Questions | Graded A+
1. Describe the significance of assessing bladder distention in postpartum care.
Assessing bladder distention is only relevant in the first 24 hours
postpartum.
Assessing bladder distention is crucial because it can lead to
complications such as urinary retention and increased risk of
hemorrhage.
Assessing bladder distention is not important in postpartum care.
Assessing bladder distention only helps in diagnosing infections.
2. Significant blood loss will cause which one of the following set of clinical
signs?
Rapid bounding pulse and pale mucous membranes.
Tachycardia and congested mucous membranes
Weak thready pulse and brisk capillary refill time
Hypotension and tachycardia
3. Describe the potential outcomes for a baby when both parents are Rh
negative.
When both parents are Rh negative, the baby is also likely to be Rh
negative, eliminating the risk of Rh incompatibility.
The mother will need to monitor for Rh incompatibility.
The baby will have a higher chance of developing Rh disease.
The baby may inherit Rh positive blood from one of the parents.
, 4. The priority nursing intervention when a nurse observes profuse after birth
bleeding is to:
palpate the uterus and massage it if its boggy
assess maternal BP and pulse for signs of hypovolemic shock
administer the standing order for an oxytocic
call the woman's PCP
5. If a nurse finds the uterus to be boggy 24 hours after delivery, what should
be the immediate nursing intervention?
Increase fluid intake.
Encourage the patient to ambulate.
Perform fundal massage to promote contraction.
Administer pain medication.
6. If a postpartum patient presents with a saturated perineal pad and a uterus
that is deviated to the right, what is the most appropriate nursing
intervention?
Monitor vital signs for signs of shock.
Assist the patient to void to relieve bladder distention.
Administer IV fluids to increase blood volume.
Perform fundal massage to stimulate uterine contraction.
7. If Nurse Savanah notices that Jenny's bladder distention persists despite
catheterization, what should be her next step?
Increase Jenny's fluid intake without further assessment.
Remove the catheter and wait for Jenny to urinate naturally.