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NR 327 EXAM POSTPARTUM PHYSIOLOGIC ADAPTATIONS 2 VERSIONS.
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NR 327 EXAM POSTPARTUM PHYSIOLOGIC ADAPTATIONS 2 VERSIONS.
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NR327 EXAMPostpartum Physiologic
Adaptations
2 VERSIONS
,Part 1
1. 1. A nurse is performing a fundal assessment for a client in her second postpartum day and
observes the client’s perineal pad for lochia. She notes the pad to be saturated approximately
12 cm with lochia that is bright red in color and contains small clots. The nurse knows that
this finding is: *
Mark only one oval.
A. moderate lochia rubra.
B. excessive lochia rubra.
C. light lochia rubra.
D. scant lochia serosa.
, 2. 2. During ambulation to the bathroom, a postpartum client experiences a gush of dark red
blood that soon stops. On assessment, a nurse finds the client’s uterus to be firm and midline
and at the level of the umbilicus. The nurse interprets this finding as: *
Mark only one oval.
A. evidence of a possible vaginal hematoma.
B. an indication of a cervical or perineal laceration.
C. a normal postural discharge of lochia.
D. abnormally excessive lochia rubra flow.
3. 3. A nurse is assessing a postpartum client for fundal height, location, and consistency. The
fundus is found to be displaced laterally to the right, and there is uterine atony. Which of the
following is the cause of the uterine atony? *
Mark only one oval.
A. Poor involution
B. Urinary retention
C. Hemorrhage
D. Infection
4. 4. A nurse is completing postpartum discharge teaching to a client who had no immunity to
varicella and was given varicella vaccine. Which of the following statements by the client
indicates understanding of the teaching? *
Mark only one oval.
A. “I will need to use contraception for 3 months before considering pregnancy.”
B. “I need a second vaccination at my postpartum visit.”
C. “I was given the vaccine because my baby is O-positive.”
D. “I will be tested in 3 months to see if I have developed immunity.”
5. 5. A nurse is caring for a client who is 1 hr following a vaginal birth and experiencing
uncontrollable shaking. The nurse should understand that the shaking is due to which of the
following? (Select all that apply.) *
Check all that apply.
A. A change in body fluids
B. The metabolic effort of labor
C. Diaphoresis
D. A decrease in body temperature
E. A decrease in prolactin levels
6. 6. When checking a woman's fundus 24 hours after the cesarean birth of her first baby, the
nurse finds her fundus at the level of her umbilicus, firm, and in the midline. The appropriate
nursing action related to this assessment is to: *
Mark only one oval.
a. document the normal assessment
b. determine when she last urinated
c. limit her intake of oral fluids
d. massage her fundus vigorously
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