VN 34 test 5 UPDATED ACTUAL Questions and CORRECT Answers
Question: Nursing care for Post partum assessment
Correct Answer: monitor breast, uterus, lochia, bladder, bowel, perineum, lower extremities, pain, lab
studies, bonding, maternal emotional statues
Question: initial physical findings in the first hour of following delivery
Correct Answer: Promoting healthy parental- newborn attachment
Question: Perineum assessment
Correct Answer: assist into sims, inspects for redness, edema, ecchymosis, if had episiotomy inspect
incision, hemorrhoids (know s/s of deep pelvis hematoma)
Question: Post partum pain
Correct Answer: Perineal pain: check for signs of hematoma, infection, swelling, condition of episiotomy,
sitz bath, and medication. do not ask about pain, do an assessment, (remember they may not have sensation)
Question: instruct to contact healthcare provider if
Correct Answer: : If had a c-section, daily inspection of incision report if incision opens report any
redness, drainage
Question: Provide nutrition education
Correct Answer: ask about pregnancy diet; give brochures that explain recommended amounts of food
group intake; explain the difference as related to breastfeeding versus non-breasting (if mom is not
breastfeeding she should decrease calorie intake)
Question: pt education for post partum constipation
Correct Answer: High fiber diet
Question: Manifestations of postpartum hemorrhage (depends on cause)
Correct Answer: Laceration (gush of bright red blood)
Question: Late postpartum hemorrhage manifestastions
Correct Answer: : increased bleeding uterus not well contracted lochia is heavier than expected backache
fatigue general malaise pelvic pain or heaviness temperature elevation (greater than or equal to 100.4)
foul-smelling lochia
Question: nursing process
Correct Answer: assessment (data collection): heavy lochia w/ large blood clots
Question: Nursing care focus
Correct Answer: goal: reduce heavy bleeding and clots
Question: Nursing care focus
Correct Answer: implementation: palpate fundus, massage fundus, administer oxytocin, encourage pt to
breastfeed
Question: Nursing care focus
Question: Nursing care for Post partum assessment
Correct Answer: monitor breast, uterus, lochia, bladder, bowel, perineum, lower extremities, pain, lab
studies, bonding, maternal emotional statues
Question: initial physical findings in the first hour of following delivery
Correct Answer: Promoting healthy parental- newborn attachment
Question: Perineum assessment
Correct Answer: assist into sims, inspects for redness, edema, ecchymosis, if had episiotomy inspect
incision, hemorrhoids (know s/s of deep pelvis hematoma)
Question: Post partum pain
Correct Answer: Perineal pain: check for signs of hematoma, infection, swelling, condition of episiotomy,
sitz bath, and medication. do not ask about pain, do an assessment, (remember they may not have sensation)
Question: instruct to contact healthcare provider if
Correct Answer: : If had a c-section, daily inspection of incision report if incision opens report any
redness, drainage
Question: Provide nutrition education
Correct Answer: ask about pregnancy diet; give brochures that explain recommended amounts of food
group intake; explain the difference as related to breastfeeding versus non-breasting (if mom is not
breastfeeding she should decrease calorie intake)
Question: pt education for post partum constipation
Correct Answer: High fiber diet
Question: Manifestations of postpartum hemorrhage (depends on cause)
Correct Answer: Laceration (gush of bright red blood)
Question: Late postpartum hemorrhage manifestastions
Correct Answer: : increased bleeding uterus not well contracted lochia is heavier than expected backache
fatigue general malaise pelvic pain or heaviness temperature elevation (greater than or equal to 100.4)
foul-smelling lochia
Question: nursing process
Correct Answer: assessment (data collection): heavy lochia w/ large blood clots
Question: Nursing care focus
Correct Answer: goal: reduce heavy bleeding and clots
Question: Nursing care focus
Correct Answer: implementation: palpate fundus, massage fundus, administer oxytocin, encourage pt to
breastfeed
Question: Nursing care focus
