Exam 2: NR 327 / NR327 Maternal-Child Nursing Exam| Grade A | Questions and Correct Verified Answers (Latest 2023/ 2024) -)- Chamberlain
QUESTION
A
... [Show More] client in a postpartum unit complains of sudden sharp chest pain and dyspnea. The nurse notes that the client is tachycardic and the respiratory rate is elevated. The nurse suspects a pulmonary embolism. Which should be the initial nursing action?
1. Initiate an intravenous line.
2. Assess the client's blood pressure.
3. Prepare to administer morphine sulfate.
4. Administer oxygen, 8 to 10 L/minute, by face mask.
Answer:
4 Administer oxygen, 8 to 10 L/minute, by face mask.
QUESTION
The nurse is assessing a client in the fourth stage of labor and notes that the fundus is firm, but that bleeding is excessive. Which should be the initial nursing action?
1. Record the findings.
2. Massage the fundus.
3. Notify the obstetrician (OB).
4. Place the client in Trendelenburg's position.
Answer:
3 Notify the obstetrician (OB).
QUESTION
The nurse is preparing to care for four assigned clients. Which client is at most risk for hemorrhage?
1. A primiparous client who delivered 4 hours ago
2. A multiparous client who delivered 6 hours ago
3. A multiparous client who delivered a large baby after oxytocin induction
4. A primiparous client who delivered 6 hours ago and had epidural anesthe- sia
Answer:
3 A multiparous client who delivered a large baby after oxytocin induction
QUESTION
A postpartum client is diagnosed with cystitis. The nurse should plan for which priority action in the care of the client?
1. Providing sitz baths
2. Encouraging fluid intake
3. Placing ice on the perineum
4. Monitoring hemoglobin and hematocrit levels
Answer:
2 Encouraging fluid intake
QUESTION
The nurse is monitoring a postpartum client who received epidural anes- thesia for delivery for the presence of a vulvar hematoma. Which assessment finding would best indicate the presence of a hematoma?
1. Changes in vital signs
2. Signs of heavy bruising
3. Complaints of intense pain
4. Complaints of a tearing sensation
Answer:
1 Changes in vital signs
QUESTION
The nurse is creating a plan of care for a postpartum client with a small vulvar hematoma. The nurse should include which specific action during the first 12 hours after delivery?
1. Encourage ambulation hourly.
2. Assess vital signs every 4 hours.
3. Measure fundal height every 4 hours.
4. Prepare an ice pack for application to the area.
Answer: [Show Less]