NUR 335 EXAM 3 QUESTIONS AND
AANSWERS WITH COMPLETE
SOLUTIONS 100% CORRECT RATED A+
Question 1
A postpartum nurse is evaluating a patient's uterine recovery during the puerperium
period. Which of the following assessment parameters should the nurse monitor to
directly evaluate the shedding and subsequent regeneration of the endometrial
lining? A. Maternal vital signs B. Characteristics of lochia C. Measurement of
fundal height D. All of the above options
✔✔ B. Characteristics of lochia
Rationale: The color, odor, consistency, and overall volume of vaginal discharge
(lochia) provide the clinician with direct, essential data regarding the physiological
progress of endometrial desquamation (shedding) and the healing of the uterine
lining. While fundal height measures uterine involution and vital signs track
systemic stability, lochia specifically mirrors endometrial tissue changes.
Question 2
When performing a comprehensive physiological assessment of a patient during
the immediate postpartum window, which of the following gastrointestinal
adjustments or clinical findings should the nurse anticipate? A. Delays in bowel
movements and constipation B. Development or exacerbation of rectal
hemorrhoids C. A marked increase in nutritional drive and appetite D. All of the
above options
✔✔ D. All of the above options
Rationale: The postpartum gastrointestinal tract undergoes several immediate
changes. Decreased abdominal muscle tone, fluid shifts, and fear of perineal
discomfort often lead to constipation. Concurrently, pressure exerted during the
second stage of labor frequently causes or worsens hemorrhoids. Finally, the
immense energy expenditure of childbirth induces a physiologically normal
increase in appetite and thirst shortly after delivery.
,After delivery the mother may experience constipation, hemorrhoids, and increased
appetite.
When does a mother begin adjusting to her new role?
A. Pregnancy
B. Infancy
C. First four months
D. After four months -ANSWER......a) pregnancy
The first stage of motherhood occurs during pregnancy.
Postpartum blues are caused by what?
A. Hormones
B. Stress
C. Fatigue
D. All of the above -ANSWER......d) all of the above
Hormonal changes, stress, and fatigue all contribute to postpartum blues.
,Which of the following is the treatment of choice for primary postpartum
hemorrhage?
A. Terbutaline
B. Oxytocin
C. Misoprostol
D. Low-weight heparin -ANSWER......b) oxytocin
Oxytocin is the treatment of choice for primary postpartum hemorrhage.
Acute hypertension is treated with what?
A. IV labetolol and hydralazine
B. Nifedipine
C. Frequent monitoring of vital signs
D. All of the above -ANSWER......D. All of the above
Nursing actions for acute hypertension include medication with I V labetolol and
hydralazine, nifedipine, and frequent monitoring of vital signs.
, The first follow-up visit should take place:
A. 24 hours after discharge
B. 48-72 hours after discharge
C. One week after discharge
D. It depends -ANSWER......B. 48-72 hours after discharge
The first follow-up visit should take place 48-72 hours after discharge.
Which of the following is a contraindication for breastfeeding?
A. Obesity
B. Tuberculosis
C. Prematurity
D. Autoimmune disease -ANSWER......B. Tuberculosis
Active or latent tuberculosis in the mother is a contraindication for breastfeeding.
AANSWERS WITH COMPLETE
SOLUTIONS 100% CORRECT RATED A+
Question 1
A postpartum nurse is evaluating a patient's uterine recovery during the puerperium
period. Which of the following assessment parameters should the nurse monitor to
directly evaluate the shedding and subsequent regeneration of the endometrial
lining? A. Maternal vital signs B. Characteristics of lochia C. Measurement of
fundal height D. All of the above options
✔✔ B. Characteristics of lochia
Rationale: The color, odor, consistency, and overall volume of vaginal discharge
(lochia) provide the clinician with direct, essential data regarding the physiological
progress of endometrial desquamation (shedding) and the healing of the uterine
lining. While fundal height measures uterine involution and vital signs track
systemic stability, lochia specifically mirrors endometrial tissue changes.
Question 2
When performing a comprehensive physiological assessment of a patient during
the immediate postpartum window, which of the following gastrointestinal
adjustments or clinical findings should the nurse anticipate? A. Delays in bowel
movements and constipation B. Development or exacerbation of rectal
hemorrhoids C. A marked increase in nutritional drive and appetite D. All of the
above options
✔✔ D. All of the above options
Rationale: The postpartum gastrointestinal tract undergoes several immediate
changes. Decreased abdominal muscle tone, fluid shifts, and fear of perineal
discomfort often lead to constipation. Concurrently, pressure exerted during the
second stage of labor frequently causes or worsens hemorrhoids. Finally, the
immense energy expenditure of childbirth induces a physiologically normal
increase in appetite and thirst shortly after delivery.
,After delivery the mother may experience constipation, hemorrhoids, and increased
appetite.
When does a mother begin adjusting to her new role?
A. Pregnancy
B. Infancy
C. First four months
D. After four months -ANSWER......a) pregnancy
The first stage of motherhood occurs during pregnancy.
Postpartum blues are caused by what?
A. Hormones
B. Stress
C. Fatigue
D. All of the above -ANSWER......d) all of the above
Hormonal changes, stress, and fatigue all contribute to postpartum blues.
,Which of the following is the treatment of choice for primary postpartum
hemorrhage?
A. Terbutaline
B. Oxytocin
C. Misoprostol
D. Low-weight heparin -ANSWER......b) oxytocin
Oxytocin is the treatment of choice for primary postpartum hemorrhage.
Acute hypertension is treated with what?
A. IV labetolol and hydralazine
B. Nifedipine
C. Frequent monitoring of vital signs
D. All of the above -ANSWER......D. All of the above
Nursing actions for acute hypertension include medication with I V labetolol and
hydralazine, nifedipine, and frequent monitoring of vital signs.
, The first follow-up visit should take place:
A. 24 hours after discharge
B. 48-72 hours after discharge
C. One week after discharge
D. It depends -ANSWER......B. 48-72 hours after discharge
The first follow-up visit should take place 48-72 hours after discharge.
Which of the following is a contraindication for breastfeeding?
A. Obesity
B. Tuberculosis
C. Prematurity
D. Autoimmune disease -ANSWER......B. Tuberculosis
Active or latent tuberculosis in the mother is a contraindication for breastfeeding.
