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A 25-year-old client is admitted at 12 weeks gestation for vaginal bleeding, no fetal heartbeat is
seen on ultrasound. The client is experiencing what type of loss and what is an appropriate
treatment?
A. Incompetent cervix, cer late placement
B. Missed abortion, amniocentesis
C. Inevitable abortion, dilation and curettage
D. Incomplete abortion, cytotec (misoprostil) induction correct answers C
A client is one-hour status post dilation and curettage. Which finding would warrant immediate
assessment and intervention?
A. The client reports uterine pain as a 4 on a numeric 0-10 scale
B. Half of the peri pad is saturated with bright red blood.
C. BP is 108/68 and pulse is 88
D. The client reports extreme sadness over the situation and crying silently correct answers B
A pregnant woman is being discharged from the hospital after placement of cer late due to a
history of recurrent pregnancy loss secondary to an incompetent cervix. Discharge teaching
should emphasize that:
A. She will need to make arrangements so that she can be on strict bed rest at home.
B. She will need to deliver via C-section
C. The patient will be placed on antibiotics throughout the remainder of her pregnancy
D. The presence of any uterine cramping or low back pain should reported to her health provider
correct answers D
,A breastfeeding client is day 4 post Cesarean delivery. Current VS are temp. 99.8, RR 20, HR 88,
and BP 118/60. What is the priority in this scenario?
A. Massage the fundus
B. Notify the physician
C. Reassess thr client's temp in 30 minutes
D. Assess the client's breasts for engorgement. correct answers D
Which is the best intervention to help prevent development of postpartum thrombophlebitis after
an uncomplicated vaginal delivery?
A. Promote adequate oral fluid intake
B. Promote early and frequent ambulation
C. Place sequential compression devices on all patients
D. Administer subcutaneous low molecular weight heparin correct answers B
A G6 P4114 is 1/2 hour post spontaneous vaginal delivery of a 440 grams baby. Initially, which
complication should the nurse monitor considering this patient scenario?
A. Maternal hypoglycemia
B. Maternal hyperglycemia
C. Maternal VTE
D. Maternal uterine atony correct answers D
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, The nurse is teaching a postpartum mother about changes in the postpartum period. The nurse
recognized the mother needs additional teaching when the mother states: SATA
A. I need to begin sitz baths within 12 hours of birth if I have an episiotomy or a repaired
laceration.
B. Tylenol is the preferred pain medication for breastfeeding mothers.
C. I should void spontaneously within 6-8 hours after birth.
D. I need an additional 1000 kcal/day as a breastfeeding mother. correct answers A, B, D
During a postpartum assessment, a cluster of hemorrhoids are noted in a G1P1 who delivered
vaginally with a superficial perineal laceration. Which of the following would be appropriate for
the nurse to include in the women's health teaching? SATA
A. The client should use a site bath three times a day for relief.
B. The client should apply a topical anesthetic as a relief measure.
C. The client should massage the hemorrhoids daily.
D. The client should be advised that the hemorrhoids will increase in size and number with each
subsequent pregnancy.
E. The client can use the side lying position to relieve pressure on the hemorrhoids.
F. The client should use witch hazel pads to soothe the area. correct answers A, B, E, F
What is the nurse's priority is a vaginal hematoma is suspected? A.
Apply ice to the perineum.
B. Apply a warm compress to the perineum.
C. Monitor the bluish mass to determine whether it is enlarging.
D. Notify the provider. correct answers D
The MOST reliable indicators of impending shock from early postpartum hemorrhage are: SATA