Socrative Review Question Answers Week 2 PDF

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#1 EDIT A nurse is performing a fundal assessment for a patient who is 2 days postpartum and observes the perineal pad for lochia. She notes the pad to be saturated approximately 12 cm with lochia that is bright red and contains small clots. Which of the following findings should the nurse document?

ANSWER CHOICE

A Moderate lochia rubra

B Excessive blood loss

C Light lochia rubra

D Scant lochia serosa

#2 EDIT While walking to the bathroom, a postpartum patient experiences a gush of dark red blood that soon stops. On assessment, a nurse finds the uterus to be firm, midline and at the level of the umbilicus. Which of the following findings should the nurse interpret this data as being?

ANSWER CHOICE

A Evidence of a possible vaginal hematoma

B An indication of a cervical or perineal laceration

C A normal postural discharge of lochia

D Abnormally excessive lochia rubra flow

#3 EDIT A nurse is assessing a postpartum patient for fundal height, location and consistency. The fundus is noted to be displaced laterally to the right, and there is uterine atony. The nurse should identify which of the following conditions as the cause of the uterine atony?

ANSWER CHOICE

A Poor involution

B

Urinary retention

C Hemorrhage

D Infection

#4 EDIT A patient is 1 hr postpartum and following a vaginal birth, she begins uncontrollable shaking. The nurse should understand that the shaking is due to which of the following factors? Select all that apply

ANSWER CHOICE

A Changes in body fluids

B Metabolic effort of labor

C Diaphoresis

D Decrease in body temperature

E Decrease in prolactin levels

#5 EDIT A focused postpartum physical assessment should include assessing the client's breasts, uterus, bowel, bladder, lochia, episiotomy, VS and teaching needs.

Correct Answer: TrueFalse

#6 EDIT At the end of the third stage of labor, the uterus will not be palpable.

Correct Answer: TrueFalse

Explanation: The uterus will be palpable, at midline and 2cm below to halfway between the umbilicus and symphysis pubis.

#7 EDIT There are three stages of lochia. What are they? Lochia rubra Lochia serosa

Lochia alba

Explanation: Lochia Rubra begins as bright red color, blood consistency, fleshy odor, can contain small clots and last 1-3 days after delivery. It then changes to Lochia Serosa, a pinkish brown color and serosanguineous, lasting from day 4 to day 10 after delivery. Following, Lochia alba is yellowish white, creamy, fleshy odor lasting from day 11 up to possibly 4-8 weeks after delivery.

#8 EDIT Moms pulse, stroke volume and cardiac output for the first hour postpartum will decrease.

Correct Answer: TrueFalse

Explanation: It will increase and then gradually decrease to prepregnant state baseline by 8-10 weeks.

#9 EDIT If Mom has a distended bladder, the fundal height will be noted above the umbilicus, displaced with excessive lochia and tenderness over the bladder area.

Correct Answer: TrueFalse

#10 EDIT There are some unexpected events that can occur during the postpartum period. Can you list 3 of them? DVT Pulmonary Em Postpartum He Uterine Atony Subinvolution Inversion of th Retained Place Lacerations an

#11 EDIT Which of the following are risk factors for postpartum hemorrhage? Select all that apply.

ANSWER CHOICE

A Precipitous delivery

B Obesity

C Inversion of the uterus

D Oligohydramnios

E Retained placental fragments

#12 EDIT A patient you are caring for has thrombophlebitis. Which of the following nursing interventions should you include in the plan of care?

ANSWER CHOICE

A Apply cold compresses to the affected extremity

B Massage the affected extremity

C Allow the client to ambulate

D Measure leg circumference

#13 EDIT A postpartum patient gave birth 6 hrs ago without anesthesia and just voided 100mL. The nurse palpates the fundus two fingerbreadths above the umbilicus and off to the right side. What should the nurse do first?

ANSWER CHOICE

A Administer ibuprofen

B Reassess in 1 hr

C Catheterize the client

D Obtain a prescription for a fluid bolus

Explanation: Urinary retention can cause the fundus to not descend and shift to the right side. Placing a catheter will eliminate any urine in the bladder and allow the fundus to continue its downward progression.

#14 EDIT

A multiparous patient, 28 hrs after c-section birth, who is breast-feeding, has severe cramps or afterpains. The nurse explains that these are caused by

ANSWER CHOICE

A Flatulence accumulation after a c-section birth

B Healing of the abdominal incision after c-section birth

C Adverse effects of the medications administered after birth

D Release of oxytocin during the breast-feeding session

#15 EDIT A woman has just given birth to a stillborn baby born at 39 weeks gestation. What is the most appropriate response for the nurse to make at this time?

ANSWER CHOICE

A I understand how you must feel

B I am sorry for your loss

C Time heals all wounds

D You can have another baby

#16 EDIT A newborns heart rate after birth will be 110-160 bpm and will decrease to 120-130

Correct Answer: True

#17 EDIT Surfactant is used to line the gastrointestinal tract

Correct Answer: False

#18 EDIT The first meconium stool is used passed 48 hrs after birth.

Correct Answer: False

Explanation: 12-24 hrs

#19 EDIT Bottle fed babies have stringy to pasty stools, sour smelling and are yellowish gold.

Correct Answer: False

Explanation: Bottle fed babies have yellow-green stool, loose, pasty or formed and have an unpleasant odor.

#20 EDIT Transient tachypnea of the newborn is usually resolved by 72 hrs.

Correct Answer: True

#21 EDIT List 3 signs of respiratory distress syndrome in the newborn expiratory gru nasal flaring chest w all retr saw respirations generalized cy elevated hr >1 tachypnea inspiratory cra

#22 EDIT A newborn experiencing necrotizing enterocolitis will have bloody stools, bilious vomiting, abdominal distention.

Correct Answer: True

#23 EDIT According to Reva Rubin, there are 3 phases that the Mom will go through in relation to the newborn after birth. What are they? Taking in Phas Taking hold Ph Letting go Pha

#24 EDIT The external os remains circular.

Correct Answer: False

Explanation: It becomes a slit, known as "fish mouth"

#25 EDIT The nurse should encourage Mom to take a hot shower before feeding to relieve engorgement.

Correct Answer: warm shower False

#26 EDIT Your patient is bottle feeding. Her menstrual cycle will return somewhere around 6-10 weeks after birth.

Correct Answer: True...