NSG 351 Test 1 Postpartum Questions With Complete
Solutions
A nurse is asked to do a home visit on a woman who delivered 2
weeks ago. When assessing the woman, the nurse was not able
to locate the fundus. The next action would be:
A. Massage the fundus until firm.
B. Document this normal finding.
C. Monitor for bleeding.
D. Arrange transportation for the woman to the nearest hospital.
Correct Answer B. Document this normal finding.
A nurse is assessing a new mother on her first postpartum day.
The nurse notes tenderness in both legs, slight redness in the calf
of the left leg, and edema in both feet, with the left foot being
larger (when measured, the right ankle was 29 cm and the left
ankle was 32 cm in diameter). The nurse's next action should be
to:
A. Explain to the mother that the pain is from the strain of labor
and the edema will disappear in about 48 hours
B. Assess the vital signs.
C. Ask the mother to walk around for the next few minutes and
to ambulate once every 2 hours.
D. Ask the mother to stay in bed until the physician can assess
her. Correct Answer D. Ask the mother to stay in bed until the
physician can assess her.
A positive sign of thrombophlebitis includes:
A. Positive homan's sign
B. Visible varicose veins
C. Pedal edema in the affected leg
, D. Local tenderness, heat, and swelling Correct Answer D.
Local tenderness, heat, and swelling
A postpartum woman had excessive vaginal bleeding after the
birth. The bleeding has decreased to a normal rate and the
fundus has remained firm for the past 3 hours. She has requested
to walk to the bathroom. The nurse should:
A. Offer her a bedpan.
B. Slowly sit her up and allow her to dangle her legs before
standing.
C. Assess for feeling in her feet before ambulation.
D. Let her ambulate to the bathroom because it has been 3 hours.
Correct Answer B. Slowly sit her up and allow her to dangle her
legs before standing.
A steady trickle of bright red blood from the vagina in the
presence of a firm fundus suggests:
A. Perineal hematoma
B. Infection of the uterus
C. Uterine atony
D. Lacerations of the genital tract Correct Answer D.
Lacerations of the genital tract
A white blood cell (WBC) count of 35,000 cells/mm3 on the
morning of the first postpartum day indicates:
A. Suspicion of a sexually transmitted disease
B. Serious infection
C. Normal WBC count
D. Possible infection Correct Answer D. Possible Infection
Solutions
A nurse is asked to do a home visit on a woman who delivered 2
weeks ago. When assessing the woman, the nurse was not able
to locate the fundus. The next action would be:
A. Massage the fundus until firm.
B. Document this normal finding.
C. Monitor for bleeding.
D. Arrange transportation for the woman to the nearest hospital.
Correct Answer B. Document this normal finding.
A nurse is assessing a new mother on her first postpartum day.
The nurse notes tenderness in both legs, slight redness in the calf
of the left leg, and edema in both feet, with the left foot being
larger (when measured, the right ankle was 29 cm and the left
ankle was 32 cm in diameter). The nurse's next action should be
to:
A. Explain to the mother that the pain is from the strain of labor
and the edema will disappear in about 48 hours
B. Assess the vital signs.
C. Ask the mother to walk around for the next few minutes and
to ambulate once every 2 hours.
D. Ask the mother to stay in bed until the physician can assess
her. Correct Answer D. Ask the mother to stay in bed until the
physician can assess her.
A positive sign of thrombophlebitis includes:
A. Positive homan's sign
B. Visible varicose veins
C. Pedal edema in the affected leg
, D. Local tenderness, heat, and swelling Correct Answer D.
Local tenderness, heat, and swelling
A postpartum woman had excessive vaginal bleeding after the
birth. The bleeding has decreased to a normal rate and the
fundus has remained firm for the past 3 hours. She has requested
to walk to the bathroom. The nurse should:
A. Offer her a bedpan.
B. Slowly sit her up and allow her to dangle her legs before
standing.
C. Assess for feeling in her feet before ambulation.
D. Let her ambulate to the bathroom because it has been 3 hours.
Correct Answer B. Slowly sit her up and allow her to dangle her
legs before standing.
A steady trickle of bright red blood from the vagina in the
presence of a firm fundus suggests:
A. Perineal hematoma
B. Infection of the uterus
C. Uterine atony
D. Lacerations of the genital tract Correct Answer D.
Lacerations of the genital tract
A white blood cell (WBC) count of 35,000 cells/mm3 on the
morning of the first postpartum day indicates:
A. Suspicion of a sexually transmitted disease
B. Serious infection
C. Normal WBC count
D. Possible infection Correct Answer D. Possible Infection
