On examining a woman who gave birth 5 hours ago, the nurse finds that the woman
has completely saturated a perineal pad within 15 minutes. Which action by the nurse
should be implemented first?
A) Begin an IV infusion of Ringer's lactate solution.
B) Assess the woman's vital signs.
C) Call the woman's health care
provider. D) Assess the woman's
fundus.
Ans: D
Feedback: To have a suggested idea of the location of the bleeding, the nurse would need
to assess the fundus of the client first.
A postpartal woman has a fourth-degree perineal laceration. Which of the following
physician orders would you question?
A) Urging her to drink all the milk on her tray
B) Administration of acetaminophen and codeine for pain
C) Administration of a sitz
bath D) Administration of
an enema
Ans: D
Feedback: A fourth-degree perineal laceration involves the anus; a hard object, such as an
enema tip, could tear a suture.
, NURS 2513 CH 25 EXAM QUESTIONS WITH
ANSWERS GRADED A+ SUCCESS ASSAURED
2023 UPDATE
When assessing a postpartum client who was diagnosed with a cervical laceration
that has been repaired, what sign should the nurse report as a possible development
of hypovolemic shock?
A) warm and flushed
skin B) weak and
rapid pulse
C) elevated blood pressure
D) decreased respiratory rate
Ans: B
Feedback: The sign of weak and rapid pulse in the body is a compensatory mechanism
attempting to increase the blood circulation. This finding needs to be reported to the
health care provider and RN as soon as possible.
Why are postpartal women prone to urinary retention?
A) Catheterization at the time of delivery reduces bladder tonicity.
B) Decreased bladder sensation results from edema because of pressure of birth.
C) Frequent partial voidings never relieve the bladder pressure.
D) Mild dehydration causes a concentrated urine volume in the bladder.
Ans: B
Feedback: As the fetal head passes behind the bladder, bladder edema with loss of sensation
can result.
Which assessment would lead the nurse to believe a postpartal woman is
developing a urinary complication?
, NURS 2513 CH 25 EXAM QUESTIONS WITH
ANSWERS GRADED A+ SUCCESS ASSAURED
2023 UPDATE
A) At 8 hours postdelivery she has voided a total of 100 mL in four small voidings.
B) She has voided a total of 1000 mL in two voidings, each spaced 1 hour apart.
C) She says she is extremely thirsty.
D) Her perineum is obviously edematous on inspection.
Ans: A
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