Chapter 22 Test Bank Exam Questions
with Complete Answers
A nurse is assessing a postpartum woman. Which finding would cause the nurse to
be the most concerned?
A) Leg pain on ambulation with mild ankle edema
B) Calf pain with dorsiflexion of the foot.
C) Perineal pain with swelling along the episiotomy
D) Sharp stabbing chest pain with shortness of breath - Answer-D
A woman experiencing postpartum hemorrhage is ordered to receive a uterotonic
agent. Which of the following would the
nurse least expect to administer?
A) Oxytocin
B) Methylergonovine
C) Carboprost
D) Terbutalin - Answer-D
Which of the following would be most appropriate when massaging a woman's
fundus?
a) Place the hands on the sides of the abdomen to grasp the uterus.
B) Use an up-and-down motion to massage the uterus.
C) Wait until the uterus is firm to express clots.
D) Continue massaging the uterus for at least 5 minutes. - Answer-C
After teaching a woman with a postpartum infection about care after discharge,
which client statement indicates the need
for additional teaching?
A) "I need to call my doctor if my temperature goes above 100.4° F."
B) "When I put on a new pad, I'll start at the back and go forward."
C) "If I have chills or my discharge has a strange odor, I'll call my doctor."
D) "I'll point the spray of the peribottle so the water flows front to back." - Answer-B
A nurse suspects that a postpartum client is experiencing psychosis. Which of the
following would most likely lead the nurse to suspect this condition?
A) Delirium
B) Feelings of anxiety
C) Sadness
D) Insomnia - Answer-A
A postpartum woman is diagnosed with metritis. The nurse interprets this as an
infection involving which of the following?
(Select all that apply.)
, A) Endometrium
B) Decidua
C) Myometrium
D) Broad ligament
E) Ovaries
F) Fallopian tubes - Answer-A, B, C
A group of nursing students are reviewing information about mastitis and its causes.
The students demonstrate
understanding of the information when they identify which of the following as the
most common cause?
A) E. coli
B) S. aureus
C) Proteus
D) Klebsiella - Answer-B
A home health care nurse is assessing a postpartum woman who was discharged 2
days ago. The woman tells the nurse that she has a low-grade fever and feels
"lousy." Which of the following findings would lead the nurse to suspect metritis?
(Select all that apply.)
A) Lower abdominal tenderness
B) Urgency
C) Flank pain
D) Breast tenderness
E) Anorexia - Answer-A, E
A postpartum client comes to the clinic for her routine 6-week visit. The nurse
assesses the client and suspects that she is
experiencing subinvolution based on which of the following?
A) Nonpalpable fundus
B) Moderate lochia serosa
C) Bruising on arms and legs
D) Fever - Answer-B
Assessment of a postpartum client reveals a firm uterus with bright-red bleeding and
a localized bluish bulging area just under the skin at the perineum. The woman also
is complaining of significant pelvic pain and is experiencing problems with
voiding. The nurse suspects which of the following?
A) Hematoma
B) Laceration
C) Bladder distention
D) Uterine atony - Answer-A
A postpartum woman is ordered to receive oxytocin to stimulate the uterus to
contract. Which of the following would be
with Complete Answers
A nurse is assessing a postpartum woman. Which finding would cause the nurse to
be the most concerned?
A) Leg pain on ambulation with mild ankle edema
B) Calf pain with dorsiflexion of the foot.
C) Perineal pain with swelling along the episiotomy
D) Sharp stabbing chest pain with shortness of breath - Answer-D
A woman experiencing postpartum hemorrhage is ordered to receive a uterotonic
agent. Which of the following would the
nurse least expect to administer?
A) Oxytocin
B) Methylergonovine
C) Carboprost
D) Terbutalin - Answer-D
Which of the following would be most appropriate when massaging a woman's
fundus?
a) Place the hands on the sides of the abdomen to grasp the uterus.
B) Use an up-and-down motion to massage the uterus.
C) Wait until the uterus is firm to express clots.
D) Continue massaging the uterus for at least 5 minutes. - Answer-C
After teaching a woman with a postpartum infection about care after discharge,
which client statement indicates the need
for additional teaching?
A) "I need to call my doctor if my temperature goes above 100.4° F."
B) "When I put on a new pad, I'll start at the back and go forward."
C) "If I have chills or my discharge has a strange odor, I'll call my doctor."
D) "I'll point the spray of the peribottle so the water flows front to back." - Answer-B
A nurse suspects that a postpartum client is experiencing psychosis. Which of the
following would most likely lead the nurse to suspect this condition?
A) Delirium
B) Feelings of anxiety
C) Sadness
D) Insomnia - Answer-A
A postpartum woman is diagnosed with metritis. The nurse interprets this as an
infection involving which of the following?
(Select all that apply.)
, A) Endometrium
B) Decidua
C) Myometrium
D) Broad ligament
E) Ovaries
F) Fallopian tubes - Answer-A, B, C
A group of nursing students are reviewing information about mastitis and its causes.
The students demonstrate
understanding of the information when they identify which of the following as the
most common cause?
A) E. coli
B) S. aureus
C) Proteus
D) Klebsiella - Answer-B
A home health care nurse is assessing a postpartum woman who was discharged 2
days ago. The woman tells the nurse that she has a low-grade fever and feels
"lousy." Which of the following findings would lead the nurse to suspect metritis?
(Select all that apply.)
A) Lower abdominal tenderness
B) Urgency
C) Flank pain
D) Breast tenderness
E) Anorexia - Answer-A, E
A postpartum client comes to the clinic for her routine 6-week visit. The nurse
assesses the client and suspects that she is
experiencing subinvolution based on which of the following?
A) Nonpalpable fundus
B) Moderate lochia serosa
C) Bruising on arms and legs
D) Fever - Answer-B
Assessment of a postpartum client reveals a firm uterus with bright-red bleeding and
a localized bluish bulging area just under the skin at the perineum. The woman also
is complaining of significant pelvic pain and is experiencing problems with
voiding. The nurse suspects which of the following?
A) Hematoma
B) Laceration
C) Bladder distention
D) Uterine atony - Answer-A
A postpartum woman is ordered to receive oxytocin to stimulate the uterus to
contract. Which of the following would be
