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A postpartum woman complains of excruciating and pressure
in the perineal area. She is restless, her pulse is 120, and
respirations are 26 per min. Her
fundus is firm at the umbilicus with small to moderate rubra
lochia. The nurse should suspect - ANSWER-Hematoma
A woman who is 3 hours postpartum has trickling of bright red
blood from her
vagina. Her fundus is firm and 2 fingers below the
umbilicus. She denies
discomfort. this is indicative of - ANSWER-genital
tract lacerations
At 48 hours postpartum. A cesarean section for failure to
progress has a temperature of 100.8 and 101 on two occasions
6 hours apart. This is indicative of - ANSWER-Infection
A neonate has a flat pink lesion on the nose. The lesion has
diffuse borders, blanch with pressure and become pinker with
crying. The nurse should suspect
- ANSWER-Nevvus simplex
,What describes the normal newborn's urinary function after
birth? - ANSWER-
The neonate is able to dilute but has limited ability to
concentrate urine
Normal initial responses of a 2 year old sibling to the
newborn include -
ANSWER-Regress
eating
The primary indication for the use of magnesium sulfate in
preeclampsia is -
ANSWER-Seizure
prophylaxis
After vacuum extraction, the term neonate is at risk for
hypovolemic shock due
to - ANSWER-Subgaleal
hematoma
A neonate is born with meconium stained fluid, has good
respiratory effort, good
tone and heart rate of 102 bpm. The most appropriate
action to take is -
ANSWER-Clear mouth and nose of
secretions
,Late fetal heart rate decelerations - ANSWER-placental
insufficiency
The recommended treatment for the newborn with breastfeeding
jaundice is to -
ANSWER-Feed the baby frequently (at least 8-12
feedings in 24 hours
A woman with poly cystic ovarian syndrome (PCOS) asks the
nurse if this disease can have an effect on breast milk supply.
the nurse responds based on the knowledge that milk supply in
women with PCOS has been observed to be - ANSWER-
Insufficient even with optimal breastfeeding practices
An African American mother is concerned about the four cafe
au lair spots on her infants buttocks. The nurse should advise
the mother that these spots are - ANSWER-Not harmful
It is noted in RH negative postpartum woman's chart that she
was antibody positive and showed prior sensitization. Based
on this information the nurse knows that she should -
ANSWER-Not receive rhogam
A one day old neonate has a respiratory rate of 60 breaths per
minute. breathing is primarily diaphragmatic, shallow and
irregular, and periodic respiratory pauses occur that last about
10 seconds. the nurse should recognize that - ANSWER-This is
normal for a neonate at this age
, Physical examination of a newborns head shows a fluctuant
swelling crossing suture lines with extension into the neck with
mild putting edema. The nurse should recognize that -
ANSWER-The blood pressure should be monitored closely
Metatarsus adductus - ANSWER-most common deformity of
the foot, marked
by the middle bones of the foot pointing in
toward the body
Which of the following en is most likely to experience the
strongest afterbirth
pains - ANSWER-Breastfeeding mother after
her 3rd baby
The interactive process of the father with the newborn is
termed - ANSWER-
engrossment
A term, healthy infant who has been breastfeeding well
develops jaundice on
day 5 of life. The bilirubin peaks on day 14. This type of
jaundice is called -
ANSWER-Breast milk
jaundice
A neonate was born to a mother who acquired varicella 4 days
prior to delivery.