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Question 1 of 25
1. Question
A postpartum nurse is preparing to care for a woman who has just delivered a healthy newborn infant. In the immediate postpartum period, the nurse plans to take the woman’s vital signs:
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Question 2 of 25
2. Question
A postpartum nurse is taking the vital signs of a woman who delivered a healthy newborn infant 4 hours ago. The nurse notes that the mother’s temperature is 100.2°F. Which of the following actions would be most appropriate?
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Question 3 of 25
3. Question
The nurse is assessing a client who is 6 hours PP after delivering a full-term healthy infant. The client complains to the nurse of feelings of faintness and dizziness. Which of the following nursing actions would be most appropriate?
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Question 4 of 25
4. Question
A nurse is preparing to perform a fundal assessment on a postpartum client. The initial nursing action in performing this assessment is which of the following?
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Question 5 of 25
5. Question
The nurse is assessing the lochia on a 1 day PP patient. The nurse notes that the lochia is red and has a foul-smelling odor. The nurse determines that this assessment finding is:
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Question 6 of 25
6. Question
When performing a PP assessment on a client, the nurse notes the presence of clots in the lochia. The nurse examines the clots and notes that they are larger than 1 cm. Which of the following nursing actions is most appropriate?
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Question 7 of 25
7. Question
A nurse in a PP unit is instructing a mother regarding lochia and the amount of expected lochia drainage. The nurse instructs the mother that the normal amount of lochia may vary but should never exceed the need for:
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Question 8 of 25
8. Question
A PP nurse is providing instructions to a woman after delivery of a healthy newborn infant. The nurse instructs the mother that she should expect normal bowel elimination to return:
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Question 9 of 25
9. Question
The following are the physiological maternal changes that occur during the PP period. Select all that apply.
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Question 10 of 25
10. Question
A nurse is caring for a PP woman who has received epidural anesthesia and is monitoring the woman for the presence of a vulva hematoma. Which of the following assessment findings would best indicate the presence of a hematoma?
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Question 11 of 25
11. Question
A nurse is developing a plan of care for a PP woman with a small vulvar hematoma. The nurse includes which specific intervention in the plan during the first 12 hours following the delivery of this client?
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Question 12 of 25
12. Question
A new mother received epidural anesthesia during labor and had a forceps delivery after pushing 2 hours. At 6 hours PP, her systolic blood pressure has dropped 20 points, her diastolic BP has dropped 10 points, and her pulse is 120 beats per minute. The client is anxious and restless. On further assessment, a vulvar hematoma is verified. After notifying the health care provider, the nurse immediately plans to:
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Question 13 of 25
13. Question
A nurse is monitoring a new mother in the PP period for signs of hemorrhage. Which of the following signs, if noted in the mother, would be an early sign of excessive blood loss?
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Question 14 of 25
14. Question
A nurse is preparing to assess the uterine fundus of a client in the immediate postpartum period. When the nurse locates the fundus, she notes that the uterus feels soft and boggy. Which of the following nursing interventions would be most appropriate initially?
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Question 15 of 25
15. Question
A PP nurse is assessing a mother who delivered a healthy newborn infant by C-section. The nurse is assessing for signs and symptoms of superficial venous thrombosis. Which of the following signs or symptoms would the nurse note if superficial venous thrombosis were present?
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Question 16 of 25
16. Question
A nurse is providing instructions to a mother who has been diagnosed with mastitis. Which of the following statements, if made by the mother, indicates a need for further teaching?
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Question 17 of 25
17. Question
A postpartum (PP) client is being treated for DVT. The nurse understands that the client’s response to treatment will be evaluated by regularly assessing the client for:
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Question 18 of 25
18. Question
A nurse performs an assessment on a client who is 4 hours PP. The nurse notes that the client has cool, clammy skin and is restless and excessively thirsty. The nurse prepares immediately to:
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Question 19 of 25
19. Question
A nurse is assessing a client in the 4th stage of labor and notes that the fundus is firm but that bleeding is excessive. The initial nursing action would be which of the following?
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Question 20 of 25
20. Question
A nurse is caring for a postpartum (PP) client with a diagnosis of DVT who is receiving a continuous intravenous infusion of heparin sodium. Which of the following laboratory results will the nurse specifically review to determine if an effective and appropriate dose of the heparin is being delivered?
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Question 21 of 25
21. Question
A nurse is preparing a list of self-care instructions for a PP client who was diagnosed with mastitis. Which of the following instructions would be included on the list. Select all that apply.
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Question 22 of 25
22. Question
Methergine or Pitocin is prescribed for a woman to treat PP hemorrhage. Before administration of these medications, the priority nursing assessment is to check the:
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Question 23 of 25
23. Question
Methergine or Pitocin are prescribed for a client with PP hemorrhage. Before administering the medication(s), the nurse contacts the health provider who prescribed the medication(s) in which of the following conditions is documented in the client’s medical history?
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Question 24 of 25
24. Question
Which of the following factors might result in a decreased supply of breastmilk in a postpartum (PP) mother?
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Question 25 of 25
25. Question
Which of the following interventions would be helpful to a breastfeeding mother who is experiencing engorged breasts?
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