South College NSG 3332 Maternity / OB Exam 3 Practice
Questions | Questions with 100% Verified Answers | Latest
Update
Question:
The nurse is caring for a postpartum client who has chosen to bottle feed. Which of the following
points will the nurse include in teaching to promote lactation suppression?
A. Apply warm compresses to the breasts
B. Wear a tight-fitting bra
C. Pump the breasts only bid
D. Increase fluid intake
Answer:
B
Question:
Which of following education about sexual activity would the nurse include in postpartum teaching?
A. Interest in sexual activity may increase due to hormonal
fluctuations
B. Lubricants are unnecessary due to the increased vaginal
mucus
C. Sexual intercourse should be avoided until vaginal bleeding
has ceased
D. Natural family planning is the best method to avoid
pregnancy in the postpartum period
Answer:
C
Question:
A nurse is teaching a client who is breastfeeding about dietary recommendations. Which of the
following statements by the client indicates understanding of the teaching?
A. I will decrease my daily fiber intake
B. I’ll make sure I reduce salt in my diet
C. I’ll eat more protein at each meal
D. I will consume more vitamin D-rich foods
Answer:
C (during lactation, client should consume about 25 g of additional protein per day.)
,Question:
A nurse is providing discharge teaching to a client who is 3 days postoperative following a cesarean
birth. Which of the following client statements should indicate to the nurse the teaching is effective?
A. I am likely to have a fever the first week I am home
B. I will resume taking my prenatal vitamins
C. I will call my provider if I have discharge from my incision
D. I should not have unrelieved pain in my abdomen
E. I will rest in a recliner until my incision is healed
Answer:
B, C, D
Question:
A client is reporting unrelieved episiotomy pain 8hr after delivery. Which of the following actions
should the client's nurse take?
A. Apply an ice pack to the perineum.
B. Offer a warm sitz bath
C. provide a squeeze bottle of antiseptic solution
D. place a hot pack to the perineum
Answer:
A.
During the first 24 hr, ice packs and cool water sitz baths should be used. This should reduce edema
and reduce discomfort.
Question:
A nurse is caring for a client who is 6 hours postpartum and asks the nurse to feed her newborn.
Which of the following responses should the nurse provide?
A. "I'll feed him today. Maybe tomorrow you can try it."
B. "Oh, this isn't difficult. You'll be fine doing this."
C. "You can learn to feed him; I wasn't comfortable the first
time I fed a baby either."
D. "Feeding an infant can feel a little intimidating at first, but I'll
stay and help you."
Answer:
D (The nurse, while recognizing and acknowledging the client's apprehension, offers assistance and
a sense of presence, with the intention of boosting client confidence.)
Question:
A nurse is caring for a client who is 7 days postpartum and calls the clinic to report pain and redness
of her left calf. Besides seeing her provider, which of the following interventions should the nurse
suggest?
A. Flex her knee while resting
B. Massage the area
C. Elevate her leg
D. Apply a cold compress
, Answer:
C (encourages venous return and relieves pain. Client should also apply moist heat to the affected
area)
Question:
A nurse is caring for a client who is breastfeeding and states that her nipples are sore. Which of the
following interventions should the nurse suggest?
A. Apply mineral oil to the nipples between feedings.
B. Keep the nipples covered between breastfeeding sessions.
C. Increase the length of time between feedings.
D. Change the newborn's position on the nipples with each
feeding.
Answer:
D (client should expose sore nipples to air as much as possible and decreasing frequency of
feedings does not prevent sore nipples)
Question:
A nurse is caring for a client 2 hr after a spontaneous vaginal birth and the client has saturated two
perineal pads with blood in a 30 min period. Which of the following is the priority nursing
intervention at this time?
A. Palpate the client's uterine fundus.
B. Assist the client on a bedpan to urinate.
C. Prepare to administer oxytocic medication.
D. Increase the client's fluid intake.
Answer:
A (Although the expectation is moderate bleeding in the first 2 hr after delivery, saturating a
perineal pad in 15 min or less indicates excessive blood loss. The priority nursing intervention is to
palpate the client's fundus to determine the presence of uterine atony, followed by fundal massage
to stimulate uterine muscle tone.)
Question:
A nurse is assessing a client who is 12 hr postpartum and received spinal anesthesia for a cesarean
birth. Which of the following findings requires immediate intervention by the nurse?
A. Blood pressure 100/70 mm Hg
B. Headache pain rated a 6 on a scale of 0 to 10
C. Respiratory rate 10/min
D. Urinary output 30 mL/hr
Answer:
C
, Question:
A nurse is caring for a client who had a vaginal delivery 2 hr ago. Which of the following actions
should the nurse anticipate in the care of this client? Select all that apply
A. Document fundal height.
B. Massage a firm fundus.
C. Observe the lochia during palpation of fundus.
D. Determine whether the fundus is midline.
E. Administer methylergonovine maleate if uterus is boggy.
Answer:
A, C, D, E
Question:
A nurse is admitting a client who experienced a vaginal birth 2 hr ago. The client is receiving an IV
of LR with 25 units of oxytocin infusing and has large rubra lochia. Vital signs include BP 146/95,
pulse 80, RR 18. The nurse reviews the prescriptions from the provider. Which of the following
prescriptions requires clarification?
A. Methylergonovine 0.2 mg IM now.
B. Insert an indwelling urinary catheter.
C. Administer oxygen by nonrebreather mask at 5 L/min.
D. Obtain laboratory study of prothrombin and partial
thromboplastin time.
Answer:
A (Methylergonovine is contraindicated in the client with a blood pressure greater than 140/90 mm
Hg. This prescription requires clarification.)
Question:
A nurse is caring for a client who experienced a cesarean birth due to dysfunctional labor. The client
states that she is disappointed that she did not have natural childbirth. Which of the following
responses should the nurse make?
A. "It sounds like you are feeling sad that things didn't go as
planned."
B. "At least you know you have a healthy baby."
C. "Maybe next time you can have a vaginal delivery."
D. "You can resume sexual relations sooner than if you had
delivered vaginally."
Answer:
A
Questions | Questions with 100% Verified Answers | Latest
Update
Question:
The nurse is caring for a postpartum client who has chosen to bottle feed. Which of the following
points will the nurse include in teaching to promote lactation suppression?
A. Apply warm compresses to the breasts
B. Wear a tight-fitting bra
C. Pump the breasts only bid
D. Increase fluid intake
Answer:
B
Question:
Which of following education about sexual activity would the nurse include in postpartum teaching?
A. Interest in sexual activity may increase due to hormonal
fluctuations
B. Lubricants are unnecessary due to the increased vaginal
mucus
C. Sexual intercourse should be avoided until vaginal bleeding
has ceased
D. Natural family planning is the best method to avoid
pregnancy in the postpartum period
Answer:
C
Question:
A nurse is teaching a client who is breastfeeding about dietary recommendations. Which of the
following statements by the client indicates understanding of the teaching?
A. I will decrease my daily fiber intake
B. I’ll make sure I reduce salt in my diet
C. I’ll eat more protein at each meal
D. I will consume more vitamin D-rich foods
Answer:
C (during lactation, client should consume about 25 g of additional protein per day.)
,Question:
A nurse is providing discharge teaching to a client who is 3 days postoperative following a cesarean
birth. Which of the following client statements should indicate to the nurse the teaching is effective?
A. I am likely to have a fever the first week I am home
B. I will resume taking my prenatal vitamins
C. I will call my provider if I have discharge from my incision
D. I should not have unrelieved pain in my abdomen
E. I will rest in a recliner until my incision is healed
Answer:
B, C, D
Question:
A client is reporting unrelieved episiotomy pain 8hr after delivery. Which of the following actions
should the client's nurse take?
A. Apply an ice pack to the perineum.
B. Offer a warm sitz bath
C. provide a squeeze bottle of antiseptic solution
D. place a hot pack to the perineum
Answer:
A.
During the first 24 hr, ice packs and cool water sitz baths should be used. This should reduce edema
and reduce discomfort.
Question:
A nurse is caring for a client who is 6 hours postpartum and asks the nurse to feed her newborn.
Which of the following responses should the nurse provide?
A. "I'll feed him today. Maybe tomorrow you can try it."
B. "Oh, this isn't difficult. You'll be fine doing this."
C. "You can learn to feed him; I wasn't comfortable the first
time I fed a baby either."
D. "Feeding an infant can feel a little intimidating at first, but I'll
stay and help you."
Answer:
D (The nurse, while recognizing and acknowledging the client's apprehension, offers assistance and
a sense of presence, with the intention of boosting client confidence.)
Question:
A nurse is caring for a client who is 7 days postpartum and calls the clinic to report pain and redness
of her left calf. Besides seeing her provider, which of the following interventions should the nurse
suggest?
A. Flex her knee while resting
B. Massage the area
C. Elevate her leg
D. Apply a cold compress
, Answer:
C (encourages venous return and relieves pain. Client should also apply moist heat to the affected
area)
Question:
A nurse is caring for a client who is breastfeeding and states that her nipples are sore. Which of the
following interventions should the nurse suggest?
A. Apply mineral oil to the nipples between feedings.
B. Keep the nipples covered between breastfeeding sessions.
C. Increase the length of time between feedings.
D. Change the newborn's position on the nipples with each
feeding.
Answer:
D (client should expose sore nipples to air as much as possible and decreasing frequency of
feedings does not prevent sore nipples)
Question:
A nurse is caring for a client 2 hr after a spontaneous vaginal birth and the client has saturated two
perineal pads with blood in a 30 min period. Which of the following is the priority nursing
intervention at this time?
A. Palpate the client's uterine fundus.
B. Assist the client on a bedpan to urinate.
C. Prepare to administer oxytocic medication.
D. Increase the client's fluid intake.
Answer:
A (Although the expectation is moderate bleeding in the first 2 hr after delivery, saturating a
perineal pad in 15 min or less indicates excessive blood loss. The priority nursing intervention is to
palpate the client's fundus to determine the presence of uterine atony, followed by fundal massage
to stimulate uterine muscle tone.)
Question:
A nurse is assessing a client who is 12 hr postpartum and received spinal anesthesia for a cesarean
birth. Which of the following findings requires immediate intervention by the nurse?
A. Blood pressure 100/70 mm Hg
B. Headache pain rated a 6 on a scale of 0 to 10
C. Respiratory rate 10/min
D. Urinary output 30 mL/hr
Answer:
C
, Question:
A nurse is caring for a client who had a vaginal delivery 2 hr ago. Which of the following actions
should the nurse anticipate in the care of this client? Select all that apply
A. Document fundal height.
B. Massage a firm fundus.
C. Observe the lochia during palpation of fundus.
D. Determine whether the fundus is midline.
E. Administer methylergonovine maleate if uterus is boggy.
Answer:
A, C, D, E
Question:
A nurse is admitting a client who experienced a vaginal birth 2 hr ago. The client is receiving an IV
of LR with 25 units of oxytocin infusing and has large rubra lochia. Vital signs include BP 146/95,
pulse 80, RR 18. The nurse reviews the prescriptions from the provider. Which of the following
prescriptions requires clarification?
A. Methylergonovine 0.2 mg IM now.
B. Insert an indwelling urinary catheter.
C. Administer oxygen by nonrebreather mask at 5 L/min.
D. Obtain laboratory study of prothrombin and partial
thromboplastin time.
Answer:
A (Methylergonovine is contraindicated in the client with a blood pressure greater than 140/90 mm
Hg. This prescription requires clarification.)
Question:
A nurse is caring for a client who experienced a cesarean birth due to dysfunctional labor. The client
states that she is disappointed that she did not have natural childbirth. Which of the following
responses should the nurse make?
A. "It sounds like you are feeling sad that things didn't go as
planned."
B. "At least you know you have a healthy baby."
C. "Maybe next time you can have a vaginal delivery."
D. "You can resume sexual relations sooner than if you had
delivered vaginally."
Answer:
A
