BSNC 5000 OB Midterm Exam Questions
and Answers All Correct
The nurse is performing a postpartum assessment on a client. What is the best position
for assessment of the perineum?
A. Assist the client into a supine position with the arms flexed above the head and legs
extended, facilitating examination of the abdomen
B. Assist the client into a lateral position with flexion of the legs, facilitating examination
of the perineum
C. Instruct the client to avoid urinating prior to assessment, facilitating assessment of
the perineum
D. Assist the client into a Trendelenburg position decreasing lochial flow, facilitating
assessment of the perineum - Answer-B. Assist the client into a lateral position with
flexion of the legs, facilitating examination of the perineum
A client with a second-degree tear asks the nurse when bowel elimination should begin
to return to normal. What is the nurse's best response:
A. The day after delivery
B. Three days postpartum
C. At two weeks postpartum
D. Six to seven days postpartum - Answer-B. Three days postpartum
A nurse is providing care to a postpartum client who had placenta previa. The nurse
understands that the client is at an increased risk for:
A. Hypertension
B. Disseminated Intravascular
C. Coagulation
D. Postpartum Hemorrhage
Infection - Answer-D. Postpartum Hemorrhage
This perinatal mood disorder is the most severe, with the onset occurring most often
within two weeks postpartum. Symptoms include paranoia or hallucinations, and
prognosis is relatively good with early detection. This perinatal mood disorder is referred
to as:
A. Postpartum Anxiety
B. Postpartum Blues
C. Postpartum Psychosis
D. Postpartum Depression - Answer-C. Postpartum Psychosis
, A client delivered 7 hours ago and asks the nurse to help with breastfeeding. The client
also shows the nurse an orange-sized clot passed in the toilet earlier that day. Which
finding would be most concerning to the nurse?
A. The client is unable to latch the sleepy newborn.
B. The client is unable to hand express any colostrum.
C. The nurse is unable to break the clot apart.
D. The client's perineum is found to be red and swollen. - Answer-C. The nurse is
unable to break the clot apart.
A nurse is assessing a postpartum client 30 minutes into the fourth stage of labour,
finding the client's perineal pad and bed linen saturated with fresh rubra flow. The nurse
completes a fundal assessment and notes the fundus to be boggy. What is the nurse's
first priority action?
A. Administer a normal saline bolus
B. Get the patient up to the bathroom to void
C. Assess the client's vital signs
D. Perform fundal massage - Answer-C. Assess the client's vital signs
D. Perform fundal massage
A client is having trouble breastfeeding as the newborn is making frantic rooting motions
and not grasping the nipple. Which nursing action should the nurse implement first?
A. Encourage use of the pacifier so that the newborn becomes accustomed to sucking
first.
B. Encourage the mother to stop trying to latch the newborn for a few minutes and
comfort skin to skin.
C. Provide the newborn with formula until calm, and then offer the breast again.
D. Hold the newborn's head firmly against the breast until they latch onto the nipple. -
Answer-B. Encourage the mother to stop trying to latch the newborn for a few minutes
and comfort skin to skin.
Which of the following statements by a postpartum client who delivered vaginally 6
hours ago regarding perineal care would the nurse recognize as needing further
instruction? Select all that apply.
A. "I will use hot packs to manage the pain to my perineum"
B. "I will change my peripad every 2-3 hours"
C. "I will use the peribottle with each void or bowel movement and rinse upward into the
vagina"
D. "I will use a mild soap and warm water to wash my perineum when in the shower"
E. "I will pat to dry after voiding" - Answer-A. "I will use hot packs to manage the pain to
my perineum"
C. "I will use the peribottle with each void or bowel movement and rinse upward into the
vagina"
and Answers All Correct
The nurse is performing a postpartum assessment on a client. What is the best position
for assessment of the perineum?
A. Assist the client into a supine position with the arms flexed above the head and legs
extended, facilitating examination of the abdomen
B. Assist the client into a lateral position with flexion of the legs, facilitating examination
of the perineum
C. Instruct the client to avoid urinating prior to assessment, facilitating assessment of
the perineum
D. Assist the client into a Trendelenburg position decreasing lochial flow, facilitating
assessment of the perineum - Answer-B. Assist the client into a lateral position with
flexion of the legs, facilitating examination of the perineum
A client with a second-degree tear asks the nurse when bowel elimination should begin
to return to normal. What is the nurse's best response:
A. The day after delivery
B. Three days postpartum
C. At two weeks postpartum
D. Six to seven days postpartum - Answer-B. Three days postpartum
A nurse is providing care to a postpartum client who had placenta previa. The nurse
understands that the client is at an increased risk for:
A. Hypertension
B. Disseminated Intravascular
C. Coagulation
D. Postpartum Hemorrhage
Infection - Answer-D. Postpartum Hemorrhage
This perinatal mood disorder is the most severe, with the onset occurring most often
within two weeks postpartum. Symptoms include paranoia or hallucinations, and
prognosis is relatively good with early detection. This perinatal mood disorder is referred
to as:
A. Postpartum Anxiety
B. Postpartum Blues
C. Postpartum Psychosis
D. Postpartum Depression - Answer-C. Postpartum Psychosis
, A client delivered 7 hours ago and asks the nurse to help with breastfeeding. The client
also shows the nurse an orange-sized clot passed in the toilet earlier that day. Which
finding would be most concerning to the nurse?
A. The client is unable to latch the sleepy newborn.
B. The client is unable to hand express any colostrum.
C. The nurse is unable to break the clot apart.
D. The client's perineum is found to be red and swollen. - Answer-C. The nurse is
unable to break the clot apart.
A nurse is assessing a postpartum client 30 minutes into the fourth stage of labour,
finding the client's perineal pad and bed linen saturated with fresh rubra flow. The nurse
completes a fundal assessment and notes the fundus to be boggy. What is the nurse's
first priority action?
A. Administer a normal saline bolus
B. Get the patient up to the bathroom to void
C. Assess the client's vital signs
D. Perform fundal massage - Answer-C. Assess the client's vital signs
D. Perform fundal massage
A client is having trouble breastfeeding as the newborn is making frantic rooting motions
and not grasping the nipple. Which nursing action should the nurse implement first?
A. Encourage use of the pacifier so that the newborn becomes accustomed to sucking
first.
B. Encourage the mother to stop trying to latch the newborn for a few minutes and
comfort skin to skin.
C. Provide the newborn with formula until calm, and then offer the breast again.
D. Hold the newborn's head firmly against the breast until they latch onto the nipple. -
Answer-B. Encourage the mother to stop trying to latch the newborn for a few minutes
and comfort skin to skin.
Which of the following statements by a postpartum client who delivered vaginally 6
hours ago regarding perineal care would the nurse recognize as needing further
instruction? Select all that apply.
A. "I will use hot packs to manage the pain to my perineum"
B. "I will change my peripad every 2-3 hours"
C. "I will use the peribottle with each void or bowel movement and rinse upward into the
vagina"
D. "I will use a mild soap and warm water to wash my perineum when in the shower"
E. "I will pat to dry after voiding" - Answer-A. "I will use hot packs to manage the pain to
my perineum"
C. "I will use the peribottle with each void or bowel movement and rinse upward into the
vagina"
