NEW
Font size
S
M
L
XL
WorksheetsNURS 2150 Postpartum Complications
Total questions: 16
Worksheet time: 12mins
Name
Class
Date
1.
Which nursing measure is appropriate to prevent thrombophlebitis in the recovery period following a cesarean birth?
a)
Roll a bath blanket and place it firmly behind the knees.
b)
Limit oral intake of fluids for the first 24 hours.
c)
Assist woman in performing leg exercises every 2 hours.
d)
Ambulate the woman as soon as her vital signs are stable.
2.
A multiparous woman is admitted to the postpartum unit after a rapid labor and birth of a 4000-gram infant. Her fundus is boggy, lochia is heavy, and vital signs are unchanged. The nurse has the woman void and massages her fundus, but her fundus remains difficult to find and the rubra lochia remains heavy. The nurse should
a)
Continue to massage the fundus
b)
Insert a Foley catheter
c)
Recheck vital signs
d)
Notify the physician
3.
What temperature indicates the presence of postpartum infection?
a)
99.6 °F in the first 48 hours
b)
100 °F for 2 days postpartum
c)
100.8 °F on the second and third postpartum days
d)
100.4 °F in the first 24 hours
4.
A sign of thrombophlebitis is
a)
Visible varicose veins
b)
Negative Homan’s sign
c)
Local tenderness, warmth, and redness
d)
Pedal edema in the affected leg
5.
The nurse is aware that because of excess blood loss during delivery, the woman is at risk for hypovolemic shock. What is one of the earliest signs that shock is occurring?
a)
Increase in respirations
b)
Tachycardia
c)
Decrease in urinary output
d)
Woman is anxious and confused
6.
The nurse knows that late postpartum hemorrhage can be prevented by
a)
Administering broad-spectrum antibiotics
b)
Manually removing the placenta
c)
Inspecting the placenta after delivery
d)
Pulling on the umbilical cord to hasten the delivery of the placenta
7.
The nurse is assessing a woman that delivered 1 hour ago. She noted the uterus is boggy. What should the first interventions be for this woman?
a)
Notify the nurse-midwife.
b)
Massage the uterus until firm.
c)
Administer Pitocin.
d)
Have the woman void.
8.
Which woman is at greater risk for early postpartum hemorrhage?
a)
A gravida 1 who delivered mature twins
b)
A gravida 2 who delivered a premature baby girl
c)
A gravida 3 who delivered a 5-pound baby girl
d)
A gravida 1 who delivered a 7-pound baby boy
9.
What drug should be readily available when a woman is receiving heparin therapy?
a)
Vitamin K
b)
Methylergonovine
c)
Ferrous sulfate
d)
Protamine sulfate
10.
One hour after a woman gives birth vaginally, the nurse notes that her fundus is firm, 2 fingerbreadths above the umbilicus, and deviated to the right. Lochia rubra is moderate. Her perineum is slightly edematous, with not bruising; an ice pack is in place. The priority nursing action is to:
a)
chart the expected assessments.
b)
have the woman empty her bladder in the bathroom.
c)
change the perineal ice pack to a warm pack.
d)
increase the rate of the oxytocin infusion.
11.
The nurse's initial response to a suspected pulmonary embolism should be to:
a)
start a second intravenous line of hypotonic solution
b)
raise the head of the bed and administer oxygen.
c)
insert a catheter to monitor urine output.
d)
lower the head of the bed and elevate the legs.
12.
A breastfeeding woman develops mastitis. She tells the nurse that she will just feed her baby formula instead of breastfeeding. The best nursing response is that:
a)
emptying the breast is important to prevent an abscess.
b)
a tight breast binder or bra will help reduce engorgement.
c)
she should continue to drink extra fluids while weaning.
d)
breastfeeding can continue when her temperature is normal.
13.
Which statement by a postpartum woman indicates that further teaching is not needed regarding thrombus formation?
a)
"I'll stay in bed for the first 3 days after my baby is born."
b)
"I'll keep my legs elevated with pillows."
c)
"I'll sit in my rocking chair most of the time."
d)
"I'll put my support stockings on every morning before rising."
14.
A steady trickle of bright red blood from the vagina in the presence of a firm fundus suggests
a)
Uterine atony
b)
Lacerations of the genital tract
c)
Perineal hematoma
d)
Infection of the uterus
15.
The patient who is being treated for endometritis is placed in Fowler's position because it
a)
Promotes comfort and rest
b)
Facilitates drainage of lochia
c)
Prevents spread of infection to the urinary tract
d)
Decreases tension on the reproductive organs
16.
Pulmonary embolism (PE) is a serious complication of deep vein thrombosis (DVT) and the leading cause of maternal mortality. As many as 15% to 25% of all DVTs lead to PEs if not recognized and treated. Is this statement true or false?
a)
True
b)
False
Reset
