Nokea
The nurse develops a plan to increase a patient’s milk supply. What is an intervention they can implement?
- A. Pump between nursing sessions.
- B. Nurse every 6 hours.
- C. Keep newborn in bassinet between sessions.
- D. Offer a pacifier when newborn cries.
Correct Answer: A
Rationale: Pumping between nursing sessions can increase milk supply.
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If nonsurgical treatment for late PPH is ineffective, which surgical procedure would be appropriate to correct the cause of this condition?
- A. Hysterectomy
- B. Laparoscopy
- C. Laparotomy
- D. Dilation and curettage (D&
Correct Answer: A
Rationale: The correct answer is A: Hysterectomy. Hysterectomy is the appropriate surgical procedure for late postpartum hemorrhage (PPH) when nonsurgical treatments fail. It involves the removal of the uterus, which can effectively stop the bleeding. Other choices like Laparoscopy (B) and Laparotomy (C) are surgical techniques used to access the abdomen but do not address the underlying cause of PPH. Dilation and curettage (D&C) (D) is a procedure to remove tissue from the uterus and would not be effective in treating late PPH.
The nurse's initial response if a pulmonary embolism is suspected should be to:
- A. Start a second intravenous (IV) line and prepare for transfusion.
- B. Raise the head of the bed and administer oxygen.
- C. Insert a catheter to monitor urine output.
- D. Lower the head of the bed and elevate the legs.
Correct Answer: B
Rationale: In cases of pulmonary embolism oxygen should be administered to support breathing and help oxygenate the blood. oxygen should be administered to support breathing and help oxygenate the blood.
What type of lochia is bright to dark red and occurs on days 1 -3 postpartum?
- A. rubra
- B. serosa
- C. placental
- D. alba
Correct Answer: A
Rationale: Lochia rubra is red in color and occurs for the first 1-3 days postpartum as the body sheds blood decidua and trophoblastic tissue.
The nurse is examining a 2-day-postpartum client whose fundus is 2 cm below the umbilicus and whose bright red lochia saturates about 4 inches of a pad in 1 hour. What should the nurse document in the nursing record?
- A. Abnormal involution, lochia rubra heavy.
- B. Abnormal involution, lochia serosa scant.
- C. Normal involution, lochia rubra moderate.
- D. Normal involution, lochia serosa heavy.
Correct Answer: C
Rationale: Lochia rubra is expected for the first few days postpartum, and the amount described here is moderate, which is normal.
A physician has ordered an iron supplement for a postpartum woman. The nurse strongly suggests that the woman take the medicine with which of the following drinks?
- A. Skim milk.
- B. Ginger ale.
- C. Orange juice.
- D. Chamomile tea.
Correct Answer: C
Rationale: Iron absorption is enhanced by vitamin C, and orange juice is rich in vitamin C, making it an appropriate drink to take with the supplement.