Exam (elaborations)
NUR 195 P2: QUESTIONS & CORRECT ANSWERS
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NUR 195 P2: QUESTIONS & CORRECT ANSWERS
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NUR 195 P2: QUESTIONS & CORRECT ANSWERSAfter teaching a pregnant woman who is in labor about the purpose of the episiotomy, which of the following purposes stated by the client would indicate to the nurse that the teaching was effective?
a. Shortens the second stage of labor b. Enlarges the pelvic inlet c. Prevents perineal edema d. Ensures quick placenta delivery Right Ans - a. Shortens the second stage of labor
A woman delivered a 7 lb boy spontaneous vaginal delivery 30 minutes ago. Her fundus is firm at the umbilicus and she has moderate lochia rubra with a steady trickle of blood noted from the vagina. The nurse determines that which assessment finding needs to follow up?
a. Moderate lochia rubra b. Steafy trickle of blood c. Fundus at the umbilical level d. Firm fundus Right Ans - b. Steafy trickle of blood
The multigravida mother with a history of rapid labor who us in active labor calls out to the nurse, "The baby is coming!" which of the following would be the nurse's first action?
a. Inspect the perineum b. Time the contractions c. Auscultate the fetal heart rate d. Contact the birth attendant Right Ans - a. Inspect the perineum
A primigravid client in a Preparation for Parenting class asks how much blood is lost during an uncomplicated delivery. The nurse should tell the woman:
a. "The maximum blood loss considered within normal limits is 500 mL." b. "The minimum blood loss considered within normal limits is 1,000 mL." c. "Blood loss during a delivery is rarely estimated unless there is a hemorrhage." d. "It would be very unusual if you lost more than 100 mL of blood during the delivery." Right Ans - a. "The maximum blood loss considered within normal limits is 500 mL." Which of the following statements by a primigravid client about the amniotic fluid and sac indicates the need for further teaching?
a. "The amniotic fluid helps to dilate the cervix once labor begins." b. "Fetal nutrients are provided by the amniotic fluid." c. "Amniotic fluid provides a cushion against impact of the maternal abdomen." d. "The fetus is kept at a stable temperature by the amniotic fluid and sac." Right Ans - b. "Fetal nutrients are provided by the amniotic fluid."
During a childbirth preparation class, a primigravid client at 36 weeks' gestation tells the nurse, "My lower back has really been bothering me lately." Which of the following exercises suggested by the nurse would be most helpful?
a. Pelvic rocking. b. Deep breathing. c. Tailor sitting. d. Squatting Right Ans - a. Pelvic rocking.
A woman delivered a 7 lb boy spontaneous vaginal delivery 30 minutes ago. Her fundus is firm at the umbilicus and she has moderate lochia rubra. Which nursing diagnosis is highest priority as the nurse plan care?
a. Risk for infection related to episiotomy b. Constipation related to fear of pain c. Potential for impaired urinary elimination related to perennial edema d. Deficient knowledge related to lack of knowledge regarding newborn care Right Ans - c. Potential for impaired urinary elimination related to perennial edema
A woman is admitted to the hospital in labor. Vaginal examination reveals that
she is 8cm dilated. At this point in her labor, which of the following statements
would the nurse expect her to make?
a. "I can't decide to what to name my baby." b. "It feels good to push with each contraction." c. "Take your hand off my stomach when I have contraction." d. "This isn't as bad as I expected." Right Ans - c. "Take your hand off my stomach when I have contraction."
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