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...
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?
- 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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