Which patient would be most likely to have severe afterbirth pains an request a narcotic
analgesic?
a. gravida 5, para 5
b. primipara who delivered a 7lb boy
c. patient who is bottle feeding her child
d. patient who is breastfeeding h her second child - answer gravida 5, para 5
Which mechanism of labor occurs when the largest diameter of the fetal presenting part
passes the pelvic inlet?
a. External Rotation
b. Engagement
c. Extension
d. Internal rotation - answer Engagement
Uncontrolled maternal hyperventilation during labor results in
a. metabolic acidosis
b. metabolic alkalosis
c.respiratory acidosis
d. respiratory alkalosis - answerrespiratory alkalosis
Which physiologic event is the key indicator of the commencement of true labor?
a. bloody show
B. Cervical dilation and effacement
C. fetal descent into the pelvic inlet
d. Uterine contractions every 7 minutes - answerCervical dilation and effacement
Which factor ensures that the smallest anterior-posterior diameter of the fetal head
enters the pelvis?
a. station
b. flexion
c. descent
d. engagement - answerflexion
An increase of urinary frequency and leg cramps after the 36th week of pregnancy are
indication of
a. lightening
b. breech presentation
c. urinary tract infection
d. onset of Braxton-Hicks contractions - answerLightening
,A patient whose cervix is dilated to 6 cm is considered to be in which phase of labor?
a. latent phase
b. active phase
c. second stage
d. third stage - answeractive phase
A patient in labor presents with a breech presentation. The nurse understands that this
is associated with
a. more rapid labor
b. a high risk of infection
c. maternal perineal trauma
d. umbilical cord compression - answerumbilical cord compression
The primary difference between labor of a nullipara and that of a multipara is
a. total duration of labor
b. level pain experienced
c. amount of cervical dialation
d. sequence of labor mechanisms - answertotal duration of labor
Which maternal event is abnormal in the early postpartal period?
a. diuresis and diaphoresis
b. flatulence and constipation
c. extreme hunger and thirst
d. lochial color cchanges from rubra to alba - answerlochial changes from rubra to alba
Which fundal assessment findings at 12 hours after birth requires further assessment?
a. The fundus is palpable at the level of the umbilicus
b. The fundus is palpable two fingerbreadths above the umbilicus
c. The fundus is palpable one fingerbreadth below the umbilicus
d. The fundus is palpable two finger breaths below the umbilicus - answerThe fundus is
palpable two fingerbreadths above the umbilicus
If the patient's white blood cell count is 25,000 on her second postpartum day, which
action should the nurse take?
a. document the findings
b. inform the health care provider
c. begin antibiotic therapy
d. have the lab draw blood for reanalysis - answerdocument the findings
Postpartal overdistention of the bladder and urinary retention can lead to which
complication?
a. fever and increased blood pressure
b. postpartum hemorrhage and eclampsia
c. urinary tract infection and uterine rupture
d. postpartum hemorrhage and urinary tract infection - answerpostpartum hemorrhage
and urinary tract infection
, A postpartum patient asks, "Will these stretch marks ever go away? Which the nurse
responds?
a. NO
b. Yes, eventually
c. They will fade to silvery lines but won't disappear completely
d. They will continue to fade and should be gone by your 6 week checkup - answerThey
will fade to silvery lines but won't disappear completely
Which finding will the nurse suspect if the fundus is palpable on the right of the
abdomen and above the expected level
a. distended bladder
b. normal involution
c. been lying on her right side too long
d. stretched ligaments that are unable to support the uterus - answerdistended bladder
Which situation would require the administration of Rho (D) immune globulin?
a. Mother RH-negative, baby RH positive
b. Mother Rh Negative, baby Rh Negative
c. Mother Rh positive, baby Rh Negative
d. Mother Rh positive, baby Rh positive - answerMother RH-negative, baby RH positive
If rubella vaccine is indicated for the postpartum patient which instructions should be
provided?
a. no specific instructions
b. drinking plenty of fluids will prevent fever
c. Recommendation to stop breastfeeding for 24 hours after the injection
d. Explanation of the risks of becoming pregnant within 28days after injection -
answerExplanation of the risks of becoming pregnant within 28days after injection
Which measure is option in order to prevent abdominal distention following a cesarean
birth?
a. rectal suppositories
b. carbonated beverages
c. early and frequent ambulation
d. TIghtening and relaxing abdominal muscles - answerearly and frequent ambulation
To access fundal contractions 6 hours after c-section, which technique should the nurse
use?
a. Assess lochial Flow rather than palpating the fundus
b. Palpate forcefully through the abdominal dressing
c. Place hands on both sides of the abdomen and press downward
d. Gently palpate, applying the same technique used for vaginal deliveries -
answerGently palpate, applying the same technique used for vaginal deliveries
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