NSG 3500 - Exam 3 Questions and Correct Answers
Question 1
A client received general anesthesia during her cesarean section 4 hours ago. Which of the following postpartum nursing
interventions is important for the nurse to make?
1. Place the client flat in bed.
2. Assess for dependent edema.
3. Auscultate lung fields.
4. Check patellar reflexes.
Correct Answer
3
Page 1 of 92
,Question 2
A client informs the nurse that she intends to bottle feed her baby. Which of the following actions should the nurse
encourage the client to perform? Select all that apply.
1. Increase her fluid intake for a few days.
2. Massage her breasts every 4 hours.
3. Apply heat packs to her axillae.
4. Wear a supportive bra 24 hours a day.
5. Stand with her back toward the shower water.
Correct Answer
4 and 5 are correct.
It is unnecessary for a bottle-feeding mother to increase her fluid intake.
It is inadvisable for a bottle-feeding mother to massage her breasts.
It is inadvisable for a bottle-feeding mother to apply heat to her breasts.
The mother should be advised to wear a supportive bra 24 hours a day for a week or so.
The mother should be advised to stand with her back toward the warm shower water.
Question 3
The blood glucose of a client with type 1 diabetes 12 hours after delivery is 96 mg/ dL. The client has received no insulin
since delivery. The drop in serum levels of which of the following hormones of pregnancy is responsible for the glucose
level?
1. Estrogen.
2. Progesterone.
3. Human placental lactogen (hPL).
4. Human chorionic gonadotropin (hCG).
Correct Answer
3
Page 2 of 92
,Question 4
Which of the following laboratory values would the nurse expect to see in a normal postpartum woman?
1. Hematocrit, 39%.
2. White blood cell count, 16,000 cells/mm .
3. Red blood cell count, 5 million cells/mm .
4. Hemoglobin, 15 grams/dL.
Correct Answer
2
Question 5
The nurse is caring for a couple who is in the labor/delivery room immediately after the delivery of a dead baby who
exhibited visible birth defects. Which of the following actions by the nurse is appropriate?
1. Discourage the parents from naming the baby.
2. Advise the parents that the baby's defects would be too upsetting for them to see.
3. Transport the baby to the morgue as soon as possible.
4. Give the parents a lock of the baby's hair and a copy of the footprint sheet.
Correct Answer
4
Page 3 of 92
, Question 6
A rubella nonimmune, breastfeeding client has just received the rubella vaccine. Which of the following side effects should
the nurse warn the client about?
1. The baby may develop a rash a week after the shot.
2. The baby may temporarily reject the breast milk.
3. The mother's milk supply may decrease precipitously.
4. The mother's joints may become painful and stiff.
Correct Answer
4
Question 7
The nurse is assessing the midline episiotomy on a postpartum client. Which of the following findings should the nurse
expect to see?
1. Moderate serosanguinous drainage.
2. Well-approximated edges.
3. Ecchymotic area distal to the episiotomy.
4. An area of redness adjacent to the incision.
Correct Answer
2
Page 4 of 92
Question 1
A client received general anesthesia during her cesarean section 4 hours ago. Which of the following postpartum nursing
interventions is important for the nurse to make?
1. Place the client flat in bed.
2. Assess for dependent edema.
3. Auscultate lung fields.
4. Check patellar reflexes.
Correct Answer
3
Page 1 of 92
,Question 2
A client informs the nurse that she intends to bottle feed her baby. Which of the following actions should the nurse
encourage the client to perform? Select all that apply.
1. Increase her fluid intake for a few days.
2. Massage her breasts every 4 hours.
3. Apply heat packs to her axillae.
4. Wear a supportive bra 24 hours a day.
5. Stand with her back toward the shower water.
Correct Answer
4 and 5 are correct.
It is unnecessary for a bottle-feeding mother to increase her fluid intake.
It is inadvisable for a bottle-feeding mother to massage her breasts.
It is inadvisable for a bottle-feeding mother to apply heat to her breasts.
The mother should be advised to wear a supportive bra 24 hours a day for a week or so.
The mother should be advised to stand with her back toward the warm shower water.
Question 3
The blood glucose of a client with type 1 diabetes 12 hours after delivery is 96 mg/ dL. The client has received no insulin
since delivery. The drop in serum levels of which of the following hormones of pregnancy is responsible for the glucose
level?
1. Estrogen.
2. Progesterone.
3. Human placental lactogen (hPL).
4. Human chorionic gonadotropin (hCG).
Correct Answer
3
Page 2 of 92
,Question 4
Which of the following laboratory values would the nurse expect to see in a normal postpartum woman?
1. Hematocrit, 39%.
2. White blood cell count, 16,000 cells/mm .
3. Red blood cell count, 5 million cells/mm .
4. Hemoglobin, 15 grams/dL.
Correct Answer
2
Question 5
The nurse is caring for a couple who is in the labor/delivery room immediately after the delivery of a dead baby who
exhibited visible birth defects. Which of the following actions by the nurse is appropriate?
1. Discourage the parents from naming the baby.
2. Advise the parents that the baby's defects would be too upsetting for them to see.
3. Transport the baby to the morgue as soon as possible.
4. Give the parents a lock of the baby's hair and a copy of the footprint sheet.
Correct Answer
4
Page 3 of 92
, Question 6
A rubella nonimmune, breastfeeding client has just received the rubella vaccine. Which of the following side effects should
the nurse warn the client about?
1. The baby may develop a rash a week after the shot.
2. The baby may temporarily reject the breast milk.
3. The mother's milk supply may decrease precipitously.
4. The mother's joints may become painful and stiff.
Correct Answer
4
Question 7
The nurse is assessing the midline episiotomy on a postpartum client. Which of the following findings should the nurse
expect to see?
1. Moderate serosanguinous drainage.
2. Well-approximated edges.
3. Ecchymotic area distal to the episiotomy.
4. An area of redness adjacent to the incision.
Correct Answer
2
Page 4 of 92
