The nurse assesses the postpartum client to have moderate lochia rubra with clots. Which nursing intervention would be appropriate? - Answer ANSWER: 1. Assess fundus and bladder status.
RATIONALE: 1. The amount, consistency, color, and odor of the lochia are monitored on an ongoing basis. Inc...
N2207 Maternal TB Ch34 Midterm Exam
Questions And Answers (Revised&
Verified).
The nurse assesses the postpartum client to have moderate lochia rubra with clots. Which nursing
intervention would be appropriate? - Answer ANSWER: 1. Assess fundus and bladder status.
RATIONALE: 1. The amount, consistency, color, and odor of the lochia are monitored on an ongoing basis.
Increased bleeding is most often related to uterine atony and responds to fundal massage, expression of
any clots, and emptying the bladder.
The nurse is providing education to the new family. Which question by the nurse is best? - Answer
ANSWER: 3. "How have your breastfeedings been going?"
RATIONALE: 3. This is an open-ended question about an important physiologic issue. A discussion that
includes both partners can facilitate an open dialog between them and can provide an opportunity for
questions and answers.
The postpartum nurse provides anticipatory guidance for the new mother as well as teaching on self-
care and infant care before discharge. Which topics should be included?
Select all that apply. - Answer ANSWER: 1, 2, 3, 4
1. Role changes brought on by the addition to the family unit
2. The realities of having a new baby, and how it affects previous lifestyle
3. Potential complications such as infant colic and postpartum issues
4. Sexuality and contraception
RATIONALE:
1. It is helpful for the nurse to advise parents that they may experience feelings of uncertainty as they
grow into the parental role and alter their family processes to accommodate the new family member.
2. Guidance is essential in assisting the family to cope with role changes and the realities of a new baby.
, 3. Guidance is essential in assisting the family to cope with potential complications such as infant colic
and postpartum health issues.
4. It is important for the nurse to present information about changes that may affect sexual activity and
to discuss the importance of contraception during the early postpartum period.
A client is preparing to take a sitz bath for the first time. What will the nurse do? - Answer ANSWER: 2.
Place a call bell well within reach and check on the client frequently.
RATIONALE: 2. The nurse should explain the purpose and use of the sitz bath, anticipated effects,
benefits, possible problems, and safety measures to prevent slipping or an injury from hot water. A call
bell would be a safety measure.
A postpartum client has just received a rubella vaccination. The client demonstrates understanding of
the teaching associated with administration of this vaccine when she states which of the following? -
Answer ANSWER: 2. "I must avoid getting pregnant for 1 month."
RATIONALE: 2. The client must avoid pregnancy for at least 1 month after receiving the rubella vaccine.
The incidence of complications and discomforts in the first year postpartum is common and women may
experience which of the following?
Select all that apply. - Answer ANSWER: 1, 3, 4, 5
1. Pain
3. Urinary incontinence
4. Changes in mental health status
5. Sleep deprivation
RATIONALE: 1. Pain can be a discomfort in the first year postpartum.
3. Urinary incontinence can be a complication in the first year postpartum.
4. Changes in mental health status can be a complication in the first year postpartum.
5. Sleep deprivation can be a complication in the first year postpartum.
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