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Question 1 of 12
1. Question
The postpartum nurse is taking the vital signs of a client who delivered a healthy newborn 4 hours ago. The nurse notes that the client’s temperature is 100.2° F. What is the priority nursing action?
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Question 2 of 12
2. Question
The nurse is assessing a client who is 6 hours postpartum after delivering a full-term healthy newborn. The client complains to the nurse of feelings of faintness and dizziness. Which nursing action is most appropriate?
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Question 3 of 12
3. Question
The postpartum nurse is providing instructions to a client after birth of a healthy newborn. Which time frame should the nurse relay to the client regarding the return of bowel function?
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Question 4 of 12
4. Question
The nurse is planning care for a postpartum client who had a vaginal delivery 2 hours ago. The client required an episiotomy and has several hemorrhoids. What is the priority nursing consideration for this client?
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Question 5 of 12
5. Question
The nurse is providing postpartum instructions to a client who will be breast-feeding her newborn. The nurse determines that the client has understood the instructions if she makes which statements? Select all that apply.
- “I should wear a bra that provides support.”
- “Drinking alcohol can affect my milk supply.”
- “The use of caffeine can decrease my milk supply.”
- “I will start my estrogen birth control pills again as soon as I get home.”
- “I know if my breasts get engorged, I will limit my breast-feeding and supplement the baby.”
- “I plan on having bottled water available in the refrigerator so I can get additional fluids easily.”
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Question 6 of 12
6. Question
The nurse is teaching a postpartum client about breast-feeding. Which instruction should the nurse include?
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Question 7 of 12
7. Question
The nurse is preparing to assess the uterine fundus of a client in the immediate postpartum period. After locating the fundus, the nurse notes that the uterus feels soft and boggy. Which nursing intervention is appropriate?
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Question 8 of 12
8. Question
The nurse is caring for four 1-day postpartum clients. Which client assessment requires the need for follow-up?
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Question 9 of 12
9. Question
When performing a postpartum assessment on a client, the nurse notes the presence of clots in the lochia. The nurse examines the clots and notes that they are larger than 1 cm. Which nursing action is most appropriate?
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Question 10 of 12
10. Question
The nurse is monitoring the amount of lochia drainage in a client who is 2hours postpartum and notes that the client has saturated a perineal pad in 15minutes. How should the nurse respond to this finding initially?
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Question 11 of 12
11. Question
The nurse has provided discharge instructions to a client who delivered a healthy newborn by cesarean delivery. Which statement made by the client indicates a need for further instruction?
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Question 12 of 12
12. Question
After a precipitous delivery, the nurse notes that the new mother is passive and touches her newborn infant only briefly with her fingertips. What should the nurse do to help the woman process the delivery?
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