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Terms in this set (28)During a home visit, the nurse assesses a client 2 weeks after delivery. Which of the following signs/symptoms should the nurse expect to see? Lochia alba A breast feeding client, G10P6408,
delivered 10 minutes ago. Which of the following assessments is most important for the nurse to perform. Fundus The nurse is performing a postpartum assessment on a client who delivered 4 hours ago. The nurse notes a boggy fundus at the umbilicus with heavy lochial flow. Which of the following nursing actions is appropriate? Massage the fundus Which symptom would the nurse expect to observe in a postpartum client with a vaginal hematoma? Pain A nurse who is called to a client's room notes that the client's cesarean incision
has separated. Which of the following actions is the highest priority for the nurse to perform? Notify the surgeon A woman is menstruating. If hormonal studies were to be done at this time, which of the following hormonal levels would the nurse expect to see? Both estrogen and progesterone are low What is the hormone responsible for ovulation? LH What organs does the placenta replace? Lungs, kidneys, liver, GI tract replaced by placenta A woman comes into the office and states that her LMP was August 3rd. When would you tell her she might be due. August 3rd -3 months + 7 days, would be May 10th estimated due date A women who is A- delivers a baby who is AB-. Will she receive a Rhogam shot after delivery? Why? Shes does not need it because Ms. Z. has a 5-year old child who was full-term at birth. Since that time she has had an infant who was stillborn at 38 weeks and a spontaneous abortion that occurred at 13 weeks. She is currently 7 months pregnant. Ms. Z Child term at birth goes to G, T, L Ms. M. has had 3 pregnancies and is pregnant again. (At home, she has full-term twins and a child born at 36 weeks.) She also has had a fetus that spontaneously aborted at 10 weeks. Ms. M The nurse is performing a postpartum assessment on a client who delivered 4 hours ago. The nurse notes a firm fundus at the
umbilicus with heavy lochial flow. Which of the following nursing actions is appropriate? Notify Obstetrician 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 A client is 40 minutes postpartum from a forceps delivery of a 4500 gram neonate over a right mediolateral episiotomy. The client is at risk for each of the follow nursing diagnoses. Which of the diagnoses is highest priority at this time? Ineffective breast feeding Fluid volume deficit A woman's temperature has just risen 0.4 degrees F and will remain elevated for the remainder of her cycle. What hormone is responsible for the temperature elevation? Progesterone What does the hormone hPL do? Glucose resistance Until the placenta is mature enough to take over the production of estrogen and progesterone, what part of the body continues to produce them when pregnant? Corpus luteum A women comes into the OB/GYN office you are working at as a nurse. She is visibly pregnant and this is her first appointment. What are ways you could use to determine her due date? McDonanlds Which of the following findings would the nurse determine are presumptive signs of pregnancy? Amenorrhea, Breast tenderness, quickening, frequent urination A women has a family history of Tay-sachs and
wants to know if her baby could be born with the disease. What is the earliest test that could be done to determine this? CVS 4 ts with PPH Tone 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 teaching regarding the vaccine? 1 The nurse is evaluating the involution of a
woman who is 3 days postpartum. Which of the following findings would the nurse evaluate as normal? The fundus 3cm below the umbilicus, lochia serosa The day after delivery a woman, whose fundus is firm
at 1 cm below the umbilicus and who has moderate lochia, tells the nurse that something must be wrong, "All I do is go to the bathroom." Which of the following is an appropriate nursing response? 3. The nurse is caring
for a postpartum client who experienced a second-degree perineal laceration at delivery 2 hours ago. Which of the following interventions should the nurse perform at this time? 1. A nurse is assessing the fundus
of a client during the immediate postpartum period. Which of the following actions indicates that the nurse is performing the skill correctly? 2 Which of the following is the priority nursing action during the immediate postpartum period? 1 Sets with similar termsM&NB S chapter 7 normal postpartum88 terms MDelamora16PLUS OB Exam 3 Questions103 terms ksende Sets found in the same folderMaternity Test 117 terms Kinensa Maternity Test 1148 terms Kinensa OB Postpartum NCLEX Questions52 terms ashley_coots7 Ch 10: Fetal Development and Genetics10 terms IWasBornAUnicornn Other sets by this creatorMedications Kaplan NCLEX RN359 terms Kinensa Spanish Phrases168 terms Kinensa Spanish Numbers31 terms Kinensa Medsurg2 Success Ch 2 Neuro110 terms Kinensa Other Quizlet setsRefrigeration 140103b54 terms mat_bergeron Chemistry Chapter 122 terms Emmelouhandal Sis chapt 452 terms cheniya_sharpe6 Financial accounting test 246 terms ana_franco612 Related questionsQUESTION Why has Lodovico come to Cyprus, and how does he become a part of Iago's scheming? 7 answers QUESTION When did John launch a fleet of 500 ships with his Flemish allies and capture or destroy most of the French ships assembled at Bruges? 2 answers QUESTION If you enter > in the field Format property, all text will appear in which format? 9 answers QUESTION Why do we need blood pressure in the body? 15 answers Which action does the nurse implement to enhance client comfort due to an episiotomy immediately after childbirth?To relieve pain or discomfort: Ask your nurse to apply ice packs right after the birth. Using ice packs in the first 24 hours after birth decreases the swelling and helps with pain. Take warm baths but wait until 24 hours after you have given birth.
Which symptom would the nurse expect to observe in a postpartum client with the Veginal hematoma?Swelling and pain in tissues in the vaginal and perineal area, if bleeding is due to a hematoma.
What is postpartum assessment?The postpartum nursing assessment is an important aspect of care in order to identify early signs of complications in the woman who has just given birth. Following pregnancy, the woman is at risk for infection, hemorrhage, and the development of a Deep Vein Thrombosis (DVT).
Which interventions are appropriate to promote comfort and healing for a woman during the first 24 hours after a cesarean delivery?For comfort and healing: Apply ice packs in the first 24 hours. Sit in a sitz bath for 20 minutes, three times a day. Take pain medication as recommended by your physician or midwife.
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Which of the following is the priority nursing action during the immediate postpartum period
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