Exam (elaborations)
POST-PARTUM practice questions with 100% correct answers
- Course
- Institution
POST-PARTUM practice questions with 100% correct answers
[Show more]
Content preview
©PREP4EXAMS@2024/2025 [ REAL-EXAM-DUMPS] Monday, August 5, 2024 1: 54 PMWEST VIRGINIA UNIVERSIRTY-WV26506
POST-PARTUM practice questions with 100% correct answers
A new mother asks the nurse when the "soft spot" on her son's head will go away. The
nurse's answer is based on the knowledge that the anterior fontanel closes after birth by
_____ months.
a. 2
b. 8
c. 12
d. 18 - ✔️✔️ANS: D
The larger of the two fontanels, the anterior fontanel, closes by 18 months after birth.
While providing care in an obstetric setting, the nurse should understand that
postpartum care of the woman with cardiac disease:
a. Is the same as that for any pregnant woman.
b. Includes rest, stool softeners, and monitoring of the effect of activity.
c. Includes ambulating frequently, alternating with active range of motion.
d. Includes limiting visits with the infant to once per day. - ✔️✔️ANS: B
1
,©PREP4EXAMS@2024/2025 [ REAL-EXAM-DUMPS] Monday, August 5, 2024 1: 54 PM
WEST VIRGINIA UNIVERSIRTY-WV26506
Bed rest may be ordered, with or without bathroom privileges. Bowel movements
without stress or strain for the woman are promoted with stool softeners, diet, and fluid.
Care of the woman with cardiac disease in the postpartum period is tailored to the
woman's functional capacity. The woman will be on bed rest to conserve energy and
reduce the strain on the heart. Although the woman may need help caring for the infant,
breastfeeding and infant visits are not contraindicated.
A woman with asthma is experiencing a postpartum hemorrhage. Which drug would
NOT be used to treat her bleeding because it may exacerbate her asthma?
a. Pitocin
b. Nonsteroidal antiinflammatory drugs (NSAIDs)
c. Hemabate
d. Fentanyl - ✔️✔️ANS: C
Prostaglandin derivatives should not be used to treat women with asthma, because they
may exacerbate symptoms. Pitocin would be the drug of choice to treat this woman's
bleeding because it would not exacerbate her asthma. NSAIDs are not used to treat
bleeding. Fentanyl is used to treat pain, not bleeding.
In caring for an immediate postpartum client, you note petechiae and oozing from her IV
site. You would monitor her closely for the clotting disorder:
a. Disseminated intravascular coagulation (DIC)
2
,©PREP4EXAMS@2024/2025 [ REAL-EXAM-DUMPS] Monday, August 5, 2024 1: 54 PM
WEST VIRGINIA UNIVERSIRTY-WV26506
b. Amniotic fluid embolism (AFE)
c. Hemorrhage
d. HELLP syndrome - ✔️✔️ANS: A
The diagnosis of DIC is made according to clinical findings and laboratory markers.
Physical examination reveals unusual bleeding. Petechiae may appear around a blood
pressure cuff on the woman's arm. Excessive bleeding may occur from the site of a
slight trauma such as venipuncture sites. These symptoms are not associated with AFE,
nor is AFE a bleeding disorder. Hemorrhage occurs for a variety of reasons in the
postpartum client. These symptoms are associated with DIC. Hemorrhage would be a
finding associated with DIC and is not a clotting disorder in and of itself. HELLP is not a
clotting disorder, but it may contribute to the clotting disorder DIC.
Your client has been on magnesium sulfate for 20 hours for treatment of preeclampsia.
She just delivered a viable infant girl 30 minutes ago. What uterine findings would you
expect to observe/assess in this client?
a. Absence of uterine bleeding in the postpartum period
b. A fundus firm below the level of the umbilicus
c. Scant lochia flow
d. A boggy uterus with heavy lochia flow - ✔️✔️ANS: D
3
, ©PREP4EXAMS@2024/2025 [ REAL-EXAM-DUMPS] Monday, August 5, 2024 1: 54 PM
WEST VIRGINIA UNIVERSIRTY-WV26506
Because of the tocolytic effects of magnesium sulfate, this client most likely would have
a boggy uterus with increased amounts of bleeding and a heavy lochia flow in the
postpartum period.
The perinatal nurse is giving discharge instructions to a woman, status postsuction
curettage secondary to a hydatidiform mole. The woman asks why she must take oral
contraceptives for the next 12 months. The best response from the nurse would be:
a. "If you get pregnant within 1 year, the chance of a successful pregnancy is very
small. Therefore, if you desire a future pregnancy, it would be better for you to use the
most reliable method of contraception available."
b. "The major risk to you after a molar pregnancy is a type of cancer that can be
diagnosed only by measuring the same hormone that your body produces during
pregnancy. If you were to get pregnant, it would make the diagnosis of this cancer more
difficult."
c. "If you can avoid a pregnancy for the next year, the chance of developing a second
molar pregnancy is rare. Therefore, to improve your chance of a successful pregnancy,
it is better not to get preg - ✔️✔️ANS: B
This is an accurate statement. -human chorionic gonadotropin (hCG) levels will be
drawn for 1 year to ensure that the mole is completely gone. There is an increased
chance of developing choriocarcinoma after the development of a hydatidiform mole.
The goal is to achieve a "zero" hCG level. If the woman were to become pregnant, it
4
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller OliviaWest. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $13.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
83637 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now