Review Questions and Answers |
Latest Version | 2025/2026 | Correct &
Verified
What is the priority nursing action when a postpartum client reports passing large clots and
soaking a pad within 15 minutes?
✔✔ Notify the provider immediately and begin assessing for postpartum hemorrhage
What is the best method to relieve engorgement for a breastfeeding mother in the first few days
postpartum?
✔✔ Encourage frequent breastfeeding and apply warm compresses before feeds
What is the expected location of the uterine fundus 12 hours after birth?
✔✔ At the level of the umbilicus or slightly above
What is the primary reason vitamin K is administered to newborns shortly after birth?
✔✔ To prevent bleeding due to low clotting factors
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,What is a normal finding in lochia during the first 1 to 3 days postpartum?
✔✔ Bright red bleeding with small clots and a fleshy odor
What should the nurse do if a laboring client receiving oxytocin shows late decelerations on the
fetal monitor?
✔✔ Turn the client to her left side and stop the oxytocin infusion
What is the recommended position for a newborn to sleep in to reduce the risk of SIDS?
✔✔ On their back
What should the nurse do if a postpartum client has a boggy uterus and heavy vaginal bleeding?
✔✔ Massage the fundus until firm and assess for bladder distention
What is the best way to assess for adequate fetal perfusion during labor?
✔✔ Monitor fetal heart rate patterns
What is the most reliable indicator of true labor?
✔✔ Cervical dilation and effacement
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, What is the most common cause of postpartum hemorrhage within the first 24 hours after
delivery?
✔✔ Uterine atony
What newborn reflex is expected when the sole of the foot is stroked and the toes fan out?
✔✔ Babinski reflex
What instruction should the nurse give to a pregnant client to reduce leg cramps?
✔✔ Dorsiflex the foot when cramping occurs
What hormone is responsible for maintaining the uterine lining in early pregnancy?
✔✔ Progesterone
What symptom should a client report immediately if they are in the third trimester and
experience it?
✔✔ Severe headache and blurred vision
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