Questions and Actual Answers (2025)
Updated.
A nurse is caring for a client who is 7 days postpartum
and calls the clinic to report pain and redness of her left
calf. Besides seeing her provider, which of the following
interventions should the nurse suggest?
A. Flex her knee while resting
B. Massage the area
C. Elevate her leg
D. Apply cold compresses - Answer C
A nurse is planning care for a client who is 2 hours
postpartum following a cesarean birth. The client has a
history of thromboembolic disease. Which of the following nursing interventions should be
included in the plan of care?
A. Apply warm, moist heat to the client's lower extremities
B. Massage the client's posterior lower legs
C.Place pillows under the client's knees when resting in bed
D. Have the client ambulate - Answer D
A nurse is caring for a client who is postpartum and
received methylergonovine. Which of the following
findings indicates that the medication was effective?
A. Increase in blood pressure
B. Increase in lochia
C. Fundus firm to palpation
D. Report of absent breast pain - Answer C
A nurse is caring for a client who is 5 hr. postpartum
, A. Puerperal infection
B. Retained placental fragments
C. Thrombophlebitis
D.Uterine atony - Answer D
A nurse is admitting a client who experienced a vaginal
birth 2 hr ago. The client is receiving an IV of lactated
Ringer's with 25 units of oxytocin infusing and has large
rubra lochia. Vital signs include blood pressure 146/94 mmHg, pulse 80/min, and respiratory
rate 18/min. The nurse reviews the prescriptions from the prouder. Which of the following
prescriptions requires clarification!
A. Methylergonovine0.2mg IM
B. Insert an indwelling urinary catheter
C. Administer oxygen by nonrebreather mask at 10 L/ min.
D. Obtain laboratory study of PT and PTT - Answer A
A nurse is caring for a client who is 12 hr postpartum. Which of the following findings should
alert the nurse to the possibility of a postpartum complication?
A. Orthostatic hypotension
B. Funds palpable at the umbilicus
C. Urine output of 3,000 ml in 12 hrs.
D. Heart rate 110/min - Answer D
A nurse is assessing a
client for postpartum infection
Which of the following findings should indicate to the nurse that the cent requires further
evaluation for endometritis?
A. Moderate amount of dark red lochia with a bloody odor
B. Al localized ares of breast tenderness
C. Pelvic pain
D. Hematuria - Answer C