Maternal and Pediatric Nursing – Midterm Exam \Latest
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Which are administration ANS: A B D
guidelines for the use of When administering methlergonovine it is important for
methylergonovine when the nurse to know that a contraindication to its use is
managing postpartum pre-eclampsia and cardiac disease. The normal dose is
hemorrhage (PPH)? Select up to five doses of 0.2 mg IM every 2 to 4 hours.
all that apply. Express Adverse effects include nausea and vomiting. The drug
answer with small letters should be withheld if the maternal BP is >140/90. There
followed by a comma and a is no contraindication to its use in women with asthma as
space— that applies to the administration of tranexamic acid.
e.g. a b c. Water intoxication is an adverse effect when the woman
a. Contraindication to its
with a PPH is being managed with oxytocin not
use is pre- eclampsia. methylergonovine.
b. The woman can be
given up to five doses of
0.2 mg IM every 2 to 4
hours.
c. Withhold drug if maternal BP
is >130/85.
d. Nausea and vomiting
are adverse effects.
e. It is not to be
administered to women
with asthma.
f. Water intoxication is a
common adverse effect.
,What is the most likely cause ANS: C
of postpartum hemorrhage The most likely cause of postpartum bleeding
in a 25-year-old combined with these risk factors is uterine atony.
multiparous woman Although retained placental fragments may cause
(G3T2P0A0L2) who gave postpartum hemorrhage this typically would be
birth 4 hours ago to a detected in the first hour after delivery of the
4300 g boy after placenta and is not the most likely cause of hemorrhage
augmentation of labour in this woman. Although unrepaired vaginal lacerations
with oxytocin? may cause bleeding they typically would occur in the
a. Retained placental period immediately after birth. Puerperal infection
fragments
b. Unrepaired vaginal
can cause subinvolution and subsequent bleeding
lacerations but it typically would be detected 24 hours after
c. Uterine atony delivery.
d. Puerperal infection
On examining a woman ANS: D
who gave birth 5 hours ago The nurse should assess the uterus for atony. When the
the nurse finds that the uterus is atonic the fundus should be massaged gently
woman has completely and clots expelled. Uterine tone must be established to
saturated a perineal pad prevent excessive blood loss. The nurse may begin
within 15 minutes. What is an IV infusion to restore circulatory volume but this
the nurse's initial response? would not be the first action. Blood pressure is not a
a. Begin an intravenous reliable indicator of impending shock from impending
(IV) infusion of Ringer's hemorrhage assessing vital signs should not be the
lactate solution. nurse's first action. The physician would be notified after
b. Assess the woman's vital the nurse completes the assessment of the woman.
signs.
c. Call the woman's
primary health care
provider.
d. Massage the woman's
fundus.
A woman gave birth ANS: D
vaginally to a 4400 g girl These orders are typical interventions for a woman
yesterday. Her primary who has had an episiotomy lacerations and
health care provider has hemorrhoids. A multiparous classification is not an
written orders for perineal indication for these orders. A vacuum-assisted birth may
ice packs use of a sitz bath be used in conjunction with an episiotomy which would
TID and a stool softener. indicate these interventions. Use of epidural
What information is most anaesthesia has no correlation with these orders.
closely correlated with
,these orders?
a. The woman is a gravida 2
para 2.
b. The woman had a vacuum-
assisted birth.
c. The woman
received epidural
anaesthesia.
d. The woman has had an
episiotomy.
The laboratory results for a ANS: A
postpartum woman are as For women who are serologically not immune (titre of 1:8 or enzyme
immunoassay level less than 0.8) a subcutaneous injection of rubella
follows: blood type A Rh
vaccine is recommended in the immediate postpartum period. This
status positive rubella titre patient's rubella titre indicates that she is not immune and that she
1:8 (EIA 0.6) hematocrit needs to receive a vaccine. These data do not indicate that the
patient needs a blood transfusion. Rh immune globulin is indicated
30%. How would the nurse only if the patient has a negative Rh status and the infant has a
best interpret these data? positive Rh status. A Kleihauer-Betke test should be performed if a
a. Rubella vaccine should be large fetomaternal transfusion is suspected especially if the mother
given. is Rh negative. The data do not provide any indication for
b. A blood transfusion is performing this test.
necessary.
c. Rh immune globulin is
necessary within 72
hours of birth.
d. A Kleihauer-Betke
test should be
performed.
, A woman gave birth 48 ANS: B
hours ago to a healthy This woman is experiencing engorgement which can
infant girl. She has be treated by using ice packs (since she is not
decided to bottle-feed. breastfeeding) and cabbage leaves. A bottle-feeding
During your assessment mother should avoid any breast stimulation including
you notice that both of her pumping or expressing milk. A bottle-feeding mother
breasts are swollen warm should wear a well-fitted support bra or breast binder
and tender on palpation. continuously for at least the first 72 hours after giving
Which information should birth. A loose-fitting bra will not aid lactation
the nurse offer the suppression. Furthermore the shifting of the bra against
woman? the breasts may stimulate the nipples and thereby
a. Run warm water on her stimulate lactation.
breasts during a shower.
b. Apply ice to the breasts for
comfort.
c. Express small amounts of
milk from the breasts to
relieve pressure.
d. Wear a loose-fitting
bra to prevent nipple
irritation.
A 25-year-old multiparous ANS: D
woman gave birth to an By offering to warm the soup in the microwave for
infant boy 1 day ago. Today the woman the nurse is demonstrating cultural
her husband brings a large appropriateness to the dietary preferences of the
container of brown woman and is the basis of the most appropriate
seaweed soup to the response. Cultural dietary preferences must be
hospital. When the nurse respected. Women may request that family members
enters the room the husband bring favourite or culturally appropriate foods to the
asks for help with warming hospital. Asking the husband what the soup contains
the soup so that his wife can does not show cultural sensitivity. Dietary choices in the
eat it. What is the basis of postpartum period do not need approval from a health
the nurse's most care provider. Asking her if she did not like her lunch
appropriate response? is not appropriate.
a. Asking the patient if she
did not like the lunch that
was served to her.
Update \Complete Questions & Correct Detailed Answers
\Verified Answers \Actual Midterm & Final Exam\Brand New!!!
RATED A+ \ACCURATE DOCUMENT
Which are administration ANS: A B D
guidelines for the use of When administering methlergonovine it is important for
methylergonovine when the nurse to know that a contraindication to its use is
managing postpartum pre-eclampsia and cardiac disease. The normal dose is
hemorrhage (PPH)? Select up to five doses of 0.2 mg IM every 2 to 4 hours.
all that apply. Express Adverse effects include nausea and vomiting. The drug
answer with small letters should be withheld if the maternal BP is >140/90. There
followed by a comma and a is no contraindication to its use in women with asthma as
space— that applies to the administration of tranexamic acid.
e.g. a b c. Water intoxication is an adverse effect when the woman
a. Contraindication to its
with a PPH is being managed with oxytocin not
use is pre- eclampsia. methylergonovine.
b. The woman can be
given up to five doses of
0.2 mg IM every 2 to 4
hours.
c. Withhold drug if maternal BP
is >130/85.
d. Nausea and vomiting
are adverse effects.
e. It is not to be
administered to women
with asthma.
f. Water intoxication is a
common adverse effect.
,What is the most likely cause ANS: C
of postpartum hemorrhage The most likely cause of postpartum bleeding
in a 25-year-old combined with these risk factors is uterine atony.
multiparous woman Although retained placental fragments may cause
(G3T2P0A0L2) who gave postpartum hemorrhage this typically would be
birth 4 hours ago to a detected in the first hour after delivery of the
4300 g boy after placenta and is not the most likely cause of hemorrhage
augmentation of labour in this woman. Although unrepaired vaginal lacerations
with oxytocin? may cause bleeding they typically would occur in the
a. Retained placental period immediately after birth. Puerperal infection
fragments
b. Unrepaired vaginal
can cause subinvolution and subsequent bleeding
lacerations but it typically would be detected 24 hours after
c. Uterine atony delivery.
d. Puerperal infection
On examining a woman ANS: D
who gave birth 5 hours ago The nurse should assess the uterus for atony. When the
the nurse finds that the uterus is atonic the fundus should be massaged gently
woman has completely and clots expelled. Uterine tone must be established to
saturated a perineal pad prevent excessive blood loss. The nurse may begin
within 15 minutes. What is an IV infusion to restore circulatory volume but this
the nurse's initial response? would not be the first action. Blood pressure is not a
a. Begin an intravenous reliable indicator of impending shock from impending
(IV) infusion of Ringer's hemorrhage assessing vital signs should not be the
lactate solution. nurse's first action. The physician would be notified after
b. Assess the woman's vital the nurse completes the assessment of the woman.
signs.
c. Call the woman's
primary health care
provider.
d. Massage the woman's
fundus.
A woman gave birth ANS: D
vaginally to a 4400 g girl These orders are typical interventions for a woman
yesterday. Her primary who has had an episiotomy lacerations and
health care provider has hemorrhoids. A multiparous classification is not an
written orders for perineal indication for these orders. A vacuum-assisted birth may
ice packs use of a sitz bath be used in conjunction with an episiotomy which would
TID and a stool softener. indicate these interventions. Use of epidural
What information is most anaesthesia has no correlation with these orders.
closely correlated with
,these orders?
a. The woman is a gravida 2
para 2.
b. The woman had a vacuum-
assisted birth.
c. The woman
received epidural
anaesthesia.
d. The woman has had an
episiotomy.
The laboratory results for a ANS: A
postpartum woman are as For women who are serologically not immune (titre of 1:8 or enzyme
immunoassay level less than 0.8) a subcutaneous injection of rubella
follows: blood type A Rh
vaccine is recommended in the immediate postpartum period. This
status positive rubella titre patient's rubella titre indicates that she is not immune and that she
1:8 (EIA 0.6) hematocrit needs to receive a vaccine. These data do not indicate that the
patient needs a blood transfusion. Rh immune globulin is indicated
30%. How would the nurse only if the patient has a negative Rh status and the infant has a
best interpret these data? positive Rh status. A Kleihauer-Betke test should be performed if a
a. Rubella vaccine should be large fetomaternal transfusion is suspected especially if the mother
given. is Rh negative. The data do not provide any indication for
b. A blood transfusion is performing this test.
necessary.
c. Rh immune globulin is
necessary within 72
hours of birth.
d. A Kleihauer-Betke
test should be
performed.
, A woman gave birth 48 ANS: B
hours ago to a healthy This woman is experiencing engorgement which can
infant girl. She has be treated by using ice packs (since she is not
decided to bottle-feed. breastfeeding) and cabbage leaves. A bottle-feeding
During your assessment mother should avoid any breast stimulation including
you notice that both of her pumping or expressing milk. A bottle-feeding mother
breasts are swollen warm should wear a well-fitted support bra or breast binder
and tender on palpation. continuously for at least the first 72 hours after giving
Which information should birth. A loose-fitting bra will not aid lactation
the nurse offer the suppression. Furthermore the shifting of the bra against
woman? the breasts may stimulate the nipples and thereby
a. Run warm water on her stimulate lactation.
breasts during a shower.
b. Apply ice to the breasts for
comfort.
c. Express small amounts of
milk from the breasts to
relieve pressure.
d. Wear a loose-fitting
bra to prevent nipple
irritation.
A 25-year-old multiparous ANS: D
woman gave birth to an By offering to warm the soup in the microwave for
infant boy 1 day ago. Today the woman the nurse is demonstrating cultural
her husband brings a large appropriateness to the dietary preferences of the
container of brown woman and is the basis of the most appropriate
seaweed soup to the response. Cultural dietary preferences must be
hospital. When the nurse respected. Women may request that family members
enters the room the husband bring favourite or culturally appropriate foods to the
asks for help with warming hospital. Asking the husband what the soup contains
the soup so that his wife can does not show cultural sensitivity. Dietary choices in the
eat it. What is the basis of postpartum period do not need approval from a health
the nurse's most care provider. Asking her if she did not like her lunch
appropriate response? is not appropriate.
a. Asking the patient if she
did not like the lunch that
was served to her.
