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Postpartum NUR 106 Exam 1 Questions With Complete Solutions
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Postpartum NUR 106 Exam 1 Questions With Complete Solutions
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Postpartum NUR 106 Exam 1 Questions With CompleteSolutions
A 1 hr PP client who just had a vaginal delivery with local
anesthesia expresses the urge to urinate. What action would the
nurse implement *first*?
a) provide bedpan
b) advise client that feeling is RT trauma of delivery
c) test client's sensation in LE
d) assist client to bathroom Correct Answers c (make sure
client has feeling in legs before you assist her to the bathroom so
she don't bust they ass)
A breastfeeding mother who was discharged yesterday calls to
ask about a *tender, hard area on her right breast*. What should
you tell the mother to do? Correct Answers massage the area
and apply heat so that it stimulates flow of milk to unclog the
duct
(a plugged duct results in localized edema, tenderness, and a
palpable hard area)
After removing surgical C-section dressing from a 1 day post-op
client, what should the nurse do?
a) irrigate incision twice daily
b) monitor incision for drainage
c) apply steristrips to incision line
d) palpate incision & assess for pain Correct Answers b
(REEDA)
,An order for methergine has been ordered for a PP client. What
assessment should be done before administration?
a) apical pulse
b) blood pressure
c) episiotomy
d) lochia flow Correct Answers b
As a nurse, what is important to have/do when your patient is
getting up for the first time? Correct Answers -extra
towels/wash cloths
-speci pan to measure UO
-make sure pt. has pad on
-assist pt to bathroom, don't let her walk alone
-ensure clear pathway
-have warm water squirt bottle to cleanse perineum after voiding
*make sure you know amount of water in the squirt bottle so
that you can subtract it from the UO in the speci pan*)
Because clients who had episiotomies experience pain with
sitting, what should the nurse instruct the clients to do? Correct
Answers contract butt cheeks
Common pitocin side effects? Correct Answers -NV
-cramping
-loss of appetite
Common side effects of cytotec include? Correct Answers -
diarrhea
-nausea
,-stomach cramps
Define the acronym "GTPAL". Correct Answers G- gravida
T- term births (babies born at 38-42 weeks)
P- preterm births (babies born at 20-38 weeks)
A- abortions
L- living children
Define the acronym "REEDA". Correct Answers R-redness
E-edematous
E-ecchymosis
D-drainage
A-approximation
During what PP phase is it common for parents to have feelings
of loss or grief about their fantasized baby? Correct Answers
letting go phase (beneficial to explore & discuss these feelings
and understand that they are common)
*feelings may be acute in young mothers or unplanned
pregnancies*
Early PP hemorrhage is defined as blood loss greater than:
Correct Answers 500 mL in the first 24hrs after vaginal
delivery or 1,000 mL after C-section
Explain the "amount" characteristic when referring to lochia
Correct Answers -scant = less than 2.5 cm stain on pad
-light = 2.5-10cm stain on pad
-moderate= 10-15cm stain on pad
-heavy= saturated pad
, -excessive = saturated pad within 15 min
*important to note time of pad placement to determine how fast
it was saturated*
-some women like to change pad to feel clean, but might not
have been saturated so important to ask pt about saturation and
how frequent it is being changed
-compare amount to normal menstrual flow, should decrease
over 2-3 days
-amount is heavier when first getting out of bed
-amount is less in C-section
Explain the important teaching points involved with C-section
incision care. Correct Answers -initial pressure dressing stays
on 1 day
-take off initial dressing in shower with warm water to ease it off
-don't wash incision, rinse & pat dry
-forewarn pt. about what to expect (blood on bandage)
-after bandage is off, sit in semi-fowler's to observe for REEDA
(no REEDA = normal finding)
-staples usually removed before discharge but may have to come
back for removal
Explain the latch on technique. Correct Answers *rooting
effect*
-turn chin or rub nipple to baby's lips
-you need them to open their mouth wide & put it to breast
(sometimes crying babies are best)
Explain the process of "rooming in". Correct Answers moving
baby's crib next to mother's bed for close and frequent
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