COMPREHENSIVE
1. When assessing a multiparous client following a vacuum-assisted birth,
the nurse should be alert for what complication?: Cervical laceration.
Maternal complications with vacuum-assisted birth are rare but can include per-
ineal, vaginal, or cervical lacerations.
2. A nurse is assessing a client q15min during the immediate postpartum
period- which requires immediate action?: Boggy uterus.
This indicates that the client is at greatest rush for uterine atony; therefore, the
nurse should immediately massage the fundus to prevent blood loss.
3. Client has two different types of eye drops- what to include in teaching?-
: Close eyes for 1 min following administration of each medication to allow for
absorption. Wait 10-15 min between administration of each med to prevent diluting
the medication.
4. Following a delivery- notes heavy lochia and a boggy fundus. What meds
should the nurse administer?: Pitocin.
This stimulates uterine contractions, and prevents bleeding.
5. Magnesium sulfate in labor?: Smooth muscle relaxant. Decreases contrac-
tions during preterm labor.
6. Theophylline toxicity-: Anorexia.
Also hypotension, albuminuria, tachycardia.
7. Prevent discomfort of breast engorgement?: I've packs on the breasts for 15
mins, 3-4 times per day to reduce swelling and relieve pain.
8. Thorazine teaching-: Sip fluids throughout the day to relieve dry mouth symp-
toms.
Minimize exposure to sun to prevent photosensitivity reactions.
9. How should the nurse manager evaluate a new nurse's time management
skills?: Maintain regular notes about the nurse's time management skills. This
provides a comprehensive view of the nurse's abilities.
10. Cytoxan teaching-: Maintain hydration with liberal fluid intake. Should con-
sume 1-1.5 times more than the recommended daily fluid requirement to maintain
hydration and prevent hemorrhagic. Cystitis.
1/4
1. When assessing a multiparous client following a vacuum-assisted birth,
the nurse should be alert for what complication?: Cervical laceration.
Maternal complications with vacuum-assisted birth are rare but can include per-
ineal, vaginal, or cervical lacerations.
2. A nurse is assessing a client q15min during the immediate postpartum
period- which requires immediate action?: Boggy uterus.
This indicates that the client is at greatest rush for uterine atony; therefore, the
nurse should immediately massage the fundus to prevent blood loss.
3. Client has two different types of eye drops- what to include in teaching?-
: Close eyes for 1 min following administration of each medication to allow for
absorption. Wait 10-15 min between administration of each med to prevent diluting
the medication.
4. Following a delivery- notes heavy lochia and a boggy fundus. What meds
should the nurse administer?: Pitocin.
This stimulates uterine contractions, and prevents bleeding.
5. Magnesium sulfate in labor?: Smooth muscle relaxant. Decreases contrac-
tions during preterm labor.
6. Theophylline toxicity-: Anorexia.
Also hypotension, albuminuria, tachycardia.
7. Prevent discomfort of breast engorgement?: I've packs on the breasts for 15
mins, 3-4 times per day to reduce swelling and relieve pain.
8. Thorazine teaching-: Sip fluids throughout the day to relieve dry mouth symp-
toms.
Minimize exposure to sun to prevent photosensitivity reactions.
9. How should the nurse manager evaluate a new nurse's time management
skills?: Maintain regular notes about the nurse's time management skills. This
provides a comprehensive view of the nurse's abilities.
10. Cytoxan teaching-: Maintain hydration with liberal fluid intake. Should con-
sume 1-1.5 times more than the recommended daily fluid requirement to maintain
hydration and prevent hemorrhagic. Cystitis.
1/4
