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Maternity Exam 3 Practice Questions & actual answers.
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Maternity Exam 3 Practice Questions &actual answers.
The postpartum nurse is assessing a patient who delivered a full-term healthy infant 4 hours ago. The
patient's temperature is 100.2˚F. Which of the following nursing actions would be most appropriate?
A. Draw blood cultures
B. Notify the physician
C. Initiate antibiotic therapy
D. Encourage po fluids ANS - D
The nurse is assessing a patient who delivered 48 hours ago via cesarean delivery. What findings by the
nurse would be expected?
A. Uterus 3 cm above the umbilicus; lochia rubra
B. Uterus at the umbilicus; lochia serosa
C. Uterus 2 cm below the umbilicus; lochia rubra
D. Uterus 4 cm below the umbilicus; lochia alba ANS - C
The nurse is caring for a postpartum patient who has chosen not to breastfeed. What should the nurse
include in patient teaching to promote lactation suppression?
A. Apply warm compresses to the breasts
B. Wear a tight fitting bra
C. Pump the breasts only bid
D. Increase fluid intake ANS - B
What information about sexual activity would the nurse include in postpartum teaching?
A. Interest in sexual activity may increase due to hormonal fluctuations
B. Lubricants are not necessary due to the increased vaginal mucus
C. Sexual intercourse should be avoided until vaginal bleeding has ceased
D. Natural family planning is the best method to avoid pregnancy in the postpartum period ANS - C
, A postpartum mother appears very pale and states she is bleeding heavily. What should the nurse do
first?
A. Call the physician immediately
B. Administer Methylerogonovine 0.2mg IM
C. Assess the uterine fundus and determine when the patient voided last
D. Reassure the patient this a normal postpartum finding ANS - C
The nurse is educating a Graduate Nurse on appropriate fundal massage technique. Which statement by
the Graduate Nurse indicates understanding of correct fundal massage technique?
A. Placing continuous two-handed pressure on the uterus until the bleeding stops
B. One hand anchors the lower uterine segments while the other hand gently massage the fundus
C. Placing one hand firmly on the fundus until clots are expressed
D. Applying bimanual pressure to the uterus ANS - B
One the 2nd day postpartum following a cesarean birth, a patient exhibits hypotension, dyspnea,
hemoptysis, and chest pain. The nurse recognizes these as signs and symptoms of which complication?
A. Endometritis
B. Pulmonary emboli
C. Sepsis
D. Atelectasis ANS - B
Which teaching would the nurse provide in educating the patient on preventing the development of
deep vein thrombosis in the postpartum period? Select all that apply
A. Early ambulation
B. Bed rest
C. Importance of sequential compression devices
D. Sit with legs crossed
E. Avoid elevation of the legs ANS - A, C
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