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NSG 3111 - FINAL EXAM REVIEW QUESTIONS AND ANSWERS.
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NSG 3111 - FINAL EXAM REVIEWQUESTIONS AND ANSWERS
the dbreasts dof da dbottle-feeding dpatient dare dengorged. dthe dnurse dshould dtell dthe
dpatient dto: d
A) dwear da dsnug, dsupportive dbra
B) dtake dstrong danalgesics dfor dthe dpain d
C) dexpress dmilk dfrom dthe dnipples doccasionally dto drelieve ddiscomfort d
D) duse dhot dpacks dto dsoothe dthe dbreasts d- d✔✔A) dwear da dsnug, dsupportive dbra
a dpatient dgave dbirth dto da d3200g dboy d2 dhours dago. dthe dnurse ddetermines dthat dthe
dpatient's dbladder dis ddistended dbecause dthe dfundus dis d3 dcm dabove dthe dumbilicus
dand dto dthe dright dof dthe dmidline. din dthe dimmediate dpostpartum dperiod, dthe dmost
dserious dconsequence dlikely dto doccur dfrom dbladder ddistension dis: d
A) dexcessive duterine dbleeding d
B) da druptured dbladder d
C) durinary dtract dinfection d
D) dincreased dvoiding d- d✔✔A) dexcessive duterine dbleeding
what dstatement dby da dnewly dpostpartum dpatient dindicates dthat dshe dknows dwhat dto
dexpect dabout dher dmenstrual dactivity dafter dchildbirth? d
A) d"my dfirst dmenstrual dcycle dwill dbe dlighter dthan dnormal dand dthen dwill dget dheavier
devery dmonth dthereafter"
B) d"my dfirst dmenstrual dcycle dwill dbe dheavier dthan dnormal dand dthen dwill dbe dlight
dfor dseveral dmonths dafter"
C) d"i dwill dnot dhave da dmenstrual dcycle dfor d6 dmonths dafter dchildbirth"
D) d"my dfirst dmenstrual dcycle dwill dbe dheavier dthan dnormal dand dwill dreturn dto dmy
dprepregnant dvolume dwithin d3 dor d4 dcycles" d- d✔✔D) d"my dfirst dmenstrual dcycle dwill
dbe dheavier dthan dnormal dand dwill dreturn dto dmy dprepregnant dvolume dwithin d3 dor d4
dcycles"
with dregard dto dafterbirth dpains, dnurses dshould dbe daware dthat dthese dpains dare d
A) dmore dnoticeable din dbirths din dwhich dthe duterus dwas doverdistended d
B) dalleviated dsomewhat dwhen dthe dpatient dbreastfeeds d
C) dmore dcommon dafter da dfirst dbaby d
D) dcaused dby dmild, dcontinual dcontractions dfor dthe dduration dof dthe dpostpartum
dperiod d- d✔✔A) dmore dnoticeable din dbirths din dwhich dthe duterus dwas doverdistended
postbirth duterine/vaginal ddischarge, dcalled dlochia: d
A) dis dsimilar dto da dlight dmenstrual dperiod dfor dthe dfirst d6-12 dhours d
,B) dis dusually dgreater dafter dc-sections
C) dshould dmell dlike dnormal dmenstrual dflow dunless dan dinfection dis dpresent d
D) dwill dusually ddecrease dwith dambulation d- d✔✔C) dshould dmell dlike dnormal
dmenstrual dflow dunless dan dinfection dis dpresent
which ddescription dof dpostpartum drestoration dor dhealing dtimes dis daccurate? d
A) drugae dreappear dwithin d3-4 dweeks d
B) dhemorrhoids dusually ddecrease din dsize dwithin d2 dweeks dof dchildbirth d
C) dmost depisiotimies dheal dwithin da dweek d
D) dthe dcervix dregains dits dprepregnancy dshape dwithin d6-8 dweeks d- d✔✔A) drugae
dreappear dwithin d3-4 dweeks
with dregard dto dthe dcondition dand dreconditioning dof dthe durinary dsystem dafter
dchildbirth, dnurses dshould dbe daware dof dwhich dof dthe dfollowing? d
A) ddiastasis drecti dabdominis dis da dcommon dcondition dthat dalters dthe dvoiding dreflex d
B) dfluid dloss dthrough dperspiration dand dincreased durinary doutput daccount dfor da
dweight dloss dof dapproximately d2kg dduring dthe dpuerperium d
C) dkidney dfunction dreturns dto dnormal da dfew ddays dafter dbirth d
D) dwith dadequate demptying dof dthe dbladder, dbladder dtone dusually dis drestored d2-3
dweeks dafter dchildbirth d- d✔✔B) dfluid dloss dthrough dperspiration dand dincreased
durinary doutput daccount dfor da dweight dloss dof dapproximately d2kg dduring dthe
dpuerperium
the dnurse dworking dwith dpostpartum dpatients dmust dbe daware dof dpostpartum
dchanges din dfluid dbalance. dwhich dof dthe dfollowing dis dtrue dof dfluid dvolume drelated
dto da dpostpartum dpatient? d
A) dthe dpatient's dvascular dbed dincreases din dsize dand ddemand dafter dchildbirth d
B) dhypervolemia dexperienced dduring dpregnancy dprepares dthe dcardiovascular
dsystem dto dblood dloss dduring dbirth d
C) dblood dloss dduring da dc-section dis dexpected dto dbe dapproximately d300-500 dmL
D) dplasma dvolume dis dusually dreplenished dby dday d5-7 dpostpartum d- d✔✔B)
dhypervolemia dexperienced dduring dpregnancy dprepares dthe dcardiovascular dsystem
dto dblood dloss dduring dbirth
as dpart dof dthe dpostpartum dassessment, dthe dnurse dexamines dthe dbreasts dof da
dprimiparous dbreastfeeding dpatient dwho dis d1-day dpostpartum. dexpected dfindings
dinclude dwhich dof dthe dfollowing? dselect dall dthat dapply. d
A) dleakage dof dmilk dat dlet-down d
B) dsmall damount dof dclear, dyellow dfluid dexpressed d
C) da dfew dblisters dand da dbruise don deach dareola d
D) dlittle dif dany dchange d
E) dswollen, dwarm, dand dtender don dpalpitation d- d✔✔B) dsmall damount dof dclear,
dyellow dfluid dexpressed d
D) dlittle dif dany dchange
,after dcompleting da dpostpartum dassessment don da dwoman dwho dgave dbirth d30 dhours
dago, dthe dnurse dshould dreport dwhich dassessment dfindings dto dthe dhealth dcare
dprovider? dselect dall dthat dapply. d
A) dpulse d120 dbeats/min
B) dblood dpressure d120/78
C) drespiratory drate d16 dbreaths/min
D) dtemperature d38.3 dCelsius d- d✔✔A) dpulse d120 dbeats/min
D) dtemperature d38.3 dCelsius
when dpalpating dthe dfundus dof da dpatient d18 dhours dafter dbirth, dthe dnurse dnotes dthat
dis dfirm, d2 dfingerbreadths dabove dthe dumbilicus, dand ddeviated dto dthe dleft dof dthe
dmidline. dthe dnurse dshould: d
A) dadminister doxytocin d20 dunits dIM, dthat dhas dbeen dordered dPRN d
B) drecognize dthis das dan dexpected dfinding dduring dthe dfirst d24 dhours dfollowing dbirth
d
C) dassist dthe dpatient dto dempty dher dbladder d
D) dmassage dthe dfundus d- d✔✔C) dassist dthe dpatient dto dempty dher dbladder
the dnurse dexamines da dpatient d1 dhour dafter dbirth, dthe dfundus dis dboggy, dmidline
dand d1 dcm dbelow dthe dumbilicus. dher dlochial dflow dis dprofuse, dwith d2 dplum-sized
dclots. dthe dnurse's dinitial daction dwould dbe dto
A) dplace dher don da dbedpan dto dempty dher dbladder d
B) dmassage dher dfundus d
C) dcall dthe dphysician d
D) dadminister dpain dmedication, dwhich dhas dbeen dordered dPRN d- d✔✔B) dmassage
dher dfundus
perineal dcare dis dan dimportant dinfection dcontrol dmeasure. dwhen devaluating da
dpostpartum dpatient's dperineal dcare dtechnique, dthe dnurse dwould drecognize dthe
dneed dfor dfurther dinstruction dif dthe dpatient: d
A) duses dsoap dand dwarm dwater dto dwash dthe dvulva dand dperineum d
B) duse dthe dperi dbottle dto drinse dupward dinto dher dvagina
C) dwashes dfrom dthe dsymphysis dpubis dback dto dthe danal darea d
D) dchanges dher dperineal dpad dwith devery dvoid d- d✔✔B) duse dthe dperi dbottle dto
drinse dupward dinto dher dvagina
the dnurse dmust dadminister dthe drubella dvaccine dto da dpatient dwho dhas djust dgiven
dbirth. dthe dnurse dshould dknow dthat d
A) dbreastfeeding dpeople dcannot dbe dvaccinated dbecause dthe dvaccine dis dlive d
B) dthe drubella dvaccine dis dgiven dwhen dthe denzyme dimmunoassay dlevel dis dless
dthan d1.0
C) dseroconversion doccurs din dapproximately d50% dof dpeople dvaccinated dimmediately
dafter dbirth d
D) darthralgia dand drash dare dboth dcommon dafter dvaccination d- d✔✔D) darthralgia dand
drash dare dboth dcommon dafter dvaccination
, excessive dblood dloss dafter dchildbirth dcan dhave dseveral dcauses; dhowever, dthe dmost
dcommon dis
A) dvaginal dor dvalvular dhematomas
B) dretained dplacental dfragments
C) dunrepaired dlacerations dof dthe dvagina dor dcervix
D) dfailure dof dthe duterine dmuscle dto dcontract dfirmly d- d✔✔D) dfailure dof dthe duterine
dmuscle dto dcontract dfirmly
the dnurse deducates da dnew dparent dthat dher dpre-pregnancy dweight dand dshape dwill
dreturn dwithin dwhat dtime dframe dafter dbirth? d
A) d24 dhours
B) d5-7 ddays
C) dseveral dmonths
D) d6 dweeks d- d✔✔C) dseveral dmonths
when dproviding dcare dto dthe dpatient din dthe dearly dpostpartum dperiod, dnurses dshould
dbe daware dof dwhich dof dthe dfollowing? d
A) dnormal dbladder dfunction dresumes d10-12 dhours dafter dbirth
B) dbowel dmovements dnormally doccur d2-3 ddays dafter dbirth
C) dfrequent dambulation dis ddiscouraged
D) dsimple dabdominal dexercises dcan dbe dperformed dsoon dafter dbirth dfor dall dnew
dmothers d- d✔✔B) dbowel dmovements dnormally doccur d2-3 ddays dafter dbirth
which dof dthe dfollowing drepresents dthe dsignificance dof dconfirming dRh dstatus din dthe
dpregnant dand dpostpartum dpatient? d
A) dall dRh-negative dpostpartum dpatients drecieve da ddose dof dRh dimmune dglobulin
dafter dchildbirth
B) da ddosage dof d33 dmcg dof dRh dimmune dglobulin dis dalways dthe dpostpartum
dstandard
C) dantepartum dadministration dof dRh dimmune dglobulin dis drequired dat d26-28 dweeks
dgestation d
D) dRh dimmune dglobulin dis dadministered dusing dthe dsame dprocess das dany dother
dmedication dadministration d- d✔✔C) dantepartum dadministration dof dRh dimmune
dglobulin dis drequired dat d26-28 dweeks dgestation
excessive dbleeding dcan dlead dto dhypovolemic dshock din da dpatient dduring dthe dfourth
dstage dof dlabour. dsigns dand dsymptoms dinclude dwhich dof dthe dfollowing? dselect dall
dthat dapply. d
A) dgreyish dskin dcolour
B) dincreased dblood dpressure d
C) dheavily dsoaked dperineal dpad din d15 dminutes
D) ddecreased dheart drate
E) dweakness dand dnausea d- d✔✔A) dgreyish dskin dcolour
C) dheavily dsoaked dperineal dpad din d15 dminutes
E) dweakness dand dnausea
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