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NURSING nursing POST PARTUM COMPLICATIONS QUIZ.

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NURSING nursing POST PARTUM COMPLICATIONS QUIZ.

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POST PARTUM COMPLICATIONS QUIZ
1. To prevent or treat postpartal hemorrhage, defined as the loss of 500 ml or more blood within
the first 24 hours after delivery, the nurse administers which of the following drugs?
A. Narcan
B. Estradiol valerate
C. Methyergonovine maleate
D. Metronidazole



2. Mrs. Del Fierro, 33, delivers a healthy baby girl. You are the nurse assigned to care for her. This is
Mrs. Del Fierro's second child. One day post delivery, Mrs. Del Fierro complains of pain. An
appropriate nursing intervention for post-partum episiotomy pain is to:
A. Apply ice packs the first 24 hours.
B. Apply hot packs the first 24 hours.
C. Suggest a tampon be used instead of a perineal pad.
D. Gently swab the suture line with an antibiotic ointment.



3. Postpartum assessment of the newly delivered mother includes checking the uterine fundus for
firmness and position. On the second day postpartum, you would normally expect Mrs. Del
Fierro's fundus to be?
A. Firm and one to three fingerbreadths above the umbilicus.
B. Slightly boggy and below the umbilicus.
C. Firm and deviated to either the right or left.
D. Firm and one to three fingerbreadths below the umbilicus



4. The physician performs an episiotomy on Mrs. Tan. All of the following statements reflect
reasons for performing an episiotomy at the beginning of the second stage of labor except:
A. Trauma to the fetal head is decreased as the opening is enlarged.
B. An incision is easier to repair, heals faster, and can be controlled directionally.
C. The second stage of labor is lengthened by the interruption of muscles.
D. Stretching and tissue necrosis of vaginal mucosa are prevented.



5. A third degree laceration is one which involves:
A. The perineal skin, vaginal mucosa, muscles and fascia of perineal body, and extends into the
anal sphincter.
B. The perineal skin, vaginal mucosa, muscles and fascia of perineal body and extends through the
rectal mucosa, exposing the rectal lumen.
C. The perineal skin, vaginal mucosa, and muscles and fascia of the perineal body.



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