NUR 230 EXAM 2
NUR 230 EXAM 2 QUESTIONS AND ANSWERS
GRADED A+ 100% VERIFIED.
A breastfeeding client is day 4 post Caesarean 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 thru client's temp in 30 minutes
D. Assess the client's breasts for engorgement. ANS >>> D
,NUR 230 EXAM 2
During a postpartum assessment, a cluster of haemorrhoids 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 aesthetic as a relief measure.
C. The client should massage the haemorrhoids daily.
D. The client should be advised that the haemorrhoids will increase in
size and number with each subsequent pregnancy.
E. The client can use the side lying position to relieve pressure on the
haemorrhoids.
F. The client should use witch hazel pads to soothe the area. ANS >>>
A, B, E, F
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 ANS >>> 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?
,NUR 230 EXAM 2
A. Maternal hypoglycaemia
B. Maternal hyperglycaemia
C. Maternal VTE
D. Maternal uterine atony ANS >>> D
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. ANS
>>> A, B, D
Which of the following is NOT a symptom of a vaginal hematoma?
A. Normal-appearing vulva with either no lacerations or normal-
appearing, repaired laceration/episiotomy.
B. Pain that is greater that expected for the client's circumstances.
C. A bluish mass protruding from the vagina.
D. Blood loss as indicated by lab results that is greater than expected
based on EBL at delivery. ANS >>> C
, NUR 230 EXAM 2
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. ANS >>> D
The MOST reliable indicators of impending shock from early postpartum
haemorrhage are: SATA
A. Blood pressure
B. Pulse
C. Urinary output
D. Level of consciousness ANS >>> B, C, D
After completing all of the assessments on a postpartum client (BUBBLE
LE), all of which were WDL, the nurse performs orthostatic VS. The
blood pressure decreased, and pulse increased by 20%, and the client
becomes dizzy and vomits. Temp is 99.3 and RR are 18. The nurse
reviews the lab values below. What is the priority in this scenario?
Pre delivery values are: haemoglobin: 10 haematocrits: 36% RBC: 5.2
WBC: 18,000
4 hrs after delivery (now): haemoglobin: 7.2 haematocrit: 23% RBC: 4.2
WBC: 20,000
A. Massage the fundus and administer oxytocin.
B. Notify the physician and recommend a blood transfusion.
NUR 230 EXAM 2 QUESTIONS AND ANSWERS
GRADED A+ 100% VERIFIED.
A breastfeeding client is day 4 post Caesarean 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 thru client's temp in 30 minutes
D. Assess the client's breasts for engorgement. ANS >>> D
,NUR 230 EXAM 2
During a postpartum assessment, a cluster of haemorrhoids 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 aesthetic as a relief measure.
C. The client should massage the haemorrhoids daily.
D. The client should be advised that the haemorrhoids will increase in
size and number with each subsequent pregnancy.
E. The client can use the side lying position to relieve pressure on the
haemorrhoids.
F. The client should use witch hazel pads to soothe the area. ANS >>>
A, B, E, F
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 ANS >>> 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?
,NUR 230 EXAM 2
A. Maternal hypoglycaemia
B. Maternal hyperglycaemia
C. Maternal VTE
D. Maternal uterine atony ANS >>> D
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. ANS
>>> A, B, D
Which of the following is NOT a symptom of a vaginal hematoma?
A. Normal-appearing vulva with either no lacerations or normal-
appearing, repaired laceration/episiotomy.
B. Pain that is greater that expected for the client's circumstances.
C. A bluish mass protruding from the vagina.
D. Blood loss as indicated by lab results that is greater than expected
based on EBL at delivery. ANS >>> C
, NUR 230 EXAM 2
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. ANS >>> D
The MOST reliable indicators of impending shock from early postpartum
haemorrhage are: SATA
A. Blood pressure
B. Pulse
C. Urinary output
D. Level of consciousness ANS >>> B, C, D
After completing all of the assessments on a postpartum client (BUBBLE
LE), all of which were WDL, the nurse performs orthostatic VS. The
blood pressure decreased, and pulse increased by 20%, and the client
becomes dizzy and vomits. Temp is 99.3 and RR are 18. The nurse
reviews the lab values below. What is the priority in this scenario?
Pre delivery values are: haemoglobin: 10 haematocrits: 36% RBC: 5.2
WBC: 18,000
4 hrs after delivery (now): haemoglobin: 7.2 haematocrit: 23% RBC: 4.2
WBC: 20,000
A. Massage the fundus and administer oxytocin.
B. Notify the physician and recommend a blood transfusion.
