1. The nurse places one hand above the symphysis while massaging the fundus of a multiparous client whose uterine tone is
boggy 15 minutes after
... [Show More] delivering a 7-pound 10-ounce (3220 gram) infant. Which information should the nurse provide the
client about this finding?
A. Both the lower uterine segment and the fundus must be massaged.
B. The uterus should be firm to prevent an intrauterine infection.
C. Clots may form inside a boggy uterus and need to be expelled.
D. A firm uterus prevents the endometrial lining from being sloughed.
A. Both the lower uterine segment and the fundus must be massaged.
2. A new mother who is a lacto-ovo vegetarian, plans to breastfeed her infant. Which information should the nurse provide
prior to discharge?
A. Offer iron-fortified supplemental formula daily
B. Continue prenatal vitamins with B12 while breast feeding.
C. Weigh the baby weekly to evaluate the newborn’s growth
D. Avoid using lanolin-based nipple cream or ointment
B. Continue prenatal vitamins with B12 while breast feeding.
3. Using the Ballard Gestational Age Assessment tool the nurse determines that a 15-minute old infant has a gestational age of
42 weeks. Based on this finding, which intervention is most important for the nurse to implement?
A. Provide blow-by oxygen
B. Obtain a capillary blood glucose
C. Apply a pulse oximeter to the foot
D. Draw arterial blood gases
*B. Obtain a capillary blood glucose
4. A primigravida client being treated for preeclampsia with magnesium sulfate delivered a 7-pound infant four hours ago by
caesarean delivery. Which nursing problem has highest priority?
A. Ineffective breastfeeding related to fatigue
B. Impaired parenting related to inexperience
C. Acute pain related to abdominal incision
D. Risk for injury related to uterine atony
*D. Risk for injury related to uterine atony
5. A multiparous client at 38-weeks’ gestation is admitted to labor and delivery with a compliant of contractions 5 minutes
apart. While the client is in the bathroom changing into a hospital gown, the nurse hears a baby crying. Which action should
the nurse take first?
A. Turn on the infant warmer
B. Notify a healthcare provider
C. Inspect the client’s perineum
D. Push the call light for help
D. Push the call light for help [Show Less]