NSG 3500 EXAM 3 ACTUAL TEST BANK
2026 REAL QUESTIONS WITH VERIFIED
ANSWERS SUCCESS PREP GRADED A+
⩥ A 3-day-postpartum client questions why she is to receive the rubella
vaccine before leaving the hospital. Which of the following rationales
should guide the nurse's response?
1.The client's obstetric status is optimal for receiving the vaccine.
2. The client's immune system is highly responsive during the
postpartum period.
3. The client's baby will be high risk for acquiring rubella if the woman
does not
receive the vaccine.
4. The client's insurance company will pay for the shot if it is given
during the
immediate postpartum period.
Answer: 1
1 This statement is correct. Because the vaccine is teratogenic, the best
time to administer it is when the client is not pregnant.
This statement is incorrect. The immune systems of women during their
pregnancies and immediately postpartum are slightly depressed.
This statement is incorrect. The baby will be susceptible to rubella
whether or not the woman receives the vaccine.In general, insurance
companies will pay for vaccinations whenever they are needed.
,⩥ A patient, G2 P1102, who delivered her baby 8 hours ago, now has a
temperature of 100.2°F. Which of the following is the appropriate
nursing intervention at this time?
1. Notify the doctor to get an order for acetaminophen.
2. Request an infectious disease consult from the doctor.
3. Provide the woman with cool compresses.
4. Encourage intake of water and other fluids.
Answer: 4
1. A temperature of 100.2°F is not a febrile temperature. It is unlikely
that this client needs acetaminophen.
2. A temperature of 100.2°F is not a febrile temperature. It is unlikely
that this client is infected.
3. A temperature of 100.2°F is not a febrile temperature. It is unlikely
that this client needs cool compresses.
4. It is likely that this client is dehydrated. She should be advised to
drink fluids.
⩥ To prevent infection, the nurse teaches the postpartum client to
perform which of the following tasks?
1. Apply antibiotic ointment to the perineum daily.
2. Change the peripad at each voiding.
3. Void at least every two hours.
4. Spray the perineum with povidone-iodine after toileting.
,Answer: 2
1. It is unnecessary to apply antibiotic ointment to the perineum after
delivery.
2. Clients should be advised to change their pads at each voiding.
3. The clients should void about every 2 hours, but this action is not an
infection control measure.
4. It is unnecessary to spray the perineum with a povidone-iodine
solution. Plain water, however, should be sprayed on the perineum.
⩥ A 3-day-postpartum breastfeeding woman is being assessed. Her
breasts are firm and warm to the touch. When asked when she last fed
the baby her reply is, "I fed the baby last evening. I let the nurses feed
him in the nursery last night. I needed to rest." Which of the following
actions should the nurse take at this time?
1. Encourage the woman exclusively to breastfeed her baby.
2. Have the woman massage her breasts hourly.
3. Obtain an order to culture her expressed breast milk.
4. Take the temperature and pulse rate of the woman.
Answer: 1
Clients should be strongly encouraged exclusively to breastfeed their
babies to prevent engorgement.Massaging of the breast will stimulate
more milk production. That is not the best action to take.
It is unnecessary to culture the breast. This client is engorged; she does
not have an infection.It is unnecessary to assess this client's temperature
and pulse rate. This client is engorged; she is not infected.
, ⩥ A breastfeeding woman has been counseled on how to prevent
engorgement. Which of the following actions by the mother shows that
the teaching was effective?
1. She pumps her breasts after each feeding.
2. She feeds her baby every 2 to 3 hours.
3. She feeds her baby 10 minutes on each side.
4. She supplements each feeding with formula.
Answer: 2
Clients are not recommended to pump their breasts after feedings unless
there is a specific reason to do so.This statement is true. The best way to
prevent engorgement is to feed the baby every 2 to 3 hours.
Clients should not restrict babies' feeding times. Babies feed at different
rates. Babies themselves, therefore, should regulate the amount of time
they need to complete their feeds.
Clients are not recommended to supplement with formula unless there is
a specific reason to do so.
⩥ A 2-day-postpartum breastfeeding woman states, "I am sick of being
fat. When can I go on a diet?" Which of the following responses is
appropriate?
1. "It is fine for you to start dieting right now as long as you drink plenty
of milk."
2. "Your breast milk will be low in vitamins if you start to diet while
breastfeeding."
2026 REAL QUESTIONS WITH VERIFIED
ANSWERS SUCCESS PREP GRADED A+
⩥ A 3-day-postpartum client questions why she is to receive the rubella
vaccine before leaving the hospital. Which of the following rationales
should guide the nurse's response?
1.The client's obstetric status is optimal for receiving the vaccine.
2. The client's immune system is highly responsive during the
postpartum period.
3. The client's baby will be high risk for acquiring rubella if the woman
does not
receive the vaccine.
4. The client's insurance company will pay for the shot if it is given
during the
immediate postpartum period.
Answer: 1
1 This statement is correct. Because the vaccine is teratogenic, the best
time to administer it is when the client is not pregnant.
This statement is incorrect. The immune systems of women during their
pregnancies and immediately postpartum are slightly depressed.
This statement is incorrect. The baby will be susceptible to rubella
whether or not the woman receives the vaccine.In general, insurance
companies will pay for vaccinations whenever they are needed.
,⩥ A patient, G2 P1102, who delivered her baby 8 hours ago, now has a
temperature of 100.2°F. Which of the following is the appropriate
nursing intervention at this time?
1. Notify the doctor to get an order for acetaminophen.
2. Request an infectious disease consult from the doctor.
3. Provide the woman with cool compresses.
4. Encourage intake of water and other fluids.
Answer: 4
1. A temperature of 100.2°F is not a febrile temperature. It is unlikely
that this client needs acetaminophen.
2. A temperature of 100.2°F is not a febrile temperature. It is unlikely
that this client is infected.
3. A temperature of 100.2°F is not a febrile temperature. It is unlikely
that this client needs cool compresses.
4. It is likely that this client is dehydrated. She should be advised to
drink fluids.
⩥ To prevent infection, the nurse teaches the postpartum client to
perform which of the following tasks?
1. Apply antibiotic ointment to the perineum daily.
2. Change the peripad at each voiding.
3. Void at least every two hours.
4. Spray the perineum with povidone-iodine after toileting.
,Answer: 2
1. It is unnecessary to apply antibiotic ointment to the perineum after
delivery.
2. Clients should be advised to change their pads at each voiding.
3. The clients should void about every 2 hours, but this action is not an
infection control measure.
4. It is unnecessary to spray the perineum with a povidone-iodine
solution. Plain water, however, should be sprayed on the perineum.
⩥ A 3-day-postpartum breastfeeding woman is being assessed. Her
breasts are firm and warm to the touch. When asked when she last fed
the baby her reply is, "I fed the baby last evening. I let the nurses feed
him in the nursery last night. I needed to rest." Which of the following
actions should the nurse take at this time?
1. Encourage the woman exclusively to breastfeed her baby.
2. Have the woman massage her breasts hourly.
3. Obtain an order to culture her expressed breast milk.
4. Take the temperature and pulse rate of the woman.
Answer: 1
Clients should be strongly encouraged exclusively to breastfeed their
babies to prevent engorgement.Massaging of the breast will stimulate
more milk production. That is not the best action to take.
It is unnecessary to culture the breast. This client is engorged; she does
not have an infection.It is unnecessary to assess this client's temperature
and pulse rate. This client is engorged; she is not infected.
, ⩥ A breastfeeding woman has been counseled on how to prevent
engorgement. Which of the following actions by the mother shows that
the teaching was effective?
1. She pumps her breasts after each feeding.
2. She feeds her baby every 2 to 3 hours.
3. She feeds her baby 10 minutes on each side.
4. She supplements each feeding with formula.
Answer: 2
Clients are not recommended to pump their breasts after feedings unless
there is a specific reason to do so.This statement is true. The best way to
prevent engorgement is to feed the baby every 2 to 3 hours.
Clients should not restrict babies' feeding times. Babies feed at different
rates. Babies themselves, therefore, should regulate the amount of time
they need to complete their feeds.
Clients are not recommended to supplement with formula unless there is
a specific reason to do so.
⩥ A 2-day-postpartum breastfeeding woman states, "I am sick of being
fat. When can I go on a diet?" Which of the following responses is
appropriate?
1. "It is fine for you to start dieting right now as long as you drink plenty
of milk."
2. "Your breast milk will be low in vitamins if you start to diet while
breastfeeding."
