NUR 221 Final Exam with comprehensive questions and answers
2024/2025
The nurse in a labor room is performing a vaginal assessment on a pregnant client in labor. The
nurse notes the presence of the umbilical cord protruding from the vagina. What is the
firstnursing action with this finding?.✔️✔️Place the client in Trendelenburg's position.
The nurse is monitoring a client in the immediate postpartum period for signs of hemorrhage.
Which sign, if noted, would be an early sign of excessive blood loss?.✔️✔️An increase in the
pulse rate from 88 to 102 beats per minute.
During the fourth stage of labor, the maternal blood pressure, pulse, and respiration should be
checked every 15 minutes during the first hour. An increasing pulse is an early sign of excessive
blood loss because the heart pumps faster to compensate for reduced blood volume.
The nurse is preparing to care for a newborn receiving phototherapy. Which interventions should
be included in the plan of care? Select all that apply..✔️✔️Monitor skin temperature closely.
Reposition the newborn every 2 hours.
Cover the newborn's eyes with eye shields or patches.
Methylergonovine is prescribed for a woman to treat postpartum hemorrhage. Before
administration of methylergonovine, what is the priority assessment?.✔️✔️Methylergonovine, an
ergot alkaloid, is used to prevent or control postpartum hemorrhage by contracting the uterus.
Methylergonovine causes continuous uterine contractions and may elevate the blood pressure. A
priority assessment before the administration of the medication is to check the blood pressure.
The obstetrician needs to be notified if hypertension is present.
Methylergonovine.✔️✔️contraindicated in clients with significant cardiovascular disease,
peripheral vascular disease, hypertension, preeclampsia, or eclampsia.
A postpartum client is attempting to breast-feed for the first time. The nurse notes that the client
has inverted nipples. What nursing action should the nurse take to assist the client in breast-
, feeding the newborn infant?.✔️✔️Provide breast shells and assist the mother with using a breast
pump before each feeding to make the nipples easier for the newborn infant to grasp.
What is uterine atony?.✔️✔️Failure of the uterus to "cramp down" and tighten after delivery
Hemorrahge medication for postpartum mom.✔️✔️Hemabate
methylergine
oxtocin
cytotec
Hemabate (Carboprost).✔️✔️do not give if you have asthma!
o Uterine Contraction / prevention of bleeding - smooth muscle contraction
use with caution on woman who have a history of:liver heart lungs disease. asthma hypertension
diabetes or uterine scarring
Methylergonovine (Methergine).✔️✔️Acts directly on the uterine muscle to stimulate forceful
contractions. Used for postpartum hemorrhage.
Precautions/interactions: use with extreme caution in clients with hypertension, preeclampsia,
heart disease, venoatrial shunts, mitral valve stenosis, sepsis, or hepatic or renal impairment.
Side effects: potential vasoconstriction, hypertension, headache. Interventions: continuously
monitor BP, assess uterine bleeding, and uterine tone.
Misoprostol (Cytotec).✔️✔️Contracts the uterus
give rectally, sublingual or PO
2024/2025
The nurse in a labor room is performing a vaginal assessment on a pregnant client in labor. The
nurse notes the presence of the umbilical cord protruding from the vagina. What is the
firstnursing action with this finding?.✔️✔️Place the client in Trendelenburg's position.
The nurse is monitoring a client in the immediate postpartum period for signs of hemorrhage.
Which sign, if noted, would be an early sign of excessive blood loss?.✔️✔️An increase in the
pulse rate from 88 to 102 beats per minute.
During the fourth stage of labor, the maternal blood pressure, pulse, and respiration should be
checked every 15 minutes during the first hour. An increasing pulse is an early sign of excessive
blood loss because the heart pumps faster to compensate for reduced blood volume.
The nurse is preparing to care for a newborn receiving phototherapy. Which interventions should
be included in the plan of care? Select all that apply..✔️✔️Monitor skin temperature closely.
Reposition the newborn every 2 hours.
Cover the newborn's eyes with eye shields or patches.
Methylergonovine is prescribed for a woman to treat postpartum hemorrhage. Before
administration of methylergonovine, what is the priority assessment?.✔️✔️Methylergonovine, an
ergot alkaloid, is used to prevent or control postpartum hemorrhage by contracting the uterus.
Methylergonovine causes continuous uterine contractions and may elevate the blood pressure. A
priority assessment before the administration of the medication is to check the blood pressure.
The obstetrician needs to be notified if hypertension is present.
Methylergonovine.✔️✔️contraindicated in clients with significant cardiovascular disease,
peripheral vascular disease, hypertension, preeclampsia, or eclampsia.
A postpartum client is attempting to breast-feed for the first time. The nurse notes that the client
has inverted nipples. What nursing action should the nurse take to assist the client in breast-
, feeding the newborn infant?.✔️✔️Provide breast shells and assist the mother with using a breast
pump before each feeding to make the nipples easier for the newborn infant to grasp.
What is uterine atony?.✔️✔️Failure of the uterus to "cramp down" and tighten after delivery
Hemorrahge medication for postpartum mom.✔️✔️Hemabate
methylergine
oxtocin
cytotec
Hemabate (Carboprost).✔️✔️do not give if you have asthma!
o Uterine Contraction / prevention of bleeding - smooth muscle contraction
use with caution on woman who have a history of:liver heart lungs disease. asthma hypertension
diabetes or uterine scarring
Methylergonovine (Methergine).✔️✔️Acts directly on the uterine muscle to stimulate forceful
contractions. Used for postpartum hemorrhage.
Precautions/interactions: use with extreme caution in clients with hypertension, preeclampsia,
heart disease, venoatrial shunts, mitral valve stenosis, sepsis, or hepatic or renal impairment.
Side effects: potential vasoconstriction, hypertension, headache. Interventions: continuously
monitor BP, assess uterine bleeding, and uterine tone.
Misoprostol (Cytotec).✔️✔️Contracts the uterus
give rectally, sublingual or PO
