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

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Exam 2 - Practice Questions (Postpartum) Flashcards Preview

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. The nurse should:. The nurse, recognizing the needs of women during this stage, should:.

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

Don't know. Slower Faster. To flip the current card, click it or press the Spacebar key. To move the current card to one of the three colored boxes, click on the box. You may also click on the card displayed in any of the three boxes to bring that card back to the center. Pass complete! Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page. A nurse is assessing a client two hours postpartum. What should be the immediate nursing action? Massage fundus until firm. The initial action is to assist the fundus to remain contracted, which will decrease bleeding. Question 2. A nurse is assessing four postpartum clients with vaginal births. Which one is most at risk for uterine atony? The client who had an oxytocin induction. Question 3. A nurse is caring for four postpartum clients who each have an order for Methergine methylergonovine maleate. Based on the data collected during the nurse's initial shift assessment, which client would not receive the medication? Question 4. A nurse has assessed a 4 cm vaginal hematoma on a client who is six hours postpartum. In planning this client's care, what initial nursing intervention would be most appropriate? Apply ice packs every four hours. Application of ice packs helps reduce pain and swelling, and is the most appropriate initial action for a vaginal hematoma Question 5. A client who is four weeks postpartum has irregular bleeding of lochia rubra with her fundus measured at 1 cm below the umbilicus. Methergine methylergonovine maleate Methergine is the treatment of choice for subinvolution. Question 6. A nurse is caring for a client who is four hours postpartum with postpartum hemorrhage. Which nursing diagnosis has the highest priority? Fluid volume deficit related to blood loss secondary to uterine atony, because blood loss can cause more severe and more life-threatening problems. Question 7. A nurse is reviewing the lab reports of a hour-postpartum client. What should be the initial nursing action in response to this report? Report the lab values to the physician or midwife. Question 8. The nurse caring for a postpartum client with an episiotomy notes that the client complains of rectal pressure and increasing perineal pain. What is the priority assessment for the nurse to make at this time? Assess for incomplete bladder emptying. Incomplete emptying of the bladder may cause increased bleeding and abdominal discomfort. Question 9. A nurse is caring for a hour-postpartum client who complains of urinary frequency and dysuria.

N230 - Olol - Nclex Questions For Test 2

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. The nurse terminates the oxycontin infusion if which of the following is noted on the assessment of the client? Early decelerations of the fetal heart rate. Uterine hyperstimulation.

Maternity and Newborn Medications NCLEX Practice Quiz (15 Items)

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. Which of the following would be a priority? A nurse is reviewing the medical record of a postpartum client. The nurse identifies that the woman is at risk for a postpartum infection based on which of the following? Select all that apply. A nurse is completing a postpartum assessment. Which finding would alert the nurse to a potential problem?

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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.

How to Manage Postpartum Hemorrhage - Merck Manual Professional Version

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