CHOOSE THE CORRECT ANSWER NO NEED EXPLANATION

CHOOSE THE CORRECT ANSWER NO NEED EXPLANATION 1. When the nurse is performing on a postpartum patient the nurse should: Instruct the woman to avoid urinating just before the examination since a full bladder will facilitate fundal palpation Wash hands and put on sterile gloves before beginning the check Assist the woman into a lateral position with upper leg flexed forward to facilitate the examination of her perineum Assist the woman into a supine position with her arms above her head and her legs extended for the examination of her abdomen 2. Which of the following normal findings would be expected when assessing the postpartum client? Fundus 1 cm above the umbilicus on postpartum day 3 Fundus 1 cm above the umbilicus 1 hour postpartum Fundus palpable in the abdomen at 2 weeks postpartum Fundus slightly to the right; 2 cm above umbilicus on postpartum day 2 3. Which intervention would be helpful to a breastfeeding mother who is experiencing engorged breasts? Applying a breast binder Applying ice Teaching how to express her breasts in a warm shower Administering pain relief medications 4. When assessing the lochia of a 1 day postpartum patient. You noted that the lochia is red and has a foul-smelling odor. This determines that this assessment finding is: Indicates the presence of infection Normal Indicates the need for increasing ambulation Indicates the need for increasing oral fluids 5. Which type of lochia should you expect to find in a client 2 days postpartum? 1. Lochia serosa 2. Lochia alba 3. Foul-smelling 4. Lochia rubra 6. On which of the postpartum days can the client expect lochia serosa? Days 10-14 postpartum Days 3 to 10 postpartum Days 3 and 4 postpartum Days 14 to 42 postpartum 7. Which of the following observations about the client would the nurse be most likely to make during the 3rd postpartum day? The client appears interested in learning about neonatal care The client talks a lot about her birth experience The client sleeps whenever the neonate isn’t present The client requests help in choosing a name for the neonate 8. On the first postpartum night, the patient does not show interest in taking care of her newborn, instead just want to get some sleep. The client is most likely in which of the following phases? 1. Depression phase 2. Letting-go phase 3. Taking-in phase 4. Taking-hold phase 9. The nurse examines the breasts of a of a primiparous breastfeeding woman who is one day postpartum. An expected finding would be: Leakage of milk at let down Soft, non-tender; colostrum is present A few blisters and a bruise on each areola Swollen, warm, and tender upon palpation 10. In the taking-in stage of psychosocial recovery and adjustment following birth. Recognizing the needs of women during this stage, should: Foster an active role in the baby’s care Provide time for the mother to reflect on the events of and her behavior during childbirth Recognize the woman’s limited attention span by giving her written materials to read when she gets home rather than doing a teaching session now Promote maternal independence by encouraging her to meet her own hygiene and comfort needs SCIENCE HEALTH SCIENCE NURSING NURSING RN 153

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