N144 Week 1 Elsevier Skills Modules Exam
Questions With Complete Solutions
As the nurse is performing an initial postpartum fundal check, the
| | | | | | | | | | |
patient asks what the nurse is feeling for. Which would be the most
| | | | | | | | | | | | |
appropriate response from the nurse? | | | |
A. "I'm checking your uterus. It should be soft, and the top should be
| | | | | | | | | | | | | |
just above your navel."
| | |
B. "I'm checking your uterus. It should be soft, and the top should be at
| | | | | | | | | | | | | | |
or just below your navel."
| | | |
C. "I'm checking your uterus. It should be firm, and the top should be
| | | | | | | | | | | | | |
above your navel."| |
D. "I'm checking your uterus. It should be firm, and the top should be at
| | | | | | | | | | | | | | |
or just below your navel."
| | | |
D. “I’m checking your uterus. It should be firm, and the top should be at
| | | | | | | | | | | | | | |
or just below your navel.”
| | | |
Rationale: The fundus should be at midline, firm, and at or below the
| | | | | | | | | | | | |
umbilicus. In some cases, the nurse may find the fundus above the
| | | | | | | | | | | |
umbilicus (e.g., after delivery of a large-for-gestational-age newborn or
| | | | | | | | |
with multiparity); however, this finding should always be investigated
| | | | | | | | |
further. A boggy fundus is not a normal finding and requires further
| | | | | | | | | | | |
interventions.
,While assessing the perineum of a patient who has recently delivered a
| | | | | | | | | | | |
newborn, the nurse notices that the perineal pad is approximately 50%
| | | | | | | | | | |
saturated. Which assessment will best help determine the amount of
| | | | | | | | | |
bleeding in this patient? | | |
A. How long the perineal pad has been in place
| | | | | | | | |
B. Whether clots are present
| | | |
C. The source of bleeding
| | | |
D. The patient's normal bleeding amount during menstruation
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A. How long the perineal pad has been in place
| | | | | | | | |
Rationale: The nurse needs to determine how long the perineal pad has
| | | | | | | | | | | |
been in place before determining the amount of bleeding that has
| | | | | | | | | | |
occurred. The nurse should also assess for the presence of clots and for
| | | | | | | | | | | | |
the source of bleeding; however, neither this information nor the
| | | | | | | | | |
patient’s menstrual history will change the quantification process.
| | | | | | |
,A primipara delivered a newborn by vaginal birth 2 days ago. The
| | | | | | | | | | | |
patient reports pain in the area of the episiotomy and last had
| | | | | | | | | | | |
ibuprofen 3 hours ago. Which intervention would be most appropriate?
| | | | | | | | |
A. Encouraging rest
| |
B. Offering to help reposition to a prone position
| | | | | | | |
C. Offering to help with breastfeeding
| | | | |
D. Offering to assist with a sitz bath
| | | | | | |
D. Offering to assist with a sitz bath
| | | | | | |
Rationale: Using nonpharmacologic as well as pharmacologic
| | | | | | |
interventions is appropriate to manage postpartum pain; a warm sitz
| | | | | | | | | |
bath will increase blood flow to the area, decrease local discomfort, and
| | | | | | | | | | |
|promote healing. It is most effective after 24 hours. A simple
| | | | | | | | | | |
nonpharmacologic method of pain relief for an episiotomy or | | | | | | | | |
lacerations is to encourage the patient to be side lying when possible.
| | | | | | | | | | | |
Lying in a prone position helps ease the discomfort associated with
| | | | | | | | | | |
uterine contractions (afterpains). Although assisting with breastfeeding
| | | | | | |
is always important, that has no impact on episiotomy pain. Rest is
| | | | | | | | | | | |
important in the postpartum period, but it may not relieve the patient’s
| | | | | | | | | | | |
pain.
, The nurse has completed an assessment of the patient's fundus and
| | | | | | | | | | |
bladder. What should the nurse ask the patient to do to prepare for
| | | | | | | | | | | | |
inspection of the perineum? | | |
A. Turn to the side and flex the upper leg.
| | | | | | | | |
B. Lie supine, bring up both legs, and let the knees relax to the sides.
| | | | | | | | | | | | | |
C. Lie supine and lift the legs.
| | | | | |
D. Pull back the perineal pad.
| | | | |
A. Turn to the side and flex the upper leg.
| | | | | | | | |
Rationale: The optimal patient positioning to inspect the perineum is
| | | | | | | | | |
with the patient side lying with the upper leg flexed. The other positions
| | | | | | | | | | | |
will provide only a partial view of the perineum.
| | | | | | | | |
Because of cardiovascular and hematologic changes during pregnancy
| | | | | | | |
and in the postpartum period, what should the nurse look for during
| | | | | | | | | | | |
assessment of the lower extremities? | | | |
A. Redness
|
B. Edema, redness, and warmth
| | | |
C. Erythema and ecchymosis
| | |
Questions With Complete Solutions
As the nurse is performing an initial postpartum fundal check, the
| | | | | | | | | | |
patient asks what the nurse is feeling for. Which would be the most
| | | | | | | | | | | | |
appropriate response from the nurse? | | | |
A. "I'm checking your uterus. It should be soft, and the top should be
| | | | | | | | | | | | | |
just above your navel."
| | |
B. "I'm checking your uterus. It should be soft, and the top should be at
| | | | | | | | | | | | | | |
or just below your navel."
| | | |
C. "I'm checking your uterus. It should be firm, and the top should be
| | | | | | | | | | | | | |
above your navel."| |
D. "I'm checking your uterus. It should be firm, and the top should be at
| | | | | | | | | | | | | | |
or just below your navel."
| | | |
D. “I’m checking your uterus. It should be firm, and the top should be at
| | | | | | | | | | | | | | |
or just below your navel.”
| | | |
Rationale: The fundus should be at midline, firm, and at or below the
| | | | | | | | | | | | |
umbilicus. In some cases, the nurse may find the fundus above the
| | | | | | | | | | | |
umbilicus (e.g., after delivery of a large-for-gestational-age newborn or
| | | | | | | | |
with multiparity); however, this finding should always be investigated
| | | | | | | | |
further. A boggy fundus is not a normal finding and requires further
| | | | | | | | | | | |
interventions.
,While assessing the perineum of a patient who has recently delivered a
| | | | | | | | | | | |
newborn, the nurse notices that the perineal pad is approximately 50%
| | | | | | | | | | |
saturated. Which assessment will best help determine the amount of
| | | | | | | | | |
bleeding in this patient? | | |
A. How long the perineal pad has been in place
| | | | | | | | |
B. Whether clots are present
| | | |
C. The source of bleeding
| | | |
D. The patient's normal bleeding amount during menstruation
| | | | | | |
A. How long the perineal pad has been in place
| | | | | | | | |
Rationale: The nurse needs to determine how long the perineal pad has
| | | | | | | | | | | |
been in place before determining the amount of bleeding that has
| | | | | | | | | | |
occurred. The nurse should also assess for the presence of clots and for
| | | | | | | | | | | | |
the source of bleeding; however, neither this information nor the
| | | | | | | | | |
patient’s menstrual history will change the quantification process.
| | | | | | |
,A primipara delivered a newborn by vaginal birth 2 days ago. The
| | | | | | | | | | | |
patient reports pain in the area of the episiotomy and last had
| | | | | | | | | | | |
ibuprofen 3 hours ago. Which intervention would be most appropriate?
| | | | | | | | |
A. Encouraging rest
| |
B. Offering to help reposition to a prone position
| | | | | | | |
C. Offering to help with breastfeeding
| | | | |
D. Offering to assist with a sitz bath
| | | | | | |
D. Offering to assist with a sitz bath
| | | | | | |
Rationale: Using nonpharmacologic as well as pharmacologic
| | | | | | |
interventions is appropriate to manage postpartum pain; a warm sitz
| | | | | | | | | |
bath will increase blood flow to the area, decrease local discomfort, and
| | | | | | | | | | |
|promote healing. It is most effective after 24 hours. A simple
| | | | | | | | | | |
nonpharmacologic method of pain relief for an episiotomy or | | | | | | | | |
lacerations is to encourage the patient to be side lying when possible.
| | | | | | | | | | | |
Lying in a prone position helps ease the discomfort associated with
| | | | | | | | | | |
uterine contractions (afterpains). Although assisting with breastfeeding
| | | | | | |
is always important, that has no impact on episiotomy pain. Rest is
| | | | | | | | | | | |
important in the postpartum period, but it may not relieve the patient’s
| | | | | | | | | | | |
pain.
, The nurse has completed an assessment of the patient's fundus and
| | | | | | | | | | |
bladder. What should the nurse ask the patient to do to prepare for
| | | | | | | | | | | | |
inspection of the perineum? | | |
A. Turn to the side and flex the upper leg.
| | | | | | | | |
B. Lie supine, bring up both legs, and let the knees relax to the sides.
| | | | | | | | | | | | | |
C. Lie supine and lift the legs.
| | | | | |
D. Pull back the perineal pad.
| | | | |
A. Turn to the side and flex the upper leg.
| | | | | | | | |
Rationale: The optimal patient positioning to inspect the perineum is
| | | | | | | | | |
with the patient side lying with the upper leg flexed. The other positions
| | | | | | | | | | | |
will provide only a partial view of the perineum.
| | | | | | | | |
Because of cardiovascular and hematologic changes during pregnancy
| | | | | | | |
and in the postpartum period, what should the nurse look for during
| | | | | | | | | | | |
assessment of the lower extremities? | | | |
A. Redness
|
B. Edema, redness, and warmth
| | | |
C. Erythema and ecchymosis
| | |
