Chapter 10: Nursing Care of Women with Complications After Birth

Chapter 10: Nursing Care of Women with Complications After Birth

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. What is the first sign of hypovolemic shock from postpartum hemorrhage?

ANS:  B

Tachycardia is usually the first sign of inadequate blood volume.

DIF:    Cognitive Level: Knowledge            REF:   Page 238, Safety Alert

OBJ:   2                    TOP:   Hypovolemic Shock

KEY:  Nursing Process Step: Data Collection

MSC:  NCLEX: Physiological Integrity: Physiological Adaptation

2. Although the nurse has massaged the uterus every 15 minutes, it remains flaccid, and the patient continues to pass large clots. What does the nurse recognize these signs indicate?

ANS:  A

Atony describes a lack of normal muscle tone. If the uterus is atonic, then muscle fibers are flaccid and will not compress bleeding vessels.

DIF:    Cognitive Level: Comprehension     REF:   Page 240        OBJ:   2

TOP:   Atony             KEY:  Nursing Process Step: N/A

MSC:  NCLEX: Physiological Integrity: Physiological Adaptation

3. What should the nurse’s first action be when postpartum hemorrhage from uterine atony is suspected?

ANS:  C

When the uterus is boggy, the nurse should immediately massage it until it becomes firm.

DIF:    Cognitive Level: Application           REF:   Page 240-241

OBJ:   6                    TOP:   Atony            KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity

4. The nurse assesses a boggy uterus with the fundus above the umbilicus and deviated to the side. What should the nurse’s next assessment be?

ANS:  A

Bladder distention can cause uterine atony. The uterus is massaged to firmness and then the bladder is emptied.

DIF:    Cognitive Level: Application           REF:   Page 241        OBJ:   6

TOP:   Bladder Distention                          KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity: Physiological Adaptation

5. Massage and putting the infant to the breast of a postpartum patient have been ineffective in controlling a boggy uterus. What will the nurse anticipate might be ordered by the physician?

ANS:  C

Oxytocin (Pitocin) is the most common drug ordered to control uterine atony.

DIF:    Cognitive Level: Comprehension     REF:   Page 241        OBJ:   5

TOP:   Oxytocin (Pitocin) for Hemorrhage

KEY:  Nursing Process Step: Implementation

MSC:   NCLEX: Physiological Integrity: Physiological Adaptation