PN Exit Practice A Study Guide – Complete Prep 2026 1 2026-03-09
PN Exit Practice A Study
Guide – Complete Prep 2026
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Page 1 of 14 PN Exit Practice A Study Guide – Complete Prep 2026.pdf
, PN Exit Practice A 2 2026-03-09
A nurse is assisting in the care of a client who is 1 hr postpartum.
Exhibit 1
Nurses' Notes
1200:
Large amount of lochia rubra noted on perineal pad. Fundus boggy at two fingerbreadths above the umbilicus.Oxytocin 20
units being administered via continuous IV infusion
1215:
Large amount of lochia rubra with several large clots noted. Client reports feeling anxious. Skin cool and clammy. Provider
notified.
Exhibit 2
Vital Signs
1200:
Temperature 37.5° C (99.5° F)Heart rate 92/minRespiratory
Select the 6 actions the nurse should take.
Weigh the perineal pads.
Insert an indwelling urinary catheter.
Administer methylergonovine.
Provide emotional support.
Administer oxygen at 12 L/min via nonrebreather face mask.
Firmly massage the uterine fundus.
When taking action for the client, the nurse should firmly massage the uterine fundus, administer methylergonovine, weigh
the perineal pads, provide emotional support, insert an indwelling urinary catheter, and administer oxygen at 12 L/min via
nonrebreather face mask. The nurse should identify that the client is experiencing a postpartum hemorrhage, which requires
immediate intervention to prevent hemorrhagic shock.
Page 2 of 14 2 of 14 PN Exit Practice A.pdf
PN Exit Practice A Study
Guide – Complete Prep 2026
Guidehttps://www.stuvia.com/dashboard!@_)#*)(@$)($@*($@)($@*_1 of 14
Page 1 of 14 PN Exit Practice A Study Guide – Complete Prep 2026.pdf
, PN Exit Practice A 2 2026-03-09
A nurse is assisting in the care of a client who is 1 hr postpartum.
Exhibit 1
Nurses' Notes
1200:
Large amount of lochia rubra noted on perineal pad. Fundus boggy at two fingerbreadths above the umbilicus.Oxytocin 20
units being administered via continuous IV infusion
1215:
Large amount of lochia rubra with several large clots noted. Client reports feeling anxious. Skin cool and clammy. Provider
notified.
Exhibit 2
Vital Signs
1200:
Temperature 37.5° C (99.5° F)Heart rate 92/minRespiratory
Select the 6 actions the nurse should take.
Weigh the perineal pads.
Insert an indwelling urinary catheter.
Administer methylergonovine.
Provide emotional support.
Administer oxygen at 12 L/min via nonrebreather face mask.
Firmly massage the uterine fundus.
When taking action for the client, the nurse should firmly massage the uterine fundus, administer methylergonovine, weigh
the perineal pads, provide emotional support, insert an indwelling urinary catheter, and administer oxygen at 12 L/min via
nonrebreather face mask. The nurse should identify that the client is experiencing a postpartum hemorrhage, which requires
immediate intervention to prevent hemorrhagic shock.
Page 2 of 14 2 of 14 PN Exit Practice A.pdf
