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WorksheetsOB WrapUp
Total questions: 31
Worksheet time: 1hrs 2mins
A gestational diabetic client who delivered yesterday is currently on the postpartum unit. Which of the following statements is appropriate for the nurse to make at this time?
"Monitor your blood glucose five times a day until your 6-week checkup."
"I will teach you how to inject insulin before you are discharged."
"Daily exercise will help to prevent you from becoming diabetic in the future."
"Your baby should be assessed every 6 months for signs of juvenile diabetes."
A client is receiving a blood transfusion after the delivery of a placenta accreta and hysterectomy. Which of the following complaints by the client would warrant immediately discontinuing the infusion?
"My lower back hurts all of a sudden."
"My hands feel so cold."
"I feel like my heart is beating fast."
"I feel like I need to have a bowel movement."
A client has just received Hemabate (carboprost) because of uterine atony not controlled by IV oxytocin. For which of the following side effects of the medication will the nurse monitor this patient? Select all that apply.
Hyperthermia
Diarrhea
Hypotension
Palpitations
Anasarca
A client who is 2 weeks postpartum calls her obstetrician's nurse and states that she has had a whitish discharge for 1 week but that today she is "bleeding and saturating a pad about every 1/2 hour." Which of the following is an appropriate response by the nurse?
"That is normal. You are starting to menstruate again."
"You should stay on complete bedrest until the bleeding subsides."
"Pushing during a bowel movement may have loosened your stitches."
"The physician should see you. Please go to the emergency department."
The nurse is performing a postpartum assessment on a client who delivered 4 hours ago. The nurse notes a firm uterus at the umbilicus with heavy lochial flow. Which of the following nursing actions is appropriate?
Massage the uterus
Notify the obstetrician
Administer an oxytocic as ordered
Assist the client to the bathroom
A client has been receiving magnesium sulfate for severe pre-eclampsia for 12 hours. Her reflexes are 0 and her respiratory rate is 10. Which of the following situations could be a precipitating factor in these findings?
Apical heart rate 104 bpm
Urinary output 240 mL/12 hr
Blood pressure 160/120
Temperature 100oF
A client received general anesthesia during her cesarean section 4 hours ago. Which of the following postpartum nursing interventions is important for the nurse to make?
Place the client flat in bed
Assess for dependent edema
Auscultate lung fields
Check patellar reflexes
The nurse is developing a standard care plan for the post-cesarean client. Which of the following should the nurse plan to implement?
Maintain the client in left lateral recumbent position
Teach sitz bath use on second postoperative day
Perform active range-of-motion exercises until ambulating
Assess central venous pressure during first postoperative day
The nurse has administered Benadryl (diphenhydramine) to a post-cesarean client who is experiencing side effects from the parenteral morphine sulfate that was administered 30 minutes earlier. Which of the following actions should the nurse perform following the administration of the drug?
Monitor the urinary output hourly
Supervise while the woman holds her newborn
Position the woman slightly elevated on her left side
Ask any visitors to leave the room
The nurse should suspect puerperal infection when a client exhibits which of the following?
Temperature of 100.2oF
White blood cell count of 14,500 cells/mm3
Diaphoresis during the night
Malodorous lochial discharge
A rubella non-immune, breastfeeding client has just received the rubella vaccine. Which of the following side effects should the nurse warn the client about?
The baby may develop a rash a week after the shot
The baby may temporarily reject the breast milk
The mother's milk supply may decrease precipitously
The mother's joints may become painful and stiff
The nurse should expect to observe which behavior in a 3-week-multigravid postpartum client with postpartum depression?
Feelings of infanticide
Difficulty with breastfeeding latch
Feelings of failure as a mother
Concerns about sibling jealousy
Which symptom would the nurse expect to observe in a postpartum client with a vaginal hematoma?
Pain
Bleeding
Warmth
Redness
A breastfeeding woman calls the pediatric nurse with the following complaint: "I woke up this morning with a terrible cold. I don't want my baby to get sick. Which kind of formula should I have my husband feed the baby until I get better?" Which of the following replies by the nurse is appropriate at this time?
"Any formula brand is satisfactory, but it is essential that it be mixed with water that has been boiled for at least 5 minutes."
"Don't forget to pump your breast every 3 hours while the baby is being fed the prescribed formula."
"The best way to keep your baby from getting sick is for you to keep breastfeeding him rather than switching him to formula."
"In addition to giving the baby formula, you should wear a surgical face mask when you are around him."
A woman who wishes to breastfeed advises the nurse that she had a breast reduction one year earlier. Which of the following responses by the nurse is appropriate?
Advise the woman that unfortunately she will be unable to breastfeed
Examine the woman's breasts to see where the incision was placed
Monitor the baby's daily weights for excessive weight loss
Inform the woman that reduction surgery rarely affects milk transfer
The nurse is caring for a postoperative cesarean client. The woman is obese and is an insulin-dependent diabetic. For which of the following complications should the nurse carefully monitor this client?
Failed lactogenesis
Dysfunctional parenting
Wound dehiscence
Projectile vomiting
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?
Cover the wound with sterile wet dressings
Notify the surgeon
Elevate the head of the client's bed slightly
Flex the client's knees
The nurse notes the following vital signs of a postoperative cesarean client during the immediate postpartum period:
T 100.0oF, P 68, R 10, BP 130/80. Which of the following is a correct interpretation of the findings?
Temperature is elevated, a sign of infection
Pulse is too low, a sign of vagal pathology
Respirations are too low, a sign of medication toxicity
Blood presure is elevated, a sign of pre-eclampsia
The nurse is discharging five Rh-negative clients from the maternity unit. The nurse knows that the teaching was successful when the clients who had which of the following deliveries stated that they understand why they must receive a RhoGAM injection? Select all that apply.
Abortion at 10 weeks' gestation
Amniocentesis at 16 weeks' gestation
Fetal demise at 24 weeks' gestation
Birth of Rh-negative twins at 35 weeks' gestation
Delivery of a 40-week-gestation, Rh-positive baby
In which of the following situations should a nurse report a possible deep vein thrombosis (DVT)?
The woman complains of numbness in the toes and heel of one foot
The woman has cramping pain in a calf that is relieved when the foot is dorsiflexed
The calf of one of the woman's legs is swollen, red, and warm to the touch
The veins in the ankle of one of the woman's legs are spider-like and purple
The nurse in a pediatric clinic is caring for a 9-year-old girl who has been diagnosed with gonorrhea. Which of the following actions is appropriate for the nurse to take?
Notify the physician so the child can be admitted to the hospital
Discuss with the girl the need to stop future sexual encounters
Question the mother about her daughter's menstrual history
Report the girl's medical findings to child protective services
A 19-year-old client with multiple sex partners is being counseled about the hepatitis B vaccination. During the counseling sessions, which of the following should the nurse advise the client to receive?
Hepatitis B immune globulin before receiving the vaccine
Vaccine booster ever 10 years
Complete series of three intramuscular injections
Vaccine as soon as she becomes 21
A postpartum client has decided to use Depo-Provera (medroxyprogesterone acetate) as her contraceptive method. What should the nurse advise the client regarding this medication?
Take the pill at the same time each day
Refrain from breastfeeding while using the method
Expect to have occasional periods as long as she takes the medicine
Consider switching to another birth control method in a year or so
The nurse is administering Depo-Provera (medroxyprogesterone acetate) to a postpartum client. Which of the following data must the nurse consider before administering the medication?
The patch must be replaced at the same time each week
The client must be taught to use sunscreen whenever in the sunlight
The medicine is contraindicated if the woman has lung or esophageal cancer
The client must use an alternate form of birth control for the first two months
Which statement by the client indicates that she understands the teaching provided about the intrauterine device (IUD)?
"The IUD can remain in place for a year or more."
"I will not menstruate while the IUD is in."
"Pain during intercourse is a common side effect."
"The device will reduce my changes of getting infected."
A client has been diagnosed with pubic lice. Which of the following signs/symptoms would the nurse expect to see?
Macular rash on the labia
Pruritus
Hyperthermia
Foul-smelling discharge
The nurse is teaching a client regarding the treatment for pubic lice. Which of the following should be included in the teaching session?
The antibiotics should be taken for a full 10 days
All clothing should be pre-treated with bleach before wearing
Shampoo should be applied for at least 2 hours before rinsing
The pubic hair should be combed after shampoo is removed
The parent of a newborn angrily asks the nurse, "Why would the doctor want to give my baby the vaccination for hepatitis B? It's a sexually transmitted disease, you know!" Which of the following is the best response by the nurse?
"The hepatitis B vaccine is given to all babies. It is given because many babies get infected from their mothers during pregnancy."
"It is important for your baby to get the vaccine in the hospital because the shot may not be available when your child gets older."
"Hepatitis B can be a life-threatening infection that is contracted by contact with contaminated blood and blood products as well as sexually."
"Most parents want to protect their children from as many serious disease as possible. Hepatitis B is one of those diseases."
A gravid, married client, 24 weeks' gestation, is found to have bacterial vaginosis. Her healthcare practitioner has ordered metronidazole (Flagyl) to treat the problem. Which of the following educational information is most important for the nurse to provide the woman at this time?
The woman must be careful to observe for signs of preterm labor
The woman must advise her partner to seek therapy as soon as possible
A common side effect of the medicine is a copious vaginal discharge
A repeat culture should be taken two weeks after completing the therapy
A woman is noted to have multiple soft warts on her perineum and rectal areas. The nurse suspects that this client is infected with which of the following sexually transmitted infections?
Human papillomavirus (HPV)
Human immunodeficiency virus (HIV)
Syphilis
Trichomoniasis
A woman is to receive 2.4 million units of penicillin G benzathine IM to treat syphilis. The medication is available as 1,200,000 units/mL. How many mL should the nurse administer?
1
2
3
4
