Maternal Newborn Nursing The Critical Components Of Nursing Care 2nd Edition by Roberta Durham
Maternal Newborn Nursing The Critical Components Of Nursing Care 2nd Edition by Roberta Durham
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Chapter 12: Postpartum Physiological Assessments and Nursing Care
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
Multiple Choice
ANS: b
| Feedback | |
| a. | The nurse should not inform the patient that this is normal until she has assessed for the degree and potential cause of bleeding. |
| b. | It is important to first assess for uterine atony or displaced uterus from full bladder. |
| c. | If the uterus is firm and midline, then the nurse should change the pad and return within 30 minutes to assess the amount of lochia. |
| d. | The nurse would give oxytocin if the uterus is boggy and does not respond to uterine massage. |
KEY: Integrated Process: Clinical Problem Solving | Cognitive Level: Analysis | Content Area: Maternity | Client Need: Reduction of Risk Potential | Difficulty Level: Moderate
ANS: c
| Feedback | |
| a. | Magnesium sulfate is commonly used for PIH and preterm labor. It is a smooth muscle relaxant and can cause the uterus to relax. |
| b. | Phytonadione (vitamin K) is important for clotting but will not cause the uterus to contract. |
| c. | Oxytocin is commonly used to control postpartum bleeding related to uterine atony. |
| d. | Warfarin is an anticoagulant and will increase the risk of hemorrhage. |
KEY: Integrated Process: Clinical Problem Solving | Cognitive Level: Knowledge | Content Area: Maternity | Client Need: Pharmacological/Parenteral Therapies | Difficulty Level: Easy
ANS: b
| Feedback | |
| a. | If the uterus does not respond to massage, then the nurse would give Syntocinon and notify the primary health provider. |
| b. | The first nursing action for a boggy uterus is to massage the fundus. |
| c. | If the uterus does not respond to massage, then the nurse would give Syntocinon and notify the primary health provider. |
| d. | You would assist the woman to the bathroom if the uterus is boggy and displaced to the side. |
KEY: Integrated Process: Clinical Problem Solving | Cognitive Level: Knowledge | Content Area: Maternity | Client Need: Reduction of Risk Potential | Difficulty Level: Easy
ANS: d
| Feedback | |
| a. | Expected location for day 1 |
| b. | Expected location for day 2 |
| c. | Expected location for day 3 |
| d. | Correct. The uterus on the average descends 1 centimeter per day. |
KEY: Integrated Process: Clinical Problem Solving | Cognitive Level: Application | Content Area: Maternity | Client Need: Physiological Adaptation | Difficulty Level: Easy
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