NUR 230 Exam 2 questions with correct answers

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NUR 230 Exam 2 questions with correct answers

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Institution NUR 230

Course NUR 230

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NUR 230 Exam 2 questions with correct answers

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NUR 230 Exam 2 questions with correct
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answers
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A breastfeeding client is day 4 post Cesarean delivery. Current VS
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are temp. 99.8, RR 20, HR 88, and BP 118/60. What is the
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priority in this scenario?
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A. Massage the fundus
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B. Notify the physician
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C. Reassess thr client's temp in 30 minutes
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D. Assess the client's breasts for engorgement. - CORRECT
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ANSWERS(S)✔✔D
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During a postpartum assessment, a cluster of hemorrhoids are
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noted in a G1P1 who delivered vaginally with a superficial
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perineal laceration. Which of the following would be appropriate
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for the nurse to include in the women's health teaching? SATA
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A. The client should use a site bath three times a day for relief.
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B. The client should apply a topical anesthetic as a relief
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measure.
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C. The client should massage the hemorrhoids daily.
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D. The client should be advised that the hemorrhoids will
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increase in size and number with each subsequent pregnancy.
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,E. The client can use the side lying position to relieve pressure
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on the hemorrhoids.
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F. The client should use witch hazel pads to soothe the area. -
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CORRECT ANSWERS(S)✔✔A, B, E, F
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Which is the best intervention to help prevent development of
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postpartum thrombophlebitis after an uncomplicated vaginal
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delivery?
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A. Promote adequate oral fluid intake
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B. Promote early and frequent ambulation
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C. Place sequential compression devices on all patients
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D. Administer subcutaneous low molecular weight heparin -
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CORRECT ANSWERS(S)✔✔B
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A G6 P4114 is 1/2 hour post spontaneous vaginal delivery of a
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440 grams baby. Initially, which complication should the nurse
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monitor considering this patient scenario?
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A. Maternal hypoglycemia
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B. Maternal hyperglycemia
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C. Maternal VTE
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D. Maternal uterine atony - CORRECT ANSWERS(S)✔✔D
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,The nurse is teaching a postpartum mother about changes in the
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postpartum period. The nurse recognized the mother needs
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additional teaching when the mother states: SATA
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A. I need to begin sitz baths within 12 hours of birth if I have an
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episiotomy or a repaired laceration.
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B. Tylenol is the preferred pain medication for breastfeeding
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mothers.
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C. I should void spontaneously within 6-8 hours after birth.
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D. I need an additional 1000 kcal/day as a breastfeeding mother.
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- CORRECT ANSWERS(S)✔✔A, B, D
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Which of the following is NOT a symptom of a vaginal
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hematoma?
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A. Normal-apprearing vulva with either no lacerations or normal-
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appearing, repaired laceration/episiotomy. // //

B. Pain that is greater that expected for the client's
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circumstances.
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C. A bluish mass protruding from the vagina.
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D. Blood loss as indicated by lab results that is greater than
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expected based on EBL at delivery. - CORRECT
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ANSWERS(S)✔✔C
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What is the nurse's priority is a vaginal hematoma is suspected?
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A. Apply ice to the perineum.
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, B. Apply a warm compress to the perineum.
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C. Monitor the bluish mass to determine whether it is enlarging.
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D. Notify the provider. - CORRECT ANSWERS(S)✔✔D
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The MOST reliable indicators of impending shock from early
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postpartum hemorrhage are: SATA
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A. Blood pressure
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B. Pulse
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C. Urinary output
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D. Level of consciousness - CORRECT ANSWERS(S)✔✔B, C, D
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After completing all of the assessments on a postpartum client
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(BUBBLE LE), all of which were WDL, the nurse performs
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orthostatic VS. The blood pressure decreased, and pulse
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increased by 20%, and the client becomes dizzy and vomits.
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Temp is 99.3 and RR are 18. The nurse reviews the lab values
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below. What is the priority in this scenario?
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Pre delivery values are: hemoglobin: 10 hematocrit: 36% RBC:
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5.2 WBC: 18,000
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4 hrs after delivery (now): hemoglobin: 7.2 hematocrit: 23%
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RBC: 4.2 WBC: 20,000
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A. Massage the fundus and administer oxytocin.
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B. Notify the physician and recommend a blood transfusion.
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Uploaded on: April 4, 2026
Number of pages: 50
Written in: 2025/2026
Type: Exam (elaborations)
Contains: Questions & answers

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