Biology 420 Chapter 10 AQ Maternity Questions and Answers 2022
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Biology 420
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Biology 420
Biology 420 Chapter 10 AQ Maternity Questions and Answers 2022/Biology 420 Chapter 10 AQ Maternity Questions and Answers 2022/Biology 420 Chapter 10 AQ Maternity Questions and Answers 2022
biology 420 chapter 10 aq maternity questions and answers 2022biology 420 chapter 10 aq maternity questions and answers 2022biology 420 chapter 10 aq maternity questions and answers 2022biology 420
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2.
he nurse is caring for a patient with endometritis. Which assessment findings would
the nurse anticipate? Select all that apply.
1
Nausea
Correct2
Enlarged uterus
Correct3
Foul-smelling lochia
4
Frequency of urination
Correct5
Prolonged uterine cramping
Assessment findings that are associated with endometritis include an enlarged uterus, foul-smelling
lochia, and prolonged uterine cramping. Frequency of urination is a symptom of a urinary tract infection.
Nausea and vomiting are signs of a urinary tract infection.
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6.
The nurse assessing the vital signs of a newly delivered patient obtains a blood
pressure of 117/63 mmHg and a pulse of 72 bpm. The nurse notes the baseline
blood pressure and pulse on admission were 132/74 and 84. Which priority action
should the nurse take?
1
Assess for respiratory rate
Correct2
Perform a fundal assessment
,3
Assess the quality of the lochia
Incorrect4
Observe for symptoms of hypovolemia
The patient’s blood pressure and pulse should be within 10% of the admission values. The priority action
is to perform a fundal assessment. The fundus must be firm to compress the bleeding vessels at the
placental site. The quality of lochia should be assessed after the fundal assessment. Observing lochia
can help provide an estimate of blood loss, but is not a priority. Observing for symptoms of hypovolemia is
not a priority; a physical assessment is the priority.
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7.
A postpartum patient who was administered medication to relax the uterus during
labor now has excessive bleeding as a result of a boggy uterus. Which medication
would be beneficial for the patient?
1
Intravenous heparin
Incorrect2
Subcutaneous insulin
3
Intravenous antibiotics
Correct4
Intravenous calcium gluconate
The best treatment strategy in this situation would be administration of intravenous calcium gluconate. It
counteracts the effect of tocolytic medications administered during labor to relax the uterus. Administering
heparin would be inappropriate, as it does not cause the uterus to contract. Heparin is an anticoagulant,
generally administered to prevent the risk of thromboembolic disorders. Insulin does not induce uterine
contractions; it helps reduce blood sugar levels. Administration of intravenous antibiotics helps prevent
various infections but has no effect on muscle tone of the uterus.
Test-Taking Tip: Stay away from other nervous students before the test. Stop reviewing at least 30
minutes before the test. Take a walk, go to the library and read a magazine, listen to music, or do
something else that is relaxing. Go to the test room a few minutes before class time so that you are not
rushed in settling down in your seat. Tune out what others are saying. Crowd tension is contagious, so
stay away from it.
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8.
A woman who is 4 weeks postpartum informs the nurse at the outpatient clinic that
her lochia remains red and she feels a heaviness in her pelvic area. The nurse
assesses her fundus to be firm and at the umbilical level. Which condition would the
nurse attribute these symptoms to?
1
Dehydration
Correct2
Subinvolution
Incorrect3
Cervical tear
4
Viral syndrome
Subinvolution is a slower-than-expected return of the uterus to its non-pregnant condition. Infection and
retained fragments of the placenta are the most common causes. Typical signs of subinvolution include a
fundal height greater than expected for the amount of time since birth; persistence of lochia rubra or a
slowed progression through the three phases; and pelvic pain, heaviness, and fatigue. Dehydration,
cervical tears, and viral syndrome are not associated with lochia and heaviness in the pelvic area.
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10.
Which assessment finding is a sign of hypovolemic shock?
1
Bradycardia
Correct2
Hypotension
Incorrect3
Warm and dry skin
4
Increased urine output
Excess bleeding may cause fluid loss, which would result in hypovolemic shock. Patients with
hypovolemic shock have a reduced amount of blood fluid that may cause hypotension. Hypovolemic
shock manifests as tachycardia but not as bradycardia. As a result of loss of blood the patient’s skin turns
pale, cool, and clammy, but not dry and warm. As the patient has blood loss, the patient will have reduced
hydration. Therefore the patient will have decreased urination.
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11.
The weight of a postpartum patient’s perineal pad before applying is 15 g and after
1 hour is 600 g. Which condition would the nurse assess for based on this finding?
Correct1
Hypovolemic shock
Incorrect2
Puerperal infection
3
Normal postpartum state
4
Thromboembolic disorder
A perineal pad weight of 1 g indicates 1 mL of blood loss. The initial weight of the perineal pad is 15 g and
after saturation, it is 600 g. Therefore the weight of blood is 600 – 15 = 585 g = 585 mL. The patient has
lost more than 500 mL of blood after vaginal delivery. This amount of blood loss puts the patient at risk
for hypovolemic shock. Puerperal infection is the result of tissue trauma during labor from surgical
incisions, or the open wound of the placental insertion site. As more than 500 ml of blood is lost there is
hemorrhage, which is not a normal postpartum state. Thromboembolic disorders are caused by a blood
clot in vein and not by hemorrhage.
Test-Taking Tip: Do not read too much into the question or worry that it is a "trick." If you have nursing
experience, ask yourself how a classmate who is inexperienced would answer this question from only the
information provided in the textbooks or given in the lectures.
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12.
A postpartum patient has a distended bladder and excess discharge of lochia with
large blood clots. An ultrasound scan reveals displacement of the uterus to one side.
Which postpartum complication is the nurse concerned about?
Correct1
Uterine atony
Incorrect2
Puerperal sepsis
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