Quiz #1 | 75 Questions
HP
[COMPANY NAME] [Company address]
, Maternal and Child Health Nursing
NCLEX Questions Part 1
1. A postpartum patient was in labor for 30 hours and had ruptured membranes for
24 hours. For which of the following would the nurse be alert?
a. Endometritis
b. Endometriosis
c. Salpingitis
d. Pelvic thrombophlebitis
1. Answer A. Endometritis is an infection of the uterine lining and can occur after
prolonged rupture of membranes. Endometriosis does not occur after a strong labor and
prolonged rupture of membranes. Salpingitis is a tubal infection and could occur if
endometritis is not treated. Pelvic thrombophlebitis involves a clot formation but it is
not a complication of prolonged rupture of membranes.
2. A client at 36 weeks’ gestation is schedule for a routine ultrasound prior to an
amniocentesis. After teaching the client about the purpose for the ultrasound, which
of the following client statements would indicate to the nurse in charge that the
client needs further instruction?
a. The ultrasound will help to locate the placenta
b. The ultrasound identifies blood flow through the umbilical cord
c. The test will determine where to insert the needle
d. The ultrasound locates a pool of amniotic fluid
2. Answer B. Before amniocentesis, a routine ultrasound is valuable in locating the
placenta, locating a pool of amniotic fluid, and showing the physician where to insert
the needle. Color Doppler imaging ultrasonography identifies blood flow through the
umbilical cord. A routine ultrasound does not accomplish this.
3. While the postpartum client is receiving herapin for thrombophlebitis, which of
the following drugs would the nurse Mica expect to administer if the client
develops complications related to heparin therapy?
a. Calcium gluconate
b. Protamine sulfate
c. Methylegonovine (Methergine)
d. Nitrofurantoin (macrodantin)
3. Answer B. Protamine sulfate is a heparin antagonist given intravenously to
counteract bleeding complications cause by heparin overdose.
4. When caring for a 3-day-old neonate who is receiving phototherapy to treat jaundice,
the nurse in charge would expect to do which of the following?
a. Turn the neonate every 6 hours
b. Encourage the mother to discontinue breast-feeding
c. Notify the physician if the skin becomes bronze in color
d. Check the vital signs every 2 to 4 hours
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