Test Bank Rationale: NUR2513 Exam 2 (70 Questions & Answers) NEW!!

TEST BANK RATIONALE: 2026 NUR2513
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EXAM 2 (70 QUESTIONS & ANSWERS) = = = = = =




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Overview Rationale =




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Section 1: Postpartum Maternal Care
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1. Which technique is used to palpate the fundal height on a post
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partum client? = =




• A) Placing one hand on the fundus, one on the perineum
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• B) Resting both hands on the fundus
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• C) Palpating the fundus with only fingertip pressure
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• D) Placing one hand at the base of the uterus, one on the
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fundus =




Answer: D = =




Rationale: The correct technique for assessing fundal height
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postpartum is to place one hand at the base of the uterus (to
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support the lower segment) and one hand on the fundus to assess
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,firmness and position . The fundus should move downward to the
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pelvis at approximately 1 fingerbreadth per day .
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Cognitive Level: Application | Exam Domain: Postpartum
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2. A nurse assesses a postpartum client's discharge as being
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moderate in amount and red in color. How should the nurse
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document the appearance of the lochia?
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• A) Lochia rubra
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• B) Lochia normalia
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• C) Lochia serosa
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• D) Lochia alba
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Answer: A = =




Rationale: Lochia rubra is bright red and occurs during the first 1-
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3 days postpartum . Lochia serosa is pinkish (days 3-
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10). Lochia alba is yellowish-white (days 10-
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14 and may last up to 6 weeks) . "Lochia normalia" is not a
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standard medical term. = = =




Cognitive Level: Knowledge | Exam Domain: Postpartum
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Assessment
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3. The nurse is assessing the fundus of a client on postpartum
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day 2. What should the nurse expect when palpating the fundus
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• A) Fundus two fingerbreadths below the umbilicus and firm
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• B) Fundus at the umbilicus and firm
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• C) Fundus two fingerbreadths above the umbilicus and boggy
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• D) Fundus four fingerbreadths below the umbilicus and firm
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Answer: A = =




Rationale: The fundus descends approximately one fingerbreadth
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per day. On postpartum day 2, the fundus should be located two
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fingerbreadths below the umbilicus and should be firm . A boggy
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fundus indicates uterine atony and requires immediate intervention
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Cognitive Level: Comprehension | Exam Domain: Postpartum
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Assessment =




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4. A postpartum client who is 2 days after delivery has a fever
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of 100.8°F, uterine tenderness, and foul-smelling lochia.
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What is the most likely diagnosis?
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, • A) Mastitis
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• B) Endometritis
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• C) Urinary tract infection
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• D) Wound infection
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Answer: B = =




Rationale: Endometritis is characterized by fever, uterine
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tenderness, and foul- = =




smelling lochia . Risk factors include prolonged labor and
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cesarean birth. Mastitis presents with breast tenderness and fever,
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not uterine findings; UTI has urinary symptoms; wound infection is
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localized to an incision site.
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Cognitive Level: Analysis | Exam Domain: Postpartum
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Complications
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5. A postpartum woman has a fourth-
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degree perineal laceration. Which physician order should the
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= nurse question?
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• A) PRN docusate sodium
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• B) Administration of a sitz bath
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