OB Final Practice Quiz PN

On the first day postpartum a client complains of sudden chest pain, cough, dyspnea, and shortness of breath. Based on these symptoms the nurse should:

• Notify the charge nurse of a possible upper respiratory infection.

• Medicate with antipyretic remedy for elevated temperature

• Notify the physician of a possible pulmonary embolism.

• Document expected postpartum mucous membrane congestion.

The nurse is caring for a client who had a cesarean section yesterday. Varicose veins are visible on both legs. To prevent thrombus formation the nurse would do which of the following?

• Assist the woman with ambulation for short periods of time.

• Monitor vital signs every 4 hours and report any changes.

• Have the woman sit in a chair for meals.

• Tell the woman to remain in bed with her legs elevated.

If uterine massage and putting the baby to breast is not effective in controlling a boggy uterus, the physician may order which of the following?

• Oxytocin (Pitocin)

• Magnesium sulfate.

• Bromocriptine.

• Ritodrine (Yutopar

On completing a fundal evaluation, the nurse notes the fundus is located on the client’s left side of the abdomen. Which of the following actions is appropriate?

• Have her lay on her right side.

• Call her physician for instruction.

• Ask her to empty her bladder.

• Straight catheterize her immediately.

The client was educated regarding mastitis.The nurse determines that a woman with mastitis understands treatment instructions when she says she will:

• “Apply hot compresses to the painful areas.”

• “Take a warm shower before nursing the baby.”

• “Empty the affected breast every 8 hours.”

• “Nurse first on the affected side.”

A client reports pain in the perineal area. The nurse observes a small hematoma on the vulva. Which of the following is the best initial treatment for this?

• Ice to the area and administer analgesics.

• Suture the bleeding blood vessel.

• Make an incision and remove the clot.

• Administer oxytocin immediately after birth

The nurse is assisting with caring for a client with abruptio placentae. While caring for the client, begins to develop signs of shock. The nurse should turn the patient to her side?

• True

• False

You are the nurse caring for Katrina a 16yr old new mother of baby boy born yesterday. Katrina asks the nurse a question regarding the ID band around her son's arm and leg. The nurse explains:

• This is to confirm your room number.

• The ID band is to confirm your identiy with the birth certificate.

• The bands on the baby are checked with the mother.

• The band number is confirmed with the room number.

Teaching a lactating mother about dietary recommendations. What information do you include?

• Consume 500 calories more than her usual prepregnancy

• Eat less meat and more fruits and vegtables.

• Drink 3-4 glassess of water daily.

• Eat 1000 more calories that her usual diet.

Is a normal for a newborn to have the first urination 72 hours after birth?

• True

• False