OB CMS
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1. Lochia that is bright red B
and contains small clots.
Which of the following The client has moderate lochia rubra containing
findings should the nurse small clots, which is an expected finding for the
document in the client's second day postpartum.
medical record?
A. Moderate lochia rubra
B. Excessive lochia serosa
C. Light lochia rubra
D. Scant lochia serosa
2. During ambulation to the C
bathroom, a postpartum
client experiences a gush Lochia typically trickles from the vaginal open-
of dark red blood that soon ing but flows more steadily during uterine con-
stops. On data collection, tractions. Massaging the uterus or ambulation
a nurse finds the uterus can result in a gush of lochia with the expression
to be firm, midline, and of clots and dark blood that has been pooled in
at the level of the umbili- the vagina, but it should soon decrease back to
cus. Which of the following a trickle of bright red lochia in the early puerperi-
findings should the nurse um.
interpret this data as be-
ing?
A. Evidence of a possible
vaginal hematoma
B. An indication of a cervi-
cal or perineal laceration
C. A normal postural dis-
charge of lochia
D. Abnormally excessive
lochia rubra flow
3. A nurse is reinforcing post- B
partum discharge teaching
to a client who had no im- A second varicella immunization is needed at 4
munity to varicella and was to 8 weeks following delivery by clients who had
given the varicella vaccine. no history of immunity.
, OB CMS
Study online at https://quizlet.com/_cq5p65
Which of the following
statements by the client in-
dicates. understanding?
A) "I will need to use con-
traception for 3 months be-
fore considering pregnan-
cy."
B) "I need a second vac-
cination at my postpartum
visit."
C) "I was given the vaccine
because my baby is O-pos-
itive."
D) " will be tested in 3
months to see if I have de-
veloped immunity."
4. A nurse is reinforcing dis- C
charge instructions for a
client. At 4 weeks postpar- Indication of mastitis
tum, the client should con-
tact the provider for which
of the following client find-
ings?
A. Scant, nonodorous
white vaginal discharge
B. Uterine cramping during
breastfeeding
C. Sore nipple with cracks
and fissures
D. Decreased response
with sexual activity
5. A nurse is reviewing the D
medical record of a new-
born who has necrotiz- Preterm birth places an infant at risk for NEC
ing enterocolitis (NEC).
, OB CMS
Study online at https://quizlet.com/_cq5p65
The nurse should identify
that which of the following
findings is a risk factor for
NEC?
A) Macrosomia
B) Transient tachypnea of
the newborn (TTN)
C) Maternal gestational hy-
pertension
D) Gestational age 36
6. A nurse is collecting B, C
data from a newborn who
has congenital hypothy-
roidism. Which of the fol-
lowing findings should the
nurse expect? (Select all
that apply.)
A) Hypertonicity
B) Cool extremities
C) Short neck
D) Tachycardia
E) Hyperreflexia
7. A nurse is reinforcing C
teaching with the parent of
a newborn who has plagio-
cephaly. Which of the fol-
lowing statements by, the
parent indicates an under-
standing of the instruc-
tions?
A) "I should put my baby
to sleep on the belly during
her afternoon nap."
B) "I should ensure my
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