NRSG 3302 Women and Families Exam 2 Questions With
Complete Solutions
A 2-day postpartum client states, "My baby nurses all the time. I
don't think I have enough milk." What education should the
nurse provide to the client?
1.
"Colostrum is thick and small in volume. Babies must nurse
frequently to get the nutrients they need."
2.
"Transitional milk is lower in calories than colostrum. Babies
must nurse often to gain weight."
3.
"You need to begin pumping to increase your milk supply."
4.
"Hindmilk has higher fat, so you need to ensure your baby
nurses for at least 20 minutes per breast." Correct Answers 1.
"Colostrum is thick and small in volume. Babies must nurse
frequently to get the nutrients they need."
A client calls for the nurse to come to the room the day after a
cesarean section delivery. Upon arrival to the client's room, the
nurse notes that the client is dyspneic and appears short of
breath. The client reports that her chest feels tight. Based on
these assessment findings, what does the nurse report to the
provider?
1.
Postpartum hemorrhage
2.
Wound infection
3.
,Pulmonary embolism
4.
Wound dehiscence Correct Answers 3.
Pulmonary embolism
A client is concerned because her 2-hour-old newborn is
sleeping skin-to-skin and will not breastfeed. Which response by
the nurse is correct to explain this behavior?
1.
"The medication you received in labor is affecting the baby's
ability to stay awake."
2.
"This is a normal response after birth and may last an hour or
two."
3.
"The baby could be sleepy because of a low glucose level. Try
to wake the baby up and breastfeed."
4.
"We can give the baby a bath to wake the baby up." Correct
Answers 2.
"This is a normal response after birth and may last an hour or
two."
A gravid patient in her third trimester has iron-deficiency
anemia. Which instruction by the nurse is correct regarding iron
supplementation?
1.
Iron should be taken with food to increase absorption.
2.
Iron should be taken on an empty stomach to increase
absorption.
,3.
If stools turn black, discontinue the use of iron supplementation.
4.
The correct dose of ferrous sulfate is 20 mg once daily. Correct
Answers 2.
Iron should be taken on an empty stomach to increase
absorption.
A gravid patient in labor suddenly has dyspnea, hypotension,
frothy sputum, and loss of consciousness. The nurse knows
these are signs and symptoms of which obstetrical emergency?
1.
Placental abruption
2.
Uterine rupture
3.
Uterine inversion
4.
Amniotic fluid embolism Correct Answers 4.
Amniotic fluid embolism
A gravid patient is having a trial of labor after cesarean
(TOLAC). The nurse knows to watch for which obstetrical
emergency?
1.
Dystocia
2.
Shoulder dystocia
3.
Amniotic fluid embolism
4.
, Uterine rupture Correct Answers 4.
Uterine rupture
A gravid patient is undergoing induction of labor with oxytocin.
The nurse assesses the uterine contractions and notes that there
are six contractions in 10 minutes, and the FHR is abnormal.
Which is the priority nursing action?
1.
Administer oxygen via face mask.
2.
Notify the provider.
3.
Decrease the oxytocin dose.
4.
Discontinue oxytocin. Correct Answers 4.
Discontinue oxytocin.
A gravid woman at 30 weeks gestation presents to the labor and
delivery unit reporting painless, bright red vaginal bleeding.
Which condition would the nurse suspect?
1.
Placental abruption
2.
Urinary tract infection
3.
Placenta previa
4.
Placenta accreta Correct Answers 3.
Placenta previa
Complete Solutions
A 2-day postpartum client states, "My baby nurses all the time. I
don't think I have enough milk." What education should the
nurse provide to the client?
1.
"Colostrum is thick and small in volume. Babies must nurse
frequently to get the nutrients they need."
2.
"Transitional milk is lower in calories than colostrum. Babies
must nurse often to gain weight."
3.
"You need to begin pumping to increase your milk supply."
4.
"Hindmilk has higher fat, so you need to ensure your baby
nurses for at least 20 minutes per breast." Correct Answers 1.
"Colostrum is thick and small in volume. Babies must nurse
frequently to get the nutrients they need."
A client calls for the nurse to come to the room the day after a
cesarean section delivery. Upon arrival to the client's room, the
nurse notes that the client is dyspneic and appears short of
breath. The client reports that her chest feels tight. Based on
these assessment findings, what does the nurse report to the
provider?
1.
Postpartum hemorrhage
2.
Wound infection
3.
,Pulmonary embolism
4.
Wound dehiscence Correct Answers 3.
Pulmonary embolism
A client is concerned because her 2-hour-old newborn is
sleeping skin-to-skin and will not breastfeed. Which response by
the nurse is correct to explain this behavior?
1.
"The medication you received in labor is affecting the baby's
ability to stay awake."
2.
"This is a normal response after birth and may last an hour or
two."
3.
"The baby could be sleepy because of a low glucose level. Try
to wake the baby up and breastfeed."
4.
"We can give the baby a bath to wake the baby up." Correct
Answers 2.
"This is a normal response after birth and may last an hour or
two."
A gravid patient in her third trimester has iron-deficiency
anemia. Which instruction by the nurse is correct regarding iron
supplementation?
1.
Iron should be taken with food to increase absorption.
2.
Iron should be taken on an empty stomach to increase
absorption.
,3.
If stools turn black, discontinue the use of iron supplementation.
4.
The correct dose of ferrous sulfate is 20 mg once daily. Correct
Answers 2.
Iron should be taken on an empty stomach to increase
absorption.
A gravid patient in labor suddenly has dyspnea, hypotension,
frothy sputum, and loss of consciousness. The nurse knows
these are signs and symptoms of which obstetrical emergency?
1.
Placental abruption
2.
Uterine rupture
3.
Uterine inversion
4.
Amniotic fluid embolism Correct Answers 4.
Amniotic fluid embolism
A gravid patient is having a trial of labor after cesarean
(TOLAC). The nurse knows to watch for which obstetrical
emergency?
1.
Dystocia
2.
Shoulder dystocia
3.
Amniotic fluid embolism
4.
, Uterine rupture Correct Answers 4.
Uterine rupture
A gravid patient is undergoing induction of labor with oxytocin.
The nurse assesses the uterine contractions and notes that there
are six contractions in 10 minutes, and the FHR is abnormal.
Which is the priority nursing action?
1.
Administer oxygen via face mask.
2.
Notify the provider.
3.
Decrease the oxytocin dose.
4.
Discontinue oxytocin. Correct Answers 4.
Discontinue oxytocin.
A gravid woman at 30 weeks gestation presents to the labor and
delivery unit reporting painless, bright red vaginal bleeding.
Which condition would the nurse suspect?
1.
Placental abruption
2.
Urinary tract infection
3.
Placenta previa
4.
Placenta accreta Correct Answers 3.
Placenta previa
