NSG 3111 - final exam review
questions with verified answers
the breasts of a bottle-feeding patient are engorged. the nurse should tell the patient to:
A) wear a snug, supportive bra
B) take strong analgesics for the pain
C) express milk from the nipples occasionally to relieve discomfort
D) use hot packs to soothe the breasts - ANS ✔✔A) wear a snug, supportive bra
a patient gave birth to a 3200g boy 2 hours ago. the nurse determines that the patient's bladder
is distended because the fundus is 3 cm above the umbilicus and to the right of the midline. in
the immediate postpartum period, the most serious consequence likely to occur from bladder
distension is:
A) excessive uterine bleeding
B) a ruptured bladder
C) urinary tract infection
D) increased voiding - ANS ✔✔A) excessive uterine bleeding
what statement by a newly postpartum patient indicates that she knows what to expect about
her menstrual activity after childbirth?
A) "my first menstrual cycle will be lighter than normal and then will get heavier every month
thereafter"
B) "my first menstrual cycle will be heavier than normal and then will be light for several months
after"
C) "i will not have a menstrual cycle for 6 months after childbirth"
D) "my first menstrual cycle will be heavier than normal and will return to my prepregnant
volume within 3 or 4 cycles" - ANS ✔✔D) "my first menstrual cycle will be heavier than normal
and will return to my prepregnant volume within 3 or 4 cycles"
,with regard to afterbirth pains, nurses should be aware that these pains are
A) more noticeable in births in which the uterus was overdistended
B) alleviated somewhat when the patient breastfeeds
C) more common after a first baby
D) caused by mild, continual contractions for the duration of the postpartum period - ANS
✔✔A) more noticeable in births in which the uterus was overdistended
postbirth uterine/vaginal discharge, called lochia:
A) is similar to a light menstrual period for the first 6-12 hours
B) is usually greater after c-sections
C) should mell like normal menstrual flow unless an infection is present
D) will usually decrease with ambulation - ANS ✔✔C) should mell like normal menstrual flow
unless an infection is present
which description of postpartum restoration or healing times is accurate?
A) rugae reappear within 3-4 weeks
B) hemorrhoids usually decrease in size within 2 weeks of childbirth
C) most episiotimies heal within a week
D) the cervix regains its prepregnancy shape within 6-8 weeks - ANS ✔✔A) rugae reappear
within 3-4 weeks
with regard to the condition and reconditioning of the urinary system after childbirth, nurses
should be aware of which of the following?
A) diastasis recti abdominis is a common condition that alters the voiding reflex
B) fluid loss through perspiration and increased urinary output account for a weight loss of
approximately 2kg during the puerperium
C) kidney function returns to normal a few days after birth
,D) with adequate emptying of the bladder, bladder tone usually is restored 2-3 weeks after
childbirth - ANS ✔✔B) fluid loss through perspiration and increased urinary output account for
a weight loss of approximately 2kg during the puerperium
the nurse working with postpartum patients must be aware of postpartum changes in fluid
balance. which of the following is true of fluid volume related to a postpartum patient?
A) the patient's vascular bed increases in size and demand after childbirth
B) hypervolemia experienced during pregnancy prepares the cardiovascular system to blood
loss during birth
C) blood loss during a c-section is expected to be approximately 300-500 mL
D) plasma volume is usually replenished by day 5-7 postpartum - ANS ✔✔B) hypervolemia
experienced during pregnancy prepares the cardiovascular system to blood loss during birth
as part of the postpartum assessment, the nurse examines the breasts of a primiparous
breastfeeding patient who is 1-day postpartum. expected findings include which of the
following? select all that apply.
A) leakage of milk at let-down
B) small amount of clear, yellow fluid expressed
C) a few blisters and a bruise on each areola
D) little if any change
E) swollen, warm, and tender on palpitation - ANS ✔✔B) small amount of clear, yellow fluid
expressed
D) little if any change
after completing a postpartum assessment on a woman who gave birth 30 hours ago, the nurse
should report which assessment findings to the health care provider? select all that apply.
A) pulse 120 beats/min
B) blood pressure 120/78
C) respiratory rate 16 breaths/min
, D) temperature 38.3 Celsius - ANS ✔✔A) pulse 120 beats/min
D) temperature 38.3 Celsius
when palpating the fundus of a patient 18 hours after birth, the nurse notes that is firm, 2
fingerbreadths above the umbilicus, and deviated to the left of the midline. the nurse should:
A) administer oxytocin 20 units IM, that has been ordered PRN
B) recognize this as an expected finding during the first 24 hours following birth
C) assist the patient to empty her bladder
D) massage the fundus - ANS ✔✔C) assist the patient to empty her bladder
the nurse examines a patient 1 hour after birth, the fundus is boggy, midline and 1 cm below
the umbilicus. her lochial flow is profuse, with 2 plum-sized clots. the nurse's initial action
would be to
A) place her on a bedpan to empty her bladder
B) massage her fundus
C) call the physician
D) administer pain medication, which has been ordered PRN - ANS ✔✔B) massage her fundus
perineal care is an important infection control measure. when evaluating a postpartum patient's
perineal care technique, the nurse would recognize the need for further instruction if the
patient:
A) uses soap and warm water to wash the vulva and perineum
B) use the peri bottle to rinse upward into her vagina
C) washes from the symphysis pubis back to the anal area
D) changes her perineal pad with every void - ANS ✔✔B) use the peri bottle to rinse upward
into her vagina
questions with verified answers
the breasts of a bottle-feeding patient are engorged. the nurse should tell the patient to:
A) wear a snug, supportive bra
B) take strong analgesics for the pain
C) express milk from the nipples occasionally to relieve discomfort
D) use hot packs to soothe the breasts - ANS ✔✔A) wear a snug, supportive bra
a patient gave birth to a 3200g boy 2 hours ago. the nurse determines that the patient's bladder
is distended because the fundus is 3 cm above the umbilicus and to the right of the midline. in
the immediate postpartum period, the most serious consequence likely to occur from bladder
distension is:
A) excessive uterine bleeding
B) a ruptured bladder
C) urinary tract infection
D) increased voiding - ANS ✔✔A) excessive uterine bleeding
what statement by a newly postpartum patient indicates that she knows what to expect about
her menstrual activity after childbirth?
A) "my first menstrual cycle will be lighter than normal and then will get heavier every month
thereafter"
B) "my first menstrual cycle will be heavier than normal and then will be light for several months
after"
C) "i will not have a menstrual cycle for 6 months after childbirth"
D) "my first menstrual cycle will be heavier than normal and will return to my prepregnant
volume within 3 or 4 cycles" - ANS ✔✔D) "my first menstrual cycle will be heavier than normal
and will return to my prepregnant volume within 3 or 4 cycles"
,with regard to afterbirth pains, nurses should be aware that these pains are
A) more noticeable in births in which the uterus was overdistended
B) alleviated somewhat when the patient breastfeeds
C) more common after a first baby
D) caused by mild, continual contractions for the duration of the postpartum period - ANS
✔✔A) more noticeable in births in which the uterus was overdistended
postbirth uterine/vaginal discharge, called lochia:
A) is similar to a light menstrual period for the first 6-12 hours
B) is usually greater after c-sections
C) should mell like normal menstrual flow unless an infection is present
D) will usually decrease with ambulation - ANS ✔✔C) should mell like normal menstrual flow
unless an infection is present
which description of postpartum restoration or healing times is accurate?
A) rugae reappear within 3-4 weeks
B) hemorrhoids usually decrease in size within 2 weeks of childbirth
C) most episiotimies heal within a week
D) the cervix regains its prepregnancy shape within 6-8 weeks - ANS ✔✔A) rugae reappear
within 3-4 weeks
with regard to the condition and reconditioning of the urinary system after childbirth, nurses
should be aware of which of the following?
A) diastasis recti abdominis is a common condition that alters the voiding reflex
B) fluid loss through perspiration and increased urinary output account for a weight loss of
approximately 2kg during the puerperium
C) kidney function returns to normal a few days after birth
,D) with adequate emptying of the bladder, bladder tone usually is restored 2-3 weeks after
childbirth - ANS ✔✔B) fluid loss through perspiration and increased urinary output account for
a weight loss of approximately 2kg during the puerperium
the nurse working with postpartum patients must be aware of postpartum changes in fluid
balance. which of the following is true of fluid volume related to a postpartum patient?
A) the patient's vascular bed increases in size and demand after childbirth
B) hypervolemia experienced during pregnancy prepares the cardiovascular system to blood
loss during birth
C) blood loss during a c-section is expected to be approximately 300-500 mL
D) plasma volume is usually replenished by day 5-7 postpartum - ANS ✔✔B) hypervolemia
experienced during pregnancy prepares the cardiovascular system to blood loss during birth
as part of the postpartum assessment, the nurse examines the breasts of a primiparous
breastfeeding patient who is 1-day postpartum. expected findings include which of the
following? select all that apply.
A) leakage of milk at let-down
B) small amount of clear, yellow fluid expressed
C) a few blisters and a bruise on each areola
D) little if any change
E) swollen, warm, and tender on palpitation - ANS ✔✔B) small amount of clear, yellow fluid
expressed
D) little if any change
after completing a postpartum assessment on a woman who gave birth 30 hours ago, the nurse
should report which assessment findings to the health care provider? select all that apply.
A) pulse 120 beats/min
B) blood pressure 120/78
C) respiratory rate 16 breaths/min
, D) temperature 38.3 Celsius - ANS ✔✔A) pulse 120 beats/min
D) temperature 38.3 Celsius
when palpating the fundus of a patient 18 hours after birth, the nurse notes that is firm, 2
fingerbreadths above the umbilicus, and deviated to the left of the midline. the nurse should:
A) administer oxytocin 20 units IM, that has been ordered PRN
B) recognize this as an expected finding during the first 24 hours following birth
C) assist the patient to empty her bladder
D) massage the fundus - ANS ✔✔C) assist the patient to empty her bladder
the nurse examines a patient 1 hour after birth, the fundus is boggy, midline and 1 cm below
the umbilicus. her lochial flow is profuse, with 2 plum-sized clots. the nurse's initial action
would be to
A) place her on a bedpan to empty her bladder
B) massage her fundus
C) call the physician
D) administer pain medication, which has been ordered PRN - ANS ✔✔B) massage her fundus
perineal care is an important infection control measure. when evaluating a postpartum patient's
perineal care technique, the nurse would recognize the need for further instruction if the
patient:
A) uses soap and warm water to wash the vulva and perineum
B) use the peri bottle to rinse upward into her vagina
C) washes from the symphysis pubis back to the anal area
D) changes her perineal pad with every void - ANS ✔✔B) use the peri bottle to rinse upward
into her vagina
