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OB Exam 3 High-Risk Postpartum
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OB Exam 3 High-Risk Postpartum Postpartum Nursing Care and Client Assessments Postpartum Education for Gestational Diabetic Client - Question: What statement should the nurse appropriately make to a client with gestational diabetes who delivered yesterday? - 1. "Check your blood glucose level...

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  • August 20, 2024
  • 25
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • ob exam 3 high risk postpartum

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  • OB Exm 3 High-Risk Postpartum
  • OB Exm 3 High-Risk Postpartum

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OB Exam 3 High-Risk Postpartum
Postpartum Nursing Care and Client Assessments



Postpartum Education for Gestational Diabetic Client

- Question: What statement should the nurse appropriately make to a client with gestational diabetes
who delivered yesterday?

- 1. "Check your blood glucose levels five times a day until your 6-week follow-up."

- 2. "I'll teach you how to administer insulin before you leave."

- 3. "Regular exercise will help prevent you from developing diabetes in the future." ✔️

- 4. "Your baby needs to be checked every six months for juvenile diabetes."



Blood Transfusion Reactions

- Question: A client receiving a blood transfusion after a hysterectomy reports sudden back pain. Which
statement indicates the infusion should be stopped immediately?

- 1. "My lower back hurts all of a sudden." ✔️

- 2. "My hands feel very cold."

- 3. "I feel like my heart is racing."

- 4. "I have the urge to have a bowel movement."



Monitoring Side Effects of Hemabate (Carboprost)

- Question: After a client receives Hemabate for uterine atony, which side effects should the nurse
watch for? (Select all that apply)

- 1. Hyperthermia ✔️

- 2. Diarrhea ✔️

- 3. Hypotension

- 4. Palpitations

- 5. Anasarca



Postpartum Bleeding Concerns

,- Question: A 2-week postpartum client reports a sudden increase in vaginal bleeding after previously
having a whitish discharge. How should the nurse respond?

- 1. "That's normal; you're likely starting your menstrual cycle again."

- 2. "You should remain on complete bed rest until the bleeding stops."

- 3. "Straining during bowel movements might have weakened your stitches."

- 4. "The doctor should evaluate you; please head to the emergency department." ✔️



Postpartum Assessment and Actions

- Question: A postpartum patient who delivered 4 hours ago has a firm uterus with heavy lochia. What is
the appropriate nursing action?

- 1. Massage the uterus.

- 2. Notify the obstetrician. ✔️

- 3. Administer an oxytocic as ordered.

- 4. Help the client to the bathroom.



Magnesium Sulfate Monitoring

- Question: A client on magnesium sulfate for severe preeclampsia exhibits reflexes of 0 and a
respiratory rate of 10. What might contribute to these findings?

- 1. Apical heart rate of 104 bpm.

- 2. Urinary output of 240 mL over 12 hours. ✔️

- 3. Blood pressure reading of 160/120.

- 4. Temperature of 100°F.



Post-Anesthesia Nursing Care

- Question: After receiving general anesthesia for a cesarean section, which nursing intervention is
important for the postpartum client?

- 1. Position the client flat in bed.

- 2. Check for dependent edema.

- 3. Auscultate lung fields. ✔️

- 4. Assess patellar reflexes.

, Care Plan for Post-Cesarean Client

- Question: What should be included in a standard care plan for a client after a cesarean section?

- 1. Keep the client in a left lateral recumbent position.

- 2. Teach her about sitz bath use starting on the second postoperative day.

- 3. Encourage active range-of-motion exercises until she can walk. ✔️

- 4. Monitor central venous pressure during the first postoperative day.



Post-Cesarean Administration of Benadryl

- Question: After giving Benadryl to a post-cesarean patient experiencing side effects from morphine,
which action should the nurse take next?

- 1. Monitor hourly urinary output.

- 2. Supervise her while she holds her newborn. ✔️

- 3. Position her slightly elevated on her left side.

- 4. Ask visitors to leave the room.



Signs of Puerperal Infection

- Question: When should the nurse suspect a puerperal infection in a client?

- 1. Temperature of 100.2°F.

- 2. White blood cell count at 14,500 cells/mm³.

- 3. Experiencing diaphoresis at night.

- 4. Presence of malodorous lochial discharge. ✔️



Rubella Vaccine Side Effects

- Question: What side effect should the nurse notify a breastfeeding client about after receiving the
rubella vaccine?

- 1. The baby may develop a rash a week post-vaccine.

- 2. The baby may temporarily refuse breast milk.

- 3. The mother might experience a sudden drop in milk supply.

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