NSG 3500 Exam 3 Review

Front

You are providing discharge teaching to a patient who is 2 days postpartum. All of the following will be included in the teaching except for? Your lochia rubra should transition to serosa by day 4, You should avoid using lotions, creams or oils on your nipples, Begin doing kegel exercises now to strengthen your pelvic floor muscles, Lochia serosa will last anywhere from 5-7 weeks postpartum

Back

Lochia serosa will last anywhere from 5-7 weeks postpartum

Front

All of the following are risk factors for postpartum hemorrhage except for: Firm fundus U+1 to left side, Uterine rupture, Macrosomia, Multiple gestation

Back

Firm fundus U+1 to left side

Front

What is the key difference in bleeding due to cervical lacerations?

Back

Bright red with a constant trickle or dipping of blood

Front

Which of the following is a therapeutic effect of Prostaglandins given for postpartum hemorrhage? Increased bleeding and clotting, Increased heart rate and decreased BP, Decreased bleeding, Increased urinary output and diaresis

Back

Decreased bleeding

Front

All of the following are risk factors for DVT except for: Pregnancy and postpartum status, Smoking, Obesity and familial history, Thyroid disorder

Back

Thyroid disorder

Front

You assess your postpartum patient and find the right lower extremity to be warm to the touch, tender to touch and warm. You suspect DVT and will do all of the following except for: Ambulate q1hr and massage affected extremity, Warm compress, Elevate lower extremities, Rest and compression socks on unaffected side.

Back

Ambulate q1hr and massage affected extremity

Front

Which of the following is the best approach for discussing sensitive topics such as partner violence, cultural needs and postpartum baby blues?
Options: Offer advise from your personal and professional experience, Ask questions or just let them talk and be a supportive listener, Call social work to place a report to DCF, Wait until the entire family is present so everyone can give input

Back

Ask questions or just let them talk and be a supportive listener

Front

All of the following are expected routes on medication administration except for: Oral/buccal, Rectal, IV/IM, Vaginal

Back

Vaginal

Front

During your assessment, which findings will make you suspect the patient has developed a perineal hematoma? Pain, edema and pressure unrelieved by medication, Bright red blood without clots, Firm fundus with moderate lochia rubra, Hard, red, warm area on the breast localized to one side

Back

Pain, edema and pressure unrelieved by medication

Front

Your patient is experiencing severe pain and rectal pressure. You suspect a hematoma. Upon assessment you measure a soft mass measuring 6cm and notify the physician. Which of the following orders will you expect to receive?

Back

Make the patient NPO and prepare for surgical drainage this afternoon