Nokea
What does the nurse recognize these signs indicate?
- A. Uterine atony
- B. Uterine dystocia
- C. Uterine hypoplasia
- D. Uterine dysfunction
Correct Answer: A
Rationale: Atony describes a lack of normal muscle tone. If the uterus is atonic, then muscle fibers are flaccid and will not compress bleeding vessels.
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What is the best response to a postpartum woman who tells the nurse she feels 'tired and sick all of the time since I had the baby 3 months ago'?
- A. This is a normal response for the body after pregnancy. Try to get more rest.'
- B. I'll bet you will snap out of this funk real soon.'
- C. Why don't you arrange for a babysitter so you and your husband can have a night out?'
- D. Let's talk about this further. I am concerned about how you are feeling.'
Correct Answer: D
Rationale: If a postpartum woman seems depressed, it is important to explore her feelings to determine if they are persistent and pervasive.
A postpartum patient is experiencing hypovolemic shock. What interventions can the nurse anticipate?
- A. Provision of IV fluids
- B. Placement of an indwelling Foley catheter
- C. Assessment of oxygen saturation
- D. Administration of anticoagulants
- E. Blood transfusion
Correct Answer: A,B,C,E
Rationale: Management of hypovolemic shock includes stopping blood loss, giving IV fluids, placing a Foley catheter, assessing oxygen saturation, and giving blood transfusions. Anticoagulants are not used.
A woman is diagnosed with a urinary tract infection in the postpartum period. What foods can the nurse encourage to increase the acidity of urine?
- A. Apricots
- B. Cranberry juice
- C. Plums
- D. Prunes
- E. Apples
Correct Answer: A,B,C,D
Rationale: Apricots, cranberry juice, plums, and prunes can increase the acidity of urine to help manage a urinary tract infection.
What will the nurse teach a nursing mother to do to reduce the risk of mastitis?
- A. Limit fluid intake to 1 liter per day.
- B. Empty both breasts with each feeding.
- C. Take warm showers.
- D. Wear a supportive bra.
- E. Pump breasts to ensure emptying.
Correct Answer: B,C,D,E
Rationale: Nursing mothers should take in about 3 liters of fluid a day. Emptying both breasts, taking warm showers, wearing a supportive bra, and pumping breasts reduce the risk of mastitis.
The nurse weighs a saturated perineal pad and finds it to weigh 15 grams. The nurse is aware that this indicates a blood loss of __ mL.
Correct Answer: 15
Rationale: The weight of 1 g in a perineal pad is equal to 1 mL of blood loss.