and Answers | Latest Version |
2025/2026 | Correct & Verified
What is the expected location of the fundus 12 hours after delivery?
✔✔ At or slightly above the umbilicus
How should a nurse respond to a postpartum client who reports burning during urination?
✔✔ Assess for signs of a urinary tract infection
What should the nurse do when a newborn has a blood glucose level of 30 mg/dL?
✔✔ Feed the newborn immediately
What is the normal respiratory rate for a newborn?
✔✔ 30 to 60 breaths per minute
What is the purpose of administering vitamin K to a newborn after birth?
✔✔ To prevent bleeding by promoting clotting
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,Which maternal position can improve uteroplacental perfusion during late decelerations?
✔✔ Left lateral position
What is the expected color of lochia on the first postpartum day?
✔✔ Red
What is the primary purpose of administering oxytocin after delivery?
✔✔ To promote uterine contractions and prevent hemorrhage
How often should the nurse assess the uterus in the immediate postpartum period?
✔✔ Every 15 minutes for the first hour
What is the normal heart rate range for a full-term newborn?
✔✔ 110 to 160 beats per minute
What should the nurse do if a client reports severe perineal pain and a firm uterus?
✔✔ Assess for a hematoma
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,What is a common sign of newborn hypoglycemia?
✔✔ Jitteriness
What is the correct technique for measuring the fundal height?
✔✔ Measure from the symphysis pubis to the top of the fundus
What teaching should the nurse provide about car seat safety for a newborn?
✔✔ Place the infant rear-facing in the back seat
What is the best way to prevent cracked nipples during breastfeeding?
✔✔ Ensure proper latch
What is the primary sign of effective breastfeeding in a newborn?
✔✔ Audible swallowing during feeding
What is the best time to administer Rho(D) immune globulin (RhoGAM)?
✔✔ Within 72 hours after birth if the baby is Rh-positive and the mother is Rh-negative
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, How should the nurse handle a newborn who is not crying and has a heart rate of 80 bpm at
birth?
✔✔ Begin positive pressure ventilation
What is the nurse’s immediate action if a postpartum client complains of dizziness and has low
blood pressure?
✔✔ Assist the client to lie down with legs elevated
What is the expected finding for a postpartum fundus on the third day?
✔✔ Three fingerbreadths below the umbilicus
What dietary recommendation is appropriate for a pregnant client with iron-deficiency anemia?
✔✔ Increase intake of leafy greens and red meat
How should the nurse teach a client to clean the newborn’s umbilical cord?
✔✔ Keep the area dry and exposed to air
What should the nurse do when a breastfeeding client develops signs of mastitis?
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