NR327EXAM-CONTENT- REVIEW

Textbook Chapters: 14, 17, 19, 20, 21, 22 ATI Chapters: 17, 18, 19, 22, 23, 24, 25, 26 Fetal Heart Monitor (distress, interventions) FHM strips BUBBLE HER Postpartum Assessment (lochia, fundus position, etc) Maternal Adjustment Breastfeeding (breastmilk) Hypothermia Gestational Age Characteristics Newborn assessment (respirations, heart rate, labs, etc.) Jaundice (pathologic, physiologic) Vit K Umbilical cord care Circumcision care New mother Patient education Newborn Meconium aspiration Hyperbilirubinemia Chapter 17 1.Questions Immediately after birth, the nurse can anticipate the fundus to be located A.at the umbilicus. B.2 cm above the umbilicus. C.1 cm below the umbilicus. D.midway between the symphysis pubis and umbilicus. correct Immediately after birth the uterus is about the size of a large grapefruit and the fundus can be palpated midway between the symphysis pubis and umbilicus. Within 12 hours the fundus rises to the level of the umbilicus. By the second day, the fundus starts to descend by approximately 1 cm/day. Awarded 0.0 points out of 1.0 possible points. 2. When reading the postpartum chart the nurse notices that the patient’s fundus is recorded as “u+1.” The nurse understands that this means the fundus is A.1 cm above the umbilicus. correct Descent of the fundus is documented in relation to the umbilicus and is measured in centimeters. Numbers with a plus sign mean that the fundus is above the umbilicus; numbers with a minus sign mean that the fundus is below the umbilicus. B.1 cm below the umbilicus. C.1 inch above the umbilicus. D.1 inch below the umbilicus. Awarded 0.0 points out of 1.0 possible points. 3. 3.ID: 73 During the second postpartum day, a woman asks the nurse, “Why are my afterpains so much worse this time than after the birth of my other child?” The best answer by the nurse would be: A.“Most women forget how strong the afterpains can be.” B.“They should not be strong with you because you are breastfeeding.” C.“You should not be feeling the pains now; I will notify the physician for you.” D.“Afterpains are more severe for women who have already given birth.” correct Afterpains are more acute for multiparas because repeated stretching of muscle fibers leads to low muscle tone, which results in repeated contraction and relaxation of the uterus. Breastfeeding increases the severity of afterpains. The afterpains are self-limiting and will decrease rapidly after 48 hours. Awarded 0.0 points out of 1.0 possible points. 4. The nurse is assessing the patient’s vaginal discharge. It is red and has about a 2-inch stain on the peripad. The nurse will record this finding as a A.light amount of lochia rubra. correct Lochia rubra is red in color and occurs the first 3 or 4 days after birth. A light amount of discharge is classified as a 1- to 4-inch stain on the peripad. B.scant amount of lochia alba. C.moderate amount of lochia rubra. heavy amount of lochia alba.