7. A nurse is assessing a 1-day postpartum woman who had her baby by cesarean section. Which of the following should the nurse report to the surgeon?
a) Fundus at the umbilicus.
b) Nodular breasts.
c) Pulse rate 60 bpm.
d) Pad saturation every 30 minutes.
8. The nurse is assessing the midline ...
, 1. One hour after delivery, the nurse is unable to palpate the uterine fundus of a client who had an epidural
and notes a large amount of lochia on the perineal pad. The nurse massages at the umbilicus and obtains
current vital signs. Which intervention should the nurse implement next?
A. Document number of pad changes in the last hour
B. Increase the rate of the oxytocin infusion
C. Palpate the suprapubic area for bladder distention
D. Provide bedpan to void if unable to ambulate
2. At 40-week gestation, a laboring client who is lying is a supine position tells the nurse that she has
finally found a comfortable position. What action should the nurse take?
A. Place a pillow under the client’s head and knees.
B. Place a wedge under the client’s right hip.
C. Encourage the client to turn on her left side.
D. Explain to the client that her position is not safe.
3.After breast-feeding 10 minutes at each breast, a new mother calls the nurse to the postpartum room to
help change the newborns diaper. As the mother begins the diaper change, the newborn spits up the breast
milk.
What action should the nurse implement first?
A. Wipe away the spit-up and assist the mother with the diaper change
B. Turn the newborn to the side and bulb suction the mouth and nares
C. Sit the newborn up and burp by rubbing or patting the upper back
D. Place the newborn in a position with the head lower than the feet
4. A young adult female presents at the emergency center with acute lower abdominal pain. Which
assessment finding is most important for the nurse to report to the healthcare provider?
A. History of irritable bowel syndrome (IBS)
B. Pain scale rating of a “9” on a 0-10 scale.
C. Last menstrual period 7 weeks ago.
D. Reports white, curly vaginal discharge.
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