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NR 327 Exam 2 Content Review Sheet With Answers (All Correct) latest update 100% guaranteed

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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. 2.ID: 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: 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. 4.ID: 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. D. heavy amount of lochia alba. Awarded 0.0 points out of 1.0 possible points. 5. 5.ID: The new mother is complaining of pain at the episiotomy site; however, because she is breastfeeding, she does not want any medication. What other alternatives can the nurse offer this mother to help relieve the pain? A. Ambulation B. Topical anesthetics Correct Topical anesthetics can be applied directly to the site to numb the area. This will not cause systemic effects like pain medications. Sitz baths may also be soothing. C. Hot fluids to drink D. Stool softeners Awarded 0.0 points out of 1.0 possible points. 6. 6.ID: A mother who is 3 days postpartum calls the clinic and complains of “night sweats.” She is afraid that she is going into early menopause. The nurse should base her answer on the fact that A. birth may put some women into early menopause; an appointment is needed to have this checked out. B. night sweats may be an indication of many other problems; an appointment is needed to assess the problem. C. diaphoresis is normal during the postpartum period, and comfort measures can be suggested to the mother. Correct Diaphoresis and diuresis rid the body of excess fluids that accumulated during the pregnancy. Diaphoresis is not clinically significant, but can be unsettling for the mother who is not prepared for it. Explanations of the cause and provision of comfort measures, such as showers and dry clothing, are generally sufficient.

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NR 327 Exam 2 Content Review
Sheet With Answers (All Correct)
latest update 100% guaranteed

NR 327

Exam 2 Content Review Sheet

****Not all inclusive**** 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




NR 327 Exam 2 Content Review
Sheet With Answers (All Correct)
latest update 100% guaranteed

, NR 327 Exam 2 Content Review
Sheet With Answers (All Correct)
latest update 100% guaranteed


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




NR 327 Exam 2 Content Review
Sheet With Answers (All Correct)
latest update 100% guaranteed

, NR 327 Exam 2 Content Review
Sheet With Answers (All Correct)
latest update 100% guaranteed
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. 2.ID: 18649223421
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: 18649222873
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.”


NR 327 Exam 2 Content Review
Sheet With Answers (All Correct)
latest update 100% guaranteed

, NR 327 Exam 2 Content Review
Sheet With Answers (All Correct)
latest update 100% guaranteed
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. 4.ID: 18649222897
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.
D. heavy amount of lochia
alba. Awarded 0.0 points out of 1.0 possible points.

5. 5.ID: 18649222891




NR 327 Exam 2 Content Review
Sheet With Answers (All Correct)
latest update 100% guaranteed

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