A nurse is caring for a client who is postpartum and received methylergonovine

Chapter 16- Nursing Management During the Postpartum Period My Nursing Test Banks

This item questionnaire will test your knowledge about maternity and newborn medications. All questions are given in a single page and correct answers, rationales or explanations if any are immediately shown after you have selected an answer. No time limit for this exam. Text Mode: All questions and answers are given on a single page for reading and answering at your own pace. Be sure to grab a pen and paper to write down your answers. A pregnant client is receiving magnesium sulfate therapy for the control of preeclampsia. The presence of deep tendon reflex. Respirations of 10 breaths per minute. Which of the following statements made by the student indicates a need for further research? Rho D immune globulin RhoGAM is given to a pregnant woman after delivery and the nurse is giving information to the patient about the indication of the medication. Developing German Measles. Developing Pernicious anemia. Developing Rh incompatibility. A pregnant woman who is having labor pains is receiving an opioid analgesic. Which of the following medications should be ready in case a respiratory depression occurs? Naloxone Narcan. Oxycodone Oxycontin. Meperidine hydrochloride Demerol. Morphine sulfate. Methylergonovine Methergine is prescribed to a patient who is having a postpartum bleeding. Ischemic heart disease. Acute Gastroenteritis. Uterine atony. A nurse instructor is about to administer a vitamin K injection to a newborn. The student nurse asks the instructor regarding the purpose of the injection. The appropriate response would be:. A nurse is assigned to a patient who is receiving Oxytocin Pitocin to induce labor.

Quiz: NCLEX Practice Test On Obstetrical Nursing

A woman who is 12 hours postpartum had a pulse rate around 80 beats per minute during pregnancy. Now, the nurse finds a pulse of 60 beats per minute. Which of these actions should the nurse take? To decrease the pain associated with an episiotomy immediately after birth, which action by the nurse would be most appropriate? A postpartum client has a fourth-degree perineal laceration. The nurse would expect which of the following medications to be ordered? Which statement would alert the nurse to the potential for impaired bonding between mother and newborn? After a normal labor and birth, a client is discharged from the hospital 12 hours later. When the community health nurse makes a home visit 2 days later, which finding would alert the nurse to the need for further intervention? A primipara client who is bottle feeding her baby begins to experience breast engorgement on her third postpartum day. Which instruction would be most appropriate to aid in relieving her discomfort? The nurse administers RhoGAM to an Rh-negative client after delivery of an Rh-positive newborn based on the understanding that this drug will prevent her from:. Which of the following factors in a clients history would alert the nurse to an increased risk for postpartum hemorrhage? After teaching parents about their newborn, the nurse determines that the teaching was successful when they identify the development of a close emotional attraction to a newborn by parents during the first 30 to 60 minutes after birth as which of the following? A nurse is working as part of a committee to establish policies to promote bonding and attachment. Which practice would be least effective in achieving this goal? When developing the plan of care for the parents of a newborn, the nurse identifies interventions to promote bonding and attachment based on the rationale that bonding and attachment are most supported by which measure? A postpartum woman is having difficulty voiding for the first time after giving birth. Which of the following would be least effective in helping to stimulate voiding? The nurse is assisting a postpartum woman out of bed to the bathroom for a sitz bath.

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A 3-day postpartum client, who is not immune to rubella, is to receive the vaccine at discharge. Which of the following must the nurse include in her discharge teach- ing regarding the vaccine? The woman should not become pregnant for at least 4 weeks. The woman should pump and dump her breast milk for 1 week. The mother must wear a surgical mask when she cares for the baby. Passive antibodies transported across the placenta will protect the baby. This statement is correct. The rubella vaccine is a live attenuated vaccine. Severe birth defects can develop if the woman becomes pregnant within 4 weeks of receiving the injection. If rubella is contracted during pregnancy, the fetus is at very high risk for injury. Whenever gravid clients are found to be nonimmune to rubella, they are advised to receive the vaccine during the early postpartum period and are counseled regarding the teratogenic properties of the vaccine. A 3-day-postpartum client questions why she is to receive the rubella vaccine be- fore leaving the hospital. Because the vaccine is teratogenic, the best time to administer it is when the client is not pregnant. The correct answer did not explicitly state that the vaccine is administered during the immediate postpartum period because the woman is not pregnant and is unlikely to become pregnant within the next 4 weeks. A patient, G2P, who delivered her baby 8 hours ago, now has a temperature of Which of the following is the appropriate nursing intervention at this time? Notify the doctor to get an order for acetaminophen. Request an infectious disease consult from the doctor. Provide the woman with cool compresses. It is likely that this client is dehydrated. She should be advised to drink f luids. In the early postpartum period, up to 24 hours after delivery, the most common reason for clients to have slight temperature elevations is dehydration. During labor, clients work very hard, often utilizing breathing techniques as a form of pain control. As a result, the clients lose fluids through insensible loss via the respiratory system. To prevent infection, the nurse teaches the postpartum client to perform which of the following tasks? Apply antibiotic ointment to the perineum daily. Change the peripad at each voiding. Void at least every two hours. Spray the perineum with a povidone-iodine solution after toileting. Postpartum women should be advised to perform three actions to prevent infections: 1 change their peripads at each toileting because blood is an excellent medium for bacterial growth; 2 spray the perineum, from front to back, with clear water to cleanse the area; and 3 wipe the perineum after toileting from front to back to prevent the rectal flora from contaminating sterile sites. A 3-day-postpartum breastfeeding woman is being assessed. I let the nurses feed him in the nursery last night. I needed to rest. Encourage the woman exclusively to breastfeed her baby. Have the woman massage her breasts hourly. Obtain an order to culture her expressed breast milk. Take the temperature and pulse rate of the woman. Clients should be strongly encouraged exclusively to breastfeed their babies to prevent engorgement. The lactating breast produces milk in response to being stimulated.

OB/GYN 4 – Postpartum

Forgot your password? Speak now. Please take the quiz to rate it. All questions 5 questions 6 questions 7 questions 8 questions 9 questions 10 questions. Feedback During the Quiz End of Quiz. Play as Quiz Flashcard. Title of New Duplicated Quiz:. Duplicate Quiz Cancel. Featured Quizzes. Related Topics. Questions and Answers. Remove Excerpt. Removing question excerpt is a premium feature. A postpartum patient was in labor for 30 hours and had ruptured membranes for 24 hours. For which of the following would the nurse be alert? A client at 36 weeks gestation is scheduled for a routine ultrasound prior to an amniocentesis. After teaching the client about the purpose for the ultrasound. While the postpartum client is receiving heparin for thrombophlebitis. When caring for a 3-day-old neonate who is receiving phototherapy to treat jaundice. A primigravida in active labor is about 9 days post-term. The client desires a bilateral pudendal block anesthesia before delivery. After the nurse explains this type of anesthesia to the client. The nurse is caring for a primigravida at about 2 months and 1-week gestation. I should cleanse my nipples with soap and water. Forty-eight hours after delivery. By this time.

N230 - Olol - Nclex Questions For Test 2

Which of the following actions would be most appropriate? The client complains to the nurse of feelings of faintness and dizziness. Which of the following nursing actions would be most appropriate? The initial nursing action in performing this assessment is which of the following? The nurse notes that the lochia is red and has a foul-smelling odor. The nurse determines that this assessment finding is:. The nurse examines the clots and notes that they are larger than 1 cm. Which of the following nursing actions is most appropriate? The nurse instructs the mother that the normal amount of lochia may vary but should never exceed the need for:. The nurse instructs the mother that she should expect normal bowel elimination to return:. Which of the following assessment findings would best indicate the presence of a hematoma? The nurse includes which specific intervention in the plan during the first 12 hours following the delivery of this client? At 6 hours PP, her systolic blood pressure has dropped 20 points, her diastolic BP has dropped 10 points, and her pulse is beats per minute. The client is anxious and restless. On further assessment, a vulvar hematoma is verified. After notifying the health care provider, the nurse immediately plans to:. Which of the following signs, if noted in the mother, would be an early sign of excessive blood loss? When the nurse locates the fundus, she notes that the uterus feels soft and boggy. Which of the following nursing interventions would be most appropriate initially? The nurse is assessing for signs and symptoms of superficial venous thrombosis. Which of the following signs or symptoms would the nurse note if superficial venous thrombosis were present? Which of the following statements if made by the mother indicates a need for further teaching? The nurse notes that the client has cool, clammy skin and is restless and excessively thirsty. The nurse prepares immediately to:. The initial nursing action would be which of the following? Which of the following laboratory results will the nurse specifically review to determine if an effective and appropriate dose of the heparin is being delivered? Select all instructions that would be included on the list. Before administration of these medications, the priority nursing assessment is to check the:. Which of the following actions is appropriate? Which of the following answers best describes insulin requirements immediately postpartum? Which of the following conditions could increase the severity of afterpains? The client is most likely in which of the following phases? The nurse understands that this is indicated for this client because:. An expected finding would be:. The nurse, in describing the expected pattern of weight loss, should begin by telling this woman that:. Her lochial flow is profuse, with two plum-sized clots.

Postpartum assessment

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