Quiz: NCLEX Practice Test On Obstetrical Nursing

10 Questions | Total Attempts: 4670

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Quiz: NCLEX Practice Test On Obstetrical Nursing

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Questions and Answers
  • 1. 
    A nurse is developing a plan of care for a PP woman with a small vulvar hematoma. The nurse includes which specific intervention in the plan during the first 12 hours following the delivery of this client?
    • A. 

      Assess vital signs every 4 hours

    • B. 

      Inform health care provider of assessment findings

    • C. 

      Measure fundal height every 4 hours

    • D. 

      Prepare an ice pack for application to the area.

  • 2. 
    A new mother received epidural anesthesia during labor and had a forceps delivery after pushing 2 hours. At 6 hours PP. her systolic blood pressure has dropped 20 points. her diastolic BP has dropped 10 points. and her pulse is 120 beats per minute. The client is anxious and restless. On further assessment. a vulvar hematoma is verified. After notifying the health care provider. the nurse immediately plans to:
    • A. 

      Monitor fundal height

    • B. 

      Apply perineal pressure

    • C. 

      Prepare the client for surgery.

    • D. 

      Reassure the client

  • 3. 
    A nurse is monitoring a new mother in the PP period for signs of hemorrhage. Which of the following signs. if noted in the mother. would be an early sign of excessive blood loss?
    • A. 

      A temperature of 100.4*F

    • B. 

      An increase in the pulse from 88 to 102 BPM

    • C. 

      An increase in the respiratory rate from 18 to 22 breaths per minute

    • D. 

      A blood pressure change from 130/88 to 124/80 mm Hg

  • 4. 
    A nurse is preparing to assess the uterine fundus of a client in the immediate postpartum period. When the nurse locates the fundus. she notes that the uterus feels soft and boggy. Which of the following nursing interventions would be most appropriate initially?
    • A. 

      Massage the fundus until it is firm

    • B. 

      Elevate the mother’s legs

    • C. 

      Push on the uterus to assist in expressing clots

    • D. 

      Encourage the mother to void

  • 5. 
    A PP nurse is assessing a mother who delivered a healthy newborn infant by C-section. The nurse is assessing for signs and symptoms of superficial venous thrombosis. Which of the following signs or symptoms would the nurse note if superficial venous thrombosis were present?
    • A. 

      Paleness of the calf area

    • B. 

      Enlarged. hardened veins

    • C. 

      Coolness of the calf area

    • D. 

      Palpable dorsalis pedis pulses

  • 6. 
    A nurse is providing instructions to a mother who has been diagnosed with mastitis. Which of the following statements if made by the mother indicates a need for further teaching?
    • A. 

      “I need to take antibiotics. and I should begin to feel better in 24-48 hours.”

    • B. 

      “I can use analgesics to assist in alleviating some of the discomfort.”

    • C. 

      “I need to wear a supportive bra to relieve the discomfort.”

    • D. 

      “I need to stop breastfeeding until this condition resolves.”

  • 7. 
    A PP client is being treated for DVT. The nurse understands that the client’s response to treatment will be evaluated by regularly assessing the client for:
    • A. 

      Dysuria. ecchymosis. and vertigo

    • B. 

      Epistaxis. hematuria. and dysuria

    • C. 

      Hematuria. ecchymosis. and epistaxis

    • D. 

      Hematuria. ecchymosis. and vertigo

  • 8. 
    A nurse performs an assessment on a client who is 4 hours PP. The nurse notes that the client has cool. clammy skin and is restless and excessively thirsty. The nurse prepares immediately to:
    • A. 

      Assess for hypovolemia and notify the health care provider

    • B. 

      Begin hourly pad counts and reassure the client

    • C. 

      Begin fundal massage and start oxygen by mask

    • D. 

      Elevate the head of the bed and assess vital signs

  • 9. 
    A nurse is assessing a client in the 4th stage if labor and notes that the fundus is firm but that bleeding is excessive. The initial nursing action would be which of the following?
    • A. 

      Massage the fundus

    • B. 

      Place the mother in the Trendelenburg’s position

    • C. 

      Notify the physician

    • D. 

      Record the findings

  • 10. 
    A nurse is caring for a PP client with a diagnosis of DVT who is receiving a continuous intravenous infusion of heparin sodium. Which of the following laboratory results will the nurse specifically review to determine if an effective and appropriate dose of the heparin is being delivered?
    • A. 

      Prothrombin time

    • B. 

      International normalized ratio

    • C. 

      Activated partial thromboplastin time

    • D. 

      Platelet count

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