Deck 32: The Postpartal Family at Risk

Question 1

Which method of assessment would best indicate that a client has a urinary complication?

A)Urine pH
B)Calculation of output
C)Urine-specific gravity
D)Calculation of intake

Answer 1

Calculation of output

Question 2

To prevent the spread of infection,the nurse teaches the postpartum client to:

A)Address pain early.
B)Change peri-pads frequently.
C)Avoid overhydration.
D)Report symptoms of uterine cramping.

Answer 2

Change peri-pads frequently.

Question 3

A client had a cesarean birth 3 days ago.She has tenderness,localized heat,and redness of the left leg.She is afebrile.As a result of these symptoms,the nurse recognizes that the client will most likely be:

A)Encouraged to ambulate freely.
B)Given aspirin 650 mg by mouth.
C)Given Methergine IM.
D)Placed on bedrest.

Answer 3

Placed on bedrest.

Question 4

The postpartum client is concerned about mastitis because she experienced it with her last baby.Preventive measures the nurse could teach include:

A)Wearing a tight-fitting bra.
B)Limiting feedings to q.i.d.
C)Frequent breastfeeding.
D)Forcing fluids.

Question 5

A postpartal client recovering from a deep vein thrombosis is being discharged.What areas of teaching on self-care and anticipatory guidance should the nurse discuss with the client? Select all that apply.

A)Avoid crossing her legs.
B)Avoid prolonged standing or sitting.
C)Take frequent walks.
D)Take a daily aspirin dose of 650 mg.
E)Avoid long car trips.

Question 6

Which of the following would indicate the presence of a perineal wound infection? Select all that apply.

A)Redness
B)Edema
C)Vaginal bleeding
D)Warmth
E)Purulent drainage

Question 7

The nurse inspects the perineum of a postpartal client using the REEDA scale.Put the following signs in the appropriate order according to this scale:

A)Discharge
B)Ecchymosis
C)Approximation
D)Redness
E)Edema

Question 8

The postpartum client states that she doesn't understand why she can't enjoy being with her baby.The nurse is concerned about postpartum:

A)Psychosis.
B)Infection.
C)Depression.
D)Blues.

Question 9

The most appropriate nursing diagnosis for a client with postpartum deep vein thrombosis is:

A)Fluid volume excess related to tissue edema.
B)Sleep pattern disturbance related to tissue hypoxia.
C)Risk for infection related to obstructed venous return.
D)Ineffective tissue perfusion in the periphery related to obstructed venous return.

Question 10

The nurse understands that the classic symptom for a postpartum client with endometritis is:

A)Foul-smelling lochia.
B)Sawtooth temperature spikes.
C)Profuse vaginal discharge.
D)Uterine tenderness.

Question 11

Which relief measure would be most appropriate for a postpartum client with superficial thrombophlebitis?

A)Urge ambulation.
B)Apply ice to the leg.
C)Elevate the affected limb.
D)Massage her calf.

Question 12

The nurse is caring for a postpartum client who had an estimated blood loss of 500 mL following a vaginal birth.What is the best clinical measure of the client's actual blood loss?

A)The clinical estimation of blood loss at time of birth
B)A decrease in the hematocrit of 10 points between the time of admission and the time of postbirth
C)The amount of saturation of the linens during and after the birth
D)A decrease in blood pressure and increase in pulse after birth

Question 13

The charge nurse is analyzing a postpartum client's risk for hemorrhage.Which client has the greatest risk for postpartum hemorrhage?

A)The client who went overdue and delivered vaginally
B)The client who delivered by a scheduled cesarean delivery
C)The client who had oxytocin augmentation of labor
D)The client who delivered vaginally at 36 weeks

Question 14

The childbirth educator revises the curriculum to include postpartum depression preventative measures.Topics will include:

A)Encouraging planning in the prenatal period for the postnatal period.
B)Review of historical cases of postpartum psychosis.
C)Importance of counseling for all postpartum mothers.
D)Prophylactic administration of Paxil.

Question 15

A postpartum client reports sharp,shooting pains in her nipple during breastfeeding,and flaky,itchy skin on her breasts.The nurse suspects:

A)Nipple soreness.
B)Engorgement.
C)Mastitis.
D)Letdown reflex.