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WorksheetsNUR 113 Postpartum Quiz
Total questions: 10
Worksheet time: 6mins
A nurse is caring for a client who is 1 hr postpartum and observes a large amount of lochia rubra and several small clots on the client's perineal pad. The fundus is midline and firm at the umbilicus. Which of the following actions should the nurse take?
Notify the client’s provider.
Increase the frequency of fundal massage.
Document the findings and continue to monitor the client.
Encourage the client to empty her bladder.
A nurse is caring for a client who experienced a vaginal delivery 12 hr ago. When palpating the client’s abdomen, at which of the following positions should the nurse expect to find the uterine fundus?
At the level of the umbilicus
2 cm above the umbilicus
One fingerbreadth above the symphysis pubis
To the right of the umbilicus
A nurse is caring for a client who is postpartum and finds the fundus slightly boggy and displaced to the right. Based on these findings, which of the following actions should the nurse take?
Encourage the client to perform Kegel exercises.
Encourage the client to move to the left lateral position.
Ask the client to rate her pain.
Assist the client to the bathroom to void.
A nurse is caring for a client who is 5 hr postpartum following a vaginal birth of a newborn weighing 9 lb 6 oz. (4252 g). The nurse should recognize that this client is at risk for which of the following postpartum complications?
Puerperal infection
Retained placental fragments
Thrombophlebitis
Uterine atony
A nurse is caring for a client who is 4 hr postpartum following a vaginal birth. The client has saturated a perineal pad within 10 min. Which of the following actions should the nurse take first?
Assess client's blood pressure.
Assess the bladder for distention.
Massage the client's fundus.
Prepare to administer a prescribed oxytocic preparation.
A nurse is assessing a client for postpartum infection. Which of the following findings should indicate to the nurse that the client requires further evaluation for endometritis?
Moderate amount of dark red lochia with a bloody odor
A localized area of breast tenderness
Pelvic pain
Hematuria
A nurse is caring for a client who is 7 days postpartum and calls the clinic to report pain and redness of her left calf. Besides seeing her provider, which of the following interventions should the nurse suggest?
Flex her knee while resting.
Massage the area.
Elevate her leg.
Apply cold compresses.
A nurse is caring for a client who had a vaginal delivery 2 hr ago. Which of the following actions should the nurse anticipate in the care of this client? (Select all that apply.)
Document fundal height.
Massage a boggy fundus
Determine whether the fundus is midline
Perform an in and out catheterization if the bladder becomes distended
A nurse is providing discharge teaching to a client who is 3 days postoperative following a cesarean birth. Which of the following client statements should indicate to the nurse the teaching is effective? (Select all that apply.)
"I am likely to have a fever during the first week I am home."
"I will resume taking my prenatal vitamins."
"I will call my provider if I have discharge from my incision."
"I should not have unrelieved pain in my abdomen."
"I will rest in a recliner until my incision is healed."
A nurse is caring for a client who gave birth 2 hr ago. The nurse notes that the client's blood pressure is 60/50 mm Hg. Which of the following actions should the nurse take first?
Evaluate the firmness of the uterus.
Initiate oxygen therapy by nonrebreather mask.
Administer oxytocin infusion.
Obtain a type and crossmatch.
