376 Final Exam Practice Questions/ 133 Q&A/ . Terms like:
Sally is a G2P1102, who delivered 8 hours ago. She now has a temperature of 100.2 F. Which of the following is the appropriate nursing intervention at this time?
a) Notify the Provider to get an order for acetaminophen.
b) Request an...
376 Final Exam Practice Questions/ 133 Q&A/
2024-2025.
Sally is a G2P1102, who delivered 8 hours ago. She now has a temperature of
100.2 F. Which of the following is the appropriate nursing intervention at this
time?
a) Notify the Provider to get an order for acetaminophen.
b) Request an infectious disease consult from the Provider.
c) Provide Sally with a cool compress.
d) Encourage intake of water and other fluids. - Answer: d) Encourage intake of
water and other fluids.
In order to help to prevent infection, the nurse teaches Sally to perform which of
the following tasks?
Page 1 of 50
,a) Apply antibiotic ointment to the perineum daily.
b) Change the peripad at each voiding.
c) Void at least every two hours.
d) Spray the perineum with a povidone-iodine solution after toileting. - Answer: b)
Change the peripad at each voiding.
Sally, now 24 hours postpartum, is complaining of profuse diaphoresis. She has no
other complaints. Which of the following actions by the nurse is appropriate?
a) Take Sally's temperature.
b) Advise the woman to decrease her fluid intake.
c) Reassure Sally that this is normal.
d) Inform the neonate's pediatrician. - Answer: c) Reassure Sally that this is
normal.
During the same conversation, Sally states to her nurse, "I think that I must have a
urinary tract infection. I don't have any urgency or burning, but I do have to go to
the bathroom all the time!" Which of the following actions should the nurse take?
a) Reassure the woman that frequent urination is normal after delivery.
b) Obtain an order for a urine culture.
c) Assess the urine for cloudiness.
d) Ask the woman if she is prone to urinary tract infections. - Answer: a) Reassure
the woman that frequent urination is normal after delivery.
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,Now 2 days postpartum, Sally who is breastfeeding her baby, states "I'm sick of
being fat! When can I go on a diet?" Which of the following responses is
appropriate?
a) "It is fine for you to start dieting right now as long as you drink plenty of milk."
b) "Your breastmilk will be low in vitamins if you start to diet while breastfeeding."
c) "You must eat at least 3000 calories per day in order to produce enough milk for
your baby."
d) "Many mothers lose weight when they breastfeed because the baby consumes
about 600 calories a day." - Answer: d) "Many mothers lose weight when they
breastfeed because the baby consumes about 600 calories a day."
The nurse informs Sally that Ibuprofen is especially effective for afterbirth pains.
What is the rationale for this?
a) Ibuprofen is taken every 2 hours.
b) Ibuprofen has an antiprostaglandin effect.
c) Ibuprofen is given via the parenteral route.
d) Ibuprofen is administered in high doses. - Answer: b) Ibuprofen has an
antiprostaglandin effect.
Immediately after delivery, Mary Jane is shaking uncontrollably. Which of the
following nursing actions is most appropriate?
a) Provide Mary Jane with warm blankets.
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, b) Put Mary Jane in Trendelenburg position.
c) Notify the Provider.
d) Increase the intravenous infusion. - Answer: a) Provide Mary Jane with warm
blankets.
On Mary Jane's transfer to the postpartum unit from labor and delivery, which of
the following tasks should the nurse delegate to the nursing care assistant?
a) Assess client's fundal height.
b) Teach the client how to massage her fundus.
c) Take the client's vital signs.
d) Document in the patient's chart the quantity of lochia. - Answer: c) Take the
client's vital signs.
Mary Jane, a G2P2002, who is 6 hours postpartum from a spontaneous vaginal
delivery, is assessed. The nurse notes that the fundus is firm at the umbilicus,
there is heavy lochia, and perineal sutures are intact. Which of the following
actions should the nurse take at this time?
a) Do nothing. This is a normal finding.
b) Massage Mary Jane's fundus.
c) Take Mary Jane to the bathroom to void.
d) Notify Mary Jane's Obstetrician. - Answer: d) Notify Mary Jane's Obstetrician.
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