BSNC 5000 OB Midterm Questions With Complete
Solutions
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. Correct
Answers C. The nurse is unable to break the clot apart.
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. Correct Answers B. Encourage the
mother to stop trying to latch the newborn for a few minutes and
comfort skin to skin.
,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 Correct Answers B. Three
days postpartum
A new family asks the nurse how to determine if their newborn's
bowel and bladder is functioning appropriately. Which of the
following responses by the nurse would be appropriate?Select
all that apply.
A. "Urine is amber and concentrated with the first few voids"
B. "The first meconium stool is green and mucousy"
C. "Meconium is passed within 24 hours after birth"
D. "The sphincter winks when the anus is stroked"
E. "Uric acid crystals are normal with the first few voids"
Correct Answers C. "Meconium is passed within 24 hours after
birth"
D. "The sphincter winks when the anus is stroked"
E. "Uric acid crystals are normal with the first few voids"
A newborn is reassessed at 6 hours of life and the nurse finds the
following: heart rate of 158/bpm, respiratory rate of 60 breaths
per minute with thin clear nasal discharge. This is recognized to
be:
A. Abnormal state, intervention is required
, B. Second period of reactivity
C. First period of reactivity
D. First period of stability Correct Answers B. Second period
of reactivity
A nurse is assessing a 12-hour old newborn and notes the heart
rate is 172 bpm. What should the nurse's next action be?
A. Wait 60 minutes and then reassess
B. Contact the physician immediately
C. Assess the behavioural state of the infant
D. Continue with the assessment as this is a normal finding
Correct Answers C. Assess the behavioural state of the infant
A nurse is assessing a client's lochia on postpartum day 1 and
notes it as rubra with a foul-smelling odour. The nurse's priority
actions include: Select all that apply.
A. Educate the client on use of the peribottle
B. Assess the client for other signs of infection
C. Assess bowel function and offer laxatives PRN
D. Encourage the client to stop breastfeeding
E. Encourage the client to increase fluid intake Correct Answers
A. Educate the client on use of the peribottle
B. Assess the client for other signs of infection
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?
Solutions
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. Correct
Answers C. The nurse is unable to break the clot apart.
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. Correct Answers B. Encourage the
mother to stop trying to latch the newborn for a few minutes and
comfort skin to skin.
,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 Correct Answers B. Three
days postpartum
A new family asks the nurse how to determine if their newborn's
bowel and bladder is functioning appropriately. Which of the
following responses by the nurse would be appropriate?Select
all that apply.
A. "Urine is amber and concentrated with the first few voids"
B. "The first meconium stool is green and mucousy"
C. "Meconium is passed within 24 hours after birth"
D. "The sphincter winks when the anus is stroked"
E. "Uric acid crystals are normal with the first few voids"
Correct Answers C. "Meconium is passed within 24 hours after
birth"
D. "The sphincter winks when the anus is stroked"
E. "Uric acid crystals are normal with the first few voids"
A newborn is reassessed at 6 hours of life and the nurse finds the
following: heart rate of 158/bpm, respiratory rate of 60 breaths
per minute with thin clear nasal discharge. This is recognized to
be:
A. Abnormal state, intervention is required
, B. Second period of reactivity
C. First period of reactivity
D. First period of stability Correct Answers B. Second period
of reactivity
A nurse is assessing a 12-hour old newborn and notes the heart
rate is 172 bpm. What should the nurse's next action be?
A. Wait 60 minutes and then reassess
B. Contact the physician immediately
C. Assess the behavioural state of the infant
D. Continue with the assessment as this is a normal finding
Correct Answers C. Assess the behavioural state of the infant
A nurse is assessing a client's lochia on postpartum day 1 and
notes it as rubra with a foul-smelling odour. The nurse's priority
actions include: Select all that apply.
A. Educate the client on use of the peribottle
B. Assess the client for other signs of infection
C. Assess bowel function and offer laxatives PRN
D. Encourage the client to stop breastfeeding
E. Encourage the client to increase fluid intake Correct Answers
A. Educate the client on use of the peribottle
B. Assess the client for other signs of infection
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?
