Exam (elaborations)
Passpoint-postpartum
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Question 1 See full questionA client gives birth to a stillborn neonate at 36 weeks'
gestation. When caring for this client, which strategy by
the nurse would be most helpful?
You Selected:
• Provide information about possible causes of the stillbirth
only if the client requests it.
Correct response:
• Encourage the client to see, touch, and hold the dead
neonate.
Explanation:
Remediation:
Question 2 See full question
During the postpartum period, a nurse should assess for
signs of normal involution. Which statement would
indicate that a client is progressing normally?
You Selected:
• Perineal pad usage remains at 10 to 15 per day.
Correct response:
• The uterus is descending at the rate of one fingerbreadth
per day.
Explanation:
Remediation:
Question 3 See full question
Which response would be most appropriate for the nurse
when comforting a primiparous client whose critically ill
neonate delivered at 25 weeks dies while the mother is
present?
You Selected:
• "You can stay with your baby as long as you want and say
anything you want."
Correct response:
,• "You can stay with your baby as long as you want and say
anything you want."
Explanation:
Remediation:
Question 4 See full question
While the nurse is caring for a primiparous client on the
first postpartum day, the client asks, “How is that woman
doing who lost her baby from prematurity? We were in
labor together.” Which response by the nurse would be
most appropriate?
You Selected:
• Tell the client “I’m not sure how the other woman is doing
today.”
Correct response:
• Explain to the client that “Nurses are not allowed to
discuss other clients on the unit.”
Explanation:
Remediation:
Question 1 See full question
A client gave birth to a healthy full-term girl 2 hours ago
by cesarean birth. When assessing this client, which
finding requires immediate nursing action?
You Selected:
• Tachycardia and hypotension
Correct response:
• Tachycardia and hypotension
Explanation:
Remediation:
Question 2 See full question
Lochia normally progresses in which pattern?
You Selected:
• Rubra, serosa, alba
, Correct response:
• Rubra, serosa, alba
Explanation:
Remediation:
Question 3 See full question
A client who had a cesarean birth 1 day ago asks for pain
medication when the nurse enters the room to perform
her shift assessment. The client states that her pain level
is an 8 on a 0-to-10-point scale. The priority of care
should be for the nurse to:
You Selected:
• administer any ordered pain medication.
Correct response:
• administer any ordered pain medication.
Explanation:
Remediation:
Question 4 See full question
While the nurse is caring for a primiparous client on the
first postpartum day, the client asks, “How is that woman
doing who lost her baby from prematurity? We were in
labor together.” Which response by the nurse would be
most appropriate?
You Selected:
• Explain to the client that “Nurses are not allowed to
discuss other clients on the unit.”
Correct response:
• Explain to the client that “Nurses are not allowed to
discuss other clients on the unit.”
Explanation:
Remediation:
Question 5 See full question
, While changing the neonate’s diaper, the client asks the
nurse about some red-tinged drainage from the neonate’s
vagina. Which response would be most appropriate?
You Selected:
• “Sometimes baby girls have this from hormones received
from the mother.”
Correct response:
• “Sometimes baby girls have this from hormones received
from the mother.”
Explanation:
Remediation:
Question 5 See full question
While making a home visit to a multigravida 2 weeks
after the birth of viable twins at 38 weeks’ gestation, the
nurse observes that the client looks pale, has dark circles
around her eyes, and is breastfeeding one of the twins.
The client’s apartment is clean, and nothing appears out
of place. The client tells the nurse that she completed
three loads of laundry this morning. A priority need for
this client is:
You Selected:
• possible anemia related to large volume of blood loss and
twin birth.
Correct response:
• fatigue related to home maintenance and caring for
twins.
Explanation:
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Question 1 See full question
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