NRSG 3302-Exam 1 2024/2025 Exam
Questions with Detailed Verified
Answers (100% Correct Answers) |
Already Graded A
The postpartum nurse is taking the vital signs of a client who delivered a healthy
newborn 4 hours ago. The nurse notes that the client's temperature is 100.2° F.
What is the priority nursing action?
1. Document the findings.
2. Retake the temperature in 15 minutes.
3. Notify the health care provider
4. Increase hydration by encouraging oral fluids. - 🧠ANSWER ✔✔4. Increase
hydration by encouraging oral fluids.
Rationale: The client's temperature should be taken every 4 hours while she is
awake. Temperatures up to 100.4° F (38° C) in the first 24 hours after birth often
are related to the dehydrating effects of labor. The appropriate action is to
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,increase hydration by encouraging oral fluids, which should bring the
temperature to a normal reading. Although the nurse also would document the
findings, the appropriate action would be to increase hydration. Taking the
temperature in another 15 minutes is an unnecessary action. Contacting the
HCP is not necessary.
The nurse is assessing a client who is 6 hours postpartum after delivering a full-
term healthy newborn. The client complains to the nurse of feelings of faintness
and dizziness. Which nursing action would be most appropriate?
1. Raise the head of the client's bed.
2. Obtain hemoglobin and hematocrit levels.
3. Instruct the client to request help when getting out of bed.
4. Inform the nursery room nurse to avoid bringing the newborn to the client
until the mother's symptoms have subsided. - 🧠ANSWER ✔✔3. Instruct the
client to request help when getting out of bed.
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, Rationale: Orthostatic hypotension may be evident during the first 8 hours after
birth. Feelings of faintness or dizziness are signs that caution the nurse to focus
interventions on the client's safety. The nurse should advise the client to get
help the first few times she gets out of bed. Option 1 is not a helpful action in
this situation and would not relieve the symptoms. Option 2 requires a health
care provider's prescription. Option 4 is unnecessary.
The nurse is caring for four 1-day postpartum clients. Which client would
require further nursing action?
1. The client with mild afterpains
2. The client with a pulse rate of 60 beats/minute
3. The client with colostrum discharge from both breasts
4. The client with lochia that is red and has a foul-smelling odor - 🧠ANSWER
✔✔4. The client with lochia that is red and has a foul-smelling odor
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619652435. TERMS OF USE. PRIVACY STATEMENT. ALL RIGHTS RESERVED
Questions with Detailed Verified
Answers (100% Correct Answers) |
Already Graded A
The postpartum nurse is taking the vital signs of a client who delivered a healthy
newborn 4 hours ago. The nurse notes that the client's temperature is 100.2° F.
What is the priority nursing action?
1. Document the findings.
2. Retake the temperature in 15 minutes.
3. Notify the health care provider
4. Increase hydration by encouraging oral fluids. - 🧠ANSWER ✔✔4. Increase
hydration by encouraging oral fluids.
Rationale: The client's temperature should be taken every 4 hours while she is
awake. Temperatures up to 100.4° F (38° C) in the first 24 hours after birth often
are related to the dehydrating effects of labor. The appropriate action is to
Page 1 of 29
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER:
619652435. TERMS OF USE. PRIVACY STATEMENT. ALL RIGHTS RESERVED
,increase hydration by encouraging oral fluids, which should bring the
temperature to a normal reading. Although the nurse also would document the
findings, the appropriate action would be to increase hydration. Taking the
temperature in another 15 minutes is an unnecessary action. Contacting the
HCP is not necessary.
The nurse is assessing a client who is 6 hours postpartum after delivering a full-
term healthy newborn. The client complains to the nurse of feelings of faintness
and dizziness. Which nursing action would be most appropriate?
1. Raise the head of the client's bed.
2. Obtain hemoglobin and hematocrit levels.
3. Instruct the client to request help when getting out of bed.
4. Inform the nursery room nurse to avoid bringing the newborn to the client
until the mother's symptoms have subsided. - 🧠ANSWER ✔✔3. Instruct the
client to request help when getting out of bed.
Page 2 of 29
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER:
619652435. TERMS OF USE. PRIVACY STATEMENT. ALL RIGHTS RESERVED
, Rationale: Orthostatic hypotension may be evident during the first 8 hours after
birth. Feelings of faintness or dizziness are signs that caution the nurse to focus
interventions on the client's safety. The nurse should advise the client to get
help the first few times she gets out of bed. Option 1 is not a helpful action in
this situation and would not relieve the symptoms. Option 2 requires a health
care provider's prescription. Option 4 is unnecessary.
The nurse is caring for four 1-day postpartum clients. Which client would
require further nursing action?
1. The client with mild afterpains
2. The client with a pulse rate of 60 beats/minute
3. The client with colostrum discharge from both breasts
4. The client with lochia that is red and has a foul-smelling odor - 🧠ANSWER
✔✔4. The client with lochia that is red and has a foul-smelling odor
Page 3 of 29
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER:
619652435. TERMS OF USE. PRIVACY STATEMENT. ALL RIGHTS RESERVED
