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Questions And Answers vr vr
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This Test Consists Of 55 Questions And Answers
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1. Which nursing intervention is most helpful in relieving postpartum uterine
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vr contractions or "afterpains?" vr vr
a. Lying prone with a pillow on the abdomen
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b. Using a breast pumpvr vr vr
,c. Massaging the abdomen vr vr
d. Giving oxytocic medications vr vr vr
Answer>> a.Lying prone with a pillow on the abdomen vr vr vr vr vr vr vr vr vr
Lying prone (A) keeps the fundus contracted and is especially useful with multiparas, who
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vr commonly experience afterpains due to lack of uterine tone.
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2. A multigravida client arrives at the labor and delivery unit and tells the nurse
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vr that her bag of water has broken.The nurse identifies the presence of
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vr meconiumfluidontheperineumanddeterminesthefetalheartrateisbetween 140vr vr vr vr vr vr vr vr vr vr vr vr vr
vr to 150 beats/minute.What action should the nurse implement next?
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a. Ccmplete a sterile vaginal exam vr vr vr vr
b. Take maternal temperature every 2 hoursvr vr vr vr vr
c. Prepare for an immediate cesarean birth vr vr vr vr vr
d. Obtain sterile suction equipment vr vr vr vr
Answer>> a.Complete a sterile vaginal exam vr vr vr vr vr vr
A vaginal exam (A) should be performed after the rupture of membranes to deter-
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vr mine the presence of a prolapsed cord.
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3. When explaining "postpartum blues" to a client who is 1 day postpartum,
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vr which symptoms should the nurse include in the teaching plan? (Select all
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,vr that apply.)
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a. Mood swings vr
b. Panic attacks vr
c. Tearfulness
d. Decreased need for sleep vr vr vr
e. Disinterest in the infant vr vr vr vr
Answer>> a.Mood swings vr vr vr
c.Tearfulness
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"Postpartum blues" is a common emotional response related to the rapid decrease in
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vr placental hormones after delivery and include mood swings (A), tearfulness (C),
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vr feeling low, emotional, and fatigued.
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4. Aclientat30-weeksgestation,complainingofpressureoverthepubicarea, is
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vr admitted for observation. She is contracting irregularly and demonstrates
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vr underlying uterine irritability.Vaginal examination reveals that her cervix is
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vr closed, thick, and high. Based on these data, which intervention should the
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vr nurse implement first?
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a. Provide oral hydration vr vr
, b. Have a complete blood count (CBC) drawn
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c. Obtain a specimen for urine analysis vr vr vr vr vr
d. Place the client on strict bedrest vr vr vr vr vr vr
Answer>> c.Obtain a specimen for urine analysis vr vr vr vr vr vr vr
Obtaining a urine analysis (C) should be done first because preterm clients with uterine
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vrirritability and contractions are often suffering from a urinary tract infection, and this
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vr should be ruled out first.
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5. A client in active labor complains of cramps in her leg.What intervention
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vr should the nurse implement?vr vr vr
a. Ask the client if she takes a daily calcium tablet
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b. Extend the leg and dorsiflex the foot vr vr vr vr vr vr
c. Lower the leg off the side of the bed vr vr vr vr vr vr vr vr
d. Elevate the leg above the heart vr vr vr vr vr vr
Answer>> b.Extend the leg and dorsiflex the foot vr vr vr vr vr vr vr vr
Dorsiflexing the foot by puching the sole of the foot forward or by stnading (if the client is
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vrcapable) (B), and putting the heel of the foot on the floor is the best means of relieving leg
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vr cramps.
6. The nurse is caring for a woman with a previously diagnosed heart disease who
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