Antepartum, Intrapartum, and Postpartum Exam Guide with Verified Answers

The nurse is assessing the uterine fundus of a client who delivered a healthy neonate 10 hours ago. Identify the area where the nurse would expect to feel the fundus. - Answer-The uterus should be felt at the level of the umbilicus from about 1-24 hours after birth. A nurse in the labor and delivery unit is caring for several clients. For which of these mother-baby pairs should the nurse review the results of the Coombs test to decide whether to administer Rho(D) immune globulin within 72 hours of birth? 1. Rh negative mother with Rh positive baby 2. Rh positive mother with Rh negative baby 3. Rh positive mother with Rh positive baby 4. Rh negative mother with Rh negative baby - Answer-1. Rh negative mother with Rh positive baby A Rh negative mother who delivers a Rh positive baby may develop antibodies to the fetal red cells to which the mother may have been exposed during pregnancy or at placental separation. If the Coombs test is negative, no sensitization has occurred. A school nurse is advising a class of unwed pregnant high school students. What is the most important action the teenagers can perform to deliver a healthy child? 1. maintain good nutrition 2. stay in school throughout the pregnancy 3. keep in contact with the child's father 4. get adequate sleep every night - Answer-1. maintain good nutrition Nurses can serve a pivotal role in the provision of nutritional education and case management interventions. Weight gain during pregnancy is one of the strongest predictors of infant birth weight. Specifically, teens need to increase their intake of protein, vitamins and minerals including iron. Pregnant teens who gain between 26-35 pounds (11.79-15.87 kg) have the lowest incidence of low-birth-weight babies. The nurse is assessing a client in the labor and delivery unit. Which of the following actions is correct when using palpation to assess the characteristics and pattern of uterine contractions? 1. place a hand on abdomen below the umbilicus and palpate uterine tone with fingertips 2. evaluate intensity by pressing fingertips into the uterine fundus 3. determine frequency by timing the end of one contraction until the end of the next contraction