NUR 230
NUR 230 EXAM 2 QUESTIONS AND ANSWERS
A breastfeeding client is day 4 post Cesarean delivery.
Current VS are temp. 99.8, RR 20, HR 88, and BP 118/60.
What is the priority in this scenario?
A. Massage the fundus
B. Notify the physician
C. Reassess thr client's temp in 30 minutes
D. Assess the client's breasts for engorgement. - correct answer
D
During a postpartum assessment, a cluster of
hemorrhoids are noted in a G1P1 who delivered vaginally
with a superficial perineal laceration. Which of the
following would be appropriate for the nurse to include
in the women's health teaching? SATA
,NUR 230
A. The client should use a site bath three times a day for
relief.
B. The client should apply a topical anesthetic as a relief
measure.
C. The client should massage the hemorrhoids daily.
D. The client should be advised that the hemorrhoids will
increase in size and number with each subsequent
pregnancy.
E. The client can use the side lying position to relieve
pressure on the hemorrhoids.
F. The client should use witch hazel pads to soothe the
area. - correct answer A, B, E, F
Which is the best intervention to help prevent
development of postpartum thrombophlebitis after an
uncomplicated vaginal delivery?
A. Promote adequate oral fluid intake
B. Promote early and frequent ambulation
C. Place sequential compression devices on all patients
D. Administer subcutaneous low molecular weight
heparin - correct answer B
,NUR 230
A G6 P4114 is 1/2 hour post spontaneous vaginal delivery
of a 440 grams baby. Initially, which complication should
the nurse monitor considering this patient scenario?
A. Maternal hypoglycemia
B. Maternal hyperglycemia
C. Maternal VTE
D. Maternal uterine atony - correct answer D
The nurse is teaching a postpartum mother about
changes in the postpartum period. The nurse recognized
the mother needs additional teaching when the mother
states: SATA
A. I need to begin sitz baths within 12 hours of birth if I
have an episiotomy or a repaired laceration.
B. Tylenol is the preferred pain medication for
breastfeeding mothers.
C. I should void spontaneously within 6-8 hours after
birth.
D. I need an additional 1000 kcal/day as a breastfeeding
mother. - correct answer A, B, D
, NUR 230
Which of the following is NOT a symptom of a vaginal
hematoma?
A. Normal-apprearing vulva with either no lacerations or
normal-appearing, repaired laceration/episiotomy.
B. Pain that is greater that expected for the client's
circumstances.
C. A bluish mass protruding from the vagina.
D. Blood loss as indicated by lab results that is greater
than expected based on EBL at delivery. - correct answer C
What is the nurse's priority is a vaginal hematoma is
suspected?
A. Apply ice to the perineum.
B. Apply a warm compress to the perineum.
C. Monitor the bluish mass to determine whether it is
enlarging.
D. Notify the provider. - correct answer D
NUR 230 EXAM 2 QUESTIONS AND ANSWERS
A breastfeeding client is day 4 post Cesarean delivery.
Current VS are temp. 99.8, RR 20, HR 88, and BP 118/60.
What is the priority in this scenario?
A. Massage the fundus
B. Notify the physician
C. Reassess thr client's temp in 30 minutes
D. Assess the client's breasts for engorgement. - correct answer
D
During a postpartum assessment, a cluster of
hemorrhoids are noted in a G1P1 who delivered vaginally
with a superficial perineal laceration. Which of the
following would be appropriate for the nurse to include
in the women's health teaching? SATA
,NUR 230
A. The client should use a site bath three times a day for
relief.
B. The client should apply a topical anesthetic as a relief
measure.
C. The client should massage the hemorrhoids daily.
D. The client should be advised that the hemorrhoids will
increase in size and number with each subsequent
pregnancy.
E. The client can use the side lying position to relieve
pressure on the hemorrhoids.
F. The client should use witch hazel pads to soothe the
area. - correct answer A, B, E, F
Which is the best intervention to help prevent
development of postpartum thrombophlebitis after an
uncomplicated vaginal delivery?
A. Promote adequate oral fluid intake
B. Promote early and frequent ambulation
C. Place sequential compression devices on all patients
D. Administer subcutaneous low molecular weight
heparin - correct answer B
,NUR 230
A G6 P4114 is 1/2 hour post spontaneous vaginal delivery
of a 440 grams baby. Initially, which complication should
the nurse monitor considering this patient scenario?
A. Maternal hypoglycemia
B. Maternal hyperglycemia
C. Maternal VTE
D. Maternal uterine atony - correct answer D
The nurse is teaching a postpartum mother about
changes in the postpartum period. The nurse recognized
the mother needs additional teaching when the mother
states: SATA
A. I need to begin sitz baths within 12 hours of birth if I
have an episiotomy or a repaired laceration.
B. Tylenol is the preferred pain medication for
breastfeeding mothers.
C. I should void spontaneously within 6-8 hours after
birth.
D. I need an additional 1000 kcal/day as a breastfeeding
mother. - correct answer A, B, D
, NUR 230
Which of the following is NOT a symptom of a vaginal
hematoma?
A. Normal-apprearing vulva with either no lacerations or
normal-appearing, repaired laceration/episiotomy.
B. Pain that is greater that expected for the client's
circumstances.
C. A bluish mass protruding from the vagina.
D. Blood loss as indicated by lab results that is greater
than expected based on EBL at delivery. - correct answer C
What is the nurse's priority is a vaginal hematoma is
suspected?
A. Apply ice to the perineum.
B. Apply a warm compress to the perineum.
C. Monitor the bluish mass to determine whether it is
enlarging.
D. Notify the provider. - correct answer D
