NURS 1230 EXAM 2 UPDATED ACTUAL QUESTIONS AND CORRECT ANSWERS

NURS 1230 EXAM 2 UPDATED ACTUAL QUESTIONS AND
CORRECT ANSWERS

Question:
1. A nurse is assessing a client who is 12 hours postpartum. Where should the nurse expect to locate the
fundus?
Answer:
At the level of the umbilicus

Question:
2. A nurse is caring for a client who had a vaginal delivery 2 hours ago. The client's perineal pad is soaked
with lochia rubra after 15 minutes, and she reports feeling dizzy. What is the nurse's first action?
Answer:
Massage the client's fundus

Question:
3. A client at her 6-week postpartum visit reports that she is feeling overwhelmed, has little interest in
activities she used to enjoy, and has been crying frequently. What is the priority nursing intervention?
Answer:
Refer the client for a mental health evaluation

Question:
4. A nurse is caring for a newborn who is 4 hours old. The nurse notes that the infant has cyanosis,
tachypnea, nasal flaring, and grunting. What is the priority nursing action?
Answer:
Administer oxygen and notify the health care provider

Question:
5. A nurse is caring for a client experiencing postpartum hemorrhage. Despite fundal massage and
oxytocin administration, the bleeding continues. Which medication should the nurse anticipate
administering next?
Answer:
Methergine

Question:
6. A nurse is caring for a newborn diagnosed with transient tachypnea of the newborn. Which of the
following interventions should the nurse anticipate?
Answer:
supportive care with oxygen and monitoring

Question:
7. A nurse is caring for a client who is 2 days postpartum and breastfeeding. The client complains of breast
engorgement. Which of the following actions should the nurse recommend to alleviate the discomfort?
Answer:
applying cold compress to the breasts

, Question:
8. A nurse is assessing a client 4 hours postpartum. The client's blood pressure is 90/50 mm/Hg, her heart
rate is 120 beats per minutes, and she reports feeling lightheaded. The nurse notes a large amount of bright
red bleeding with clots. What should be the nurses' first action?
Answer:
Begin fundal massage

Question:
9. A client who is 2 weeks postpartum tells the nurse, "I feel so sad all the time and I don't think I can take
of my baby." What is the nurse's priority intervention?
Answer:
Perform a thorough psychosocial assessment

Question:
10. A newborn is admitted to the NICU with meconium aspiration syndrome. Which of the following is the
priority nursing action?
Answer:
Suction the newborn's airway immediately

Question:
11. A nurse is preparing to administer carboporst (Hemabate) to a postpartum client experiencing
hemorrhage. Which of the following client conditions would be a contraindication for the medication?
Answer:
asthma

Question:
12. A nursing is caring for a 2-day-old newborn whose bilirubin in 14 mg/dL. The healthcare provider
orders phototherapy. What is the most important nursing intervention during phototherapy?
Answer:
Reposition the newborn every 2 hours

Question:
13. A client is being discharged following a cesarian section. The nurse in providing discharge teaching
about postpartum depression, Which statement by the client indicates an understanding of the teaching?
Answer:
"I should call my doctor if I feel overwhelmed and unable to care for my baby?"

Question:
14. A nurse is assessing a newborn diagnosed with neonatal abstinence syndrome (NAS). Which of the
following findings should the nurse expect?
Answer:
Hyperactive moro reflex

Question:
15. A nurse is assessing a postpartum client with a history of a retained placenta. Which of the following
signs should alert the nurse to a potential retained placental fragment?