NURS 1230 Exam 2 Questions With Correct
Answers
A nurse is assessing a client who is 12 hours postpartum. Where should
the nurse expect to locate the fundus?
At the level of the umbilicus
A nurse is caring for a client who had a vaginal delivery 2 hours ago. The
client's perineal pad is soaked with lochia rubra after 15 minutes, and
she reports feeling dizzy. What is the nurse's first action?
Massage the client's fundus
A client at her 6-week postpartum visit reports that she is feeling
overwhelmed, has little interest in activities she used to enjoy, and has
been crying frequently. What is the priority nursing intervention?
Refer the client for a mental health evaluation
,A nurse is caring for a newborn who is 4 hours old. The nurse notes that
the infant has cyanosis, tachypnea, nasal flaring, and grunting. What is
the priority nursing action?
Administer oxygen and notify the health care provider
A nurse is caring for a client experiencing postpartum hemorrhage.
Despite fundal massage and oxytocin administration, the bleeding
continues. Which medication should the nurse anticipate administering
next?
Methergine
A nurse is caring for a newborn diagnosed with transient tachypnea of
the newborn. Which of the following interventions should the nurse
anticipate?
supportive care with oxygen and monitoring
A nurse is caring for a client who is 2 days postpartum and
breastfeeding. The client complains of breast engorgement. Which of
the following actions should the nurse recommend to alleviate the
discomfort?
applying cold compress to the breasts
, A nurse is assessing a client 4 hours postpartum. The client's blood
pressure is 90/50 mm/Hg, her heart rate is 120 beats per minutes, and
she reports feeling lightheaded. The nurse notes a large amount of
bright red bleeding with clots. What should be the nurses' first action?
Begin fundal massage
A client who is 2 weeks postpartum tells the nurse, "I feel so sad all the
time and I don't think I can take of my baby." What is the nurse's
priority intervention?
Perform a thorough psychosocial assessment
A newborn is admitted to the NICU with meconium aspiration
syndrome. Which of the following is the priority nursing action?
Suction the newborn's airway immediately
A nurse is preparing to administer carboporst (Hemabate) to a
postpartum client experiencing hemorrhage. Which of the following
client conditions would be a contraindication for the medication?
Answers
A nurse is assessing a client who is 12 hours postpartum. Where should
the nurse expect to locate the fundus?
At the level of the umbilicus
A nurse is caring for a client who had a vaginal delivery 2 hours ago. The
client's perineal pad is soaked with lochia rubra after 15 minutes, and
she reports feeling dizzy. What is the nurse's first action?
Massage the client's fundus
A client at her 6-week postpartum visit reports that she is feeling
overwhelmed, has little interest in activities she used to enjoy, and has
been crying frequently. What is the priority nursing intervention?
Refer the client for a mental health evaluation
,A nurse is caring for a newborn who is 4 hours old. The nurse notes that
the infant has cyanosis, tachypnea, nasal flaring, and grunting. What is
the priority nursing action?
Administer oxygen and notify the health care provider
A nurse is caring for a client experiencing postpartum hemorrhage.
Despite fundal massage and oxytocin administration, the bleeding
continues. Which medication should the nurse anticipate administering
next?
Methergine
A nurse is caring for a newborn diagnosed with transient tachypnea of
the newborn. Which of the following interventions should the nurse
anticipate?
supportive care with oxygen and monitoring
A nurse is caring for a client who is 2 days postpartum and
breastfeeding. The client complains of breast engorgement. Which of
the following actions should the nurse recommend to alleviate the
discomfort?
applying cold compress to the breasts
, A nurse is assessing a client 4 hours postpartum. The client's blood
pressure is 90/50 mm/Hg, her heart rate is 120 beats per minutes, and
she reports feeling lightheaded. The nurse notes a large amount of
bright red bleeding with clots. What should be the nurses' first action?
Begin fundal massage
A client who is 2 weeks postpartum tells the nurse, "I feel so sad all the
time and I don't think I can take of my baby." What is the nurse's
priority intervention?
Perform a thorough psychosocial assessment
A newborn is admitted to the NICU with meconium aspiration
syndrome. Which of the following is the priority nursing action?
Suction the newborn's airway immediately
A nurse is preparing to administer carboporst (Hemabate) to a
postpartum client experiencing hemorrhage. Which of the following
client conditions would be a contraindication for the medication?
