OB/PEDS NCLEX Study Guide Comprehensive Questions and Answers 100% Accuracy

Which of the following tasks may be delegated to the nursing assistant? a. checking the cervix of the patient who is less likely to deliver soon b. administering oxygen to the mother who has decreasing oxygen saturations c. providing ice chips for a mother who complains of a dry mouth d. Tearing off a strip of paper from the fetal heart rate monitor and putting it in the chart - Correct Answer C- When working in L&D the UAP can help with ADLs. They cannot be delegated tasks that require formulating a care plan, taking off orders, or administering medications Which of the following situations would most likely warrant contact with a physician for further orders for care or treatment? A. A patient has a 3rd degree perineal laceration after delivery B. A patient has lost 100 mL of blood with delivery C. A patient has a boggy uterus that does not firm with massage D. A patient is having rectal pain - Correct Answer C. When caring for postpartum patients, the nurse must be familiar with what conditions are common occurrences following delivery and what situations warrant a call to the physician for further help. Postpartum complications often include infection, blood clots, and hemorrhage. Excess bleeding may occur when the uterus is boggy and it does not firm up with massage. Following removal of the epidural, the patient develops a severe headache when she sits up in bed. The physician has instructed the patient that she will need a blood patch. Which best describes this procedure? A. Removing blood from a vein in the patient and injecting it into the epidural space in the back B. Placement of a large bandage over the site of the epidural insertion. C. Replacement of the epidural catheter into the same space for long-term control D. Placement of a nerve block in the spinal column at the location of the affected epidural space - Correct Answer A- When CSF leaks out of the epidural space a severe headache in the patient can occur. A blood patch can be performed by a physician to close the site. The small amount of blood is withdrawn from the mother's arm and the blood clots in the space. Which of the patients described should the nurse see first? A. 20 yr old patient who just had her first baby and doesn't know how to breastfeed B. 27 yr old diabetic patient who delivered her second child yesterday and needs her morning dose of insulin C. 24 yr old patient who has had a large amount of lochia and has developed a hematoma on her perineum D. 30 yr old patient who needs to take a shower and eat breakfast before the physician comes to dismiss her - Correct Answer C. A patient with a hematoma is at risk of hemorrhage and the nurse should assess her first On