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WorksheetsOB-GYN
Total questions: 10
Worksheet time: 5mins
Which of the following is a priority nursing diagnosis for a woman, G10 P6, w from a spontaneous vaginal delivery with a significant postpartum hemorrhage?
Alteration in comfort related to afterbirth pains.
Risk for altered parenting related to grand multiparity.
Fluid volume deficit related to blood loss.
Risk for sleep deprivation related to mothering role.
A woman who has given birth to a healthy neonate is being discharged. As part of discharge teaching, the nurse should instruct the client to observe vaginal discharge for postpartum hemorrhage and notify the health care provider about:
Bleeding that becomes lighter each day
Clots the size of golf balls
Saturating a pad in an hour
Lochia that lasts longer than 1 week
A primary nursing responsibility when caring for a woman experiencing an obstetric hemorrhage associated with uterine atony is to:
Establish venous access
Perform fundal massage
Prepare the woman for surgical intervention
Catheterize the bladder
The perinatal nurse is caring for a woman in the immediate postbirth period. Assessment reveals that the woman is experiencing profuse bleeding. The most likely etiology for the bleeding is:
uterine atony
uterine inversion
vaginal hematoma
vaginal laceration
What woman is at greatest risk for early postpartum hemorrhage?
A primiparous woman (G 2 P 1 0 0 1) being prepared for an emergency cesarean birth for fetal distress
A woman with severe preeclampsia on magnesium sulfate whose labor is being induced
A multiparous woman (G 3 P 2 0 0 2) with an 8-hour labor
A primigravida in spontaneous labor with preterm twins
The first and most important nursing intervention when a nurse observes profuse postpartum bleeding is to:
Call the woman's primary health care provider
Administer the standing order for an oxytocic
Palpate the uterus and massage it if it is boggy
Assess maternal blood pressure and pulse for signs of hypovolemic shock
When caring for a postpartum woman experiencing hemorrhagic shock, the nurse recognizes that the most objective and least invasive assessment of adequate organ perfusion and oxygenation is:
Absence of cyanosis in the buccal mucosa
Cool, dry skin
Diminished restlessness
Urinary output of at least 30 ml/hr
A nurse is preparing to care for a woman who had just delivered a healthy newborn infant. In the immediate postpartum period, the nurse plans to take the woman's vital signs:
every 15 mins for the first 2H then every 30 mins for the next hour
every 30 mins during the first hour then every hour for the next 2H
every hour for the first 2H then every 4H
every 5 mins for the 1st 30 minutes
A nurse is assessing a client in the 4th stage of labor and notes that the fundus is firm and bleeding is excessive. The initial nursing action would be:
Massage the fundus
Place the mother in a trendelenburg's position
Notify the physician
Record the findings
Methergine is prescribed for a woman diagnosed with PPH. Before administration, the priority nursing assessment is to check the:
amount of lochia
blood pressure
deep tendon reflex
uterine tone
