15cm stain on the peripad |
front 14 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? | back 14 if i breastfeed and supplement with formula, i wont need any birth control |
front 15 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? | back 15 firm fundus, but excessive lochia |
front 16 to facilitate adequate urinary elimination during the postpartum period, the nurse should incorporate which intervention into the plan of care? | back 16 teach the patient to perform pelvic floor exercises to combat potential stress incontinence |
front 17 when assessing the A of the acronym REEDA the nurse should evaluate the | back 17 edges of the episiotomy |
front 18 which assessment finding 24 hours after vaginal birth would indicate a need for further intervention? | back 18 uterine fundus 2cm above the umbilicus |
front 19 the nurse is providing care to a patient who delivered a 3525g infant 14 hours ago. the nurse palpates the fundus of the uterus as firm and at the umbilicus. what is the nurses priority action related to this finding? | back 19 document the finding in the patients chart |
front 20 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 patients lochia was scant rubra. on initial assessment, the oncoming nurse notes the patients peripad is saturated with luchia rubra immediately after breastfeeding her infant. what is the nurses priority action with this finding? | back 20 contact the health care provider |
front 21 the nurse includes the addition of sitz baths for the postpartum patient. which assessment finding indicates the treatment has been effective? | back 21 no swelling or edema to the perineal area |
front 22 which description best explains the term reciprocal attachment behavior? | back 22 positive feedback that the infant exhibits toward parents during the attachment process |
front 23 the postpartum patient who continually repeats the story of her labor, birth and recovery experiences is performing which of the following tasks? | back 23 making the birth experience real |
front 24 during which stage of role attainment do the parents become acquainted with their baby and combine parenting activities with cues from the infant? | back 24 formal |
front 25 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? | back 25 hand the baby to the woman |
front 26 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? | back 26 no action, this is a normal family adjusting to family change |
front 27 during which phase of maternal adjustment will the mother relinquish the baby of her fantasies and accept the real baby? | back 27 letting go |
front 28 a new father calls the nurses 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? | back 28 reassure him that this behavior is normal |
front 29 to promote bonding and attachment immediately after birth, which action should the nurse take | back 29 assist the mother in assuming an en face position with her newborn |
front 30 which patient is more likely to have less stress adjusting to her role as a mother | back 30 a 26 year old woman who is returning to work in 10 weeks |
front 31 which anticipatory guidance action by the nurse makes role transition to parenthood easier | back 31 helps the new parents identify resources |
front 32 which action should the nurse take in order to provide support and encouragement to the new postpartum patient | back 32 praise the mothers early attempts at infant care |
front 33 which should the nurse do to provide support to a patient who must return to full time employment 6 weeks after a vaginal birth | back 33 allow her to express her positive and negative feelings freely |
front 34 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? | back 34 special foods brought from home |
front 35 an example of binding in during the postpartum period is a | back 35 father looking at his newborn and stating that he looks like i did when i was a baby |
front 36 which of the following behaviors would be applicable to a nursing diagnosis of risk for impaired parenting | back 36 mother states that she feels excessive fatigue as a result of the childbirth experience |