Nokea
Where does the patient report that the pain is felt?
- A. Groin
- B. Achilles tendon
- C. Top of the foot
- D. Calf of the leg
Correct Answer: D
Rationale: A pain in the calf of the leg when the leg is flexed and the foot is dorsiflexed is a positive Homans' sign, suggestive of deep vein thrombosis.
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What is the best nursing response to the woman's statement?
- A. How is your partner adjusting to the change?'
- B. I hear this from a lot of first-time mothers.'
- C. Have you told anyone else about your feelings?'
- D. Tell me how things are different.'
Correct Answer: D
Rationale: The nurse may help the new mother by being a sympathetic listener and eliciting her feelings about motherhood and her infant.
A nurse is discussing risk factors for postpartum shock with a childbirth preparation class. What will the nurse include in this education session?
- A. Hypertension
- B. Blood clotting disorders
- C. Anemia
- D. Infection
- E. Postpartum hemorrhage
Correct Answer: B,C,D,E
Rationale: Blood clotting disorders, anemia, infection, and postpartum hemorrhage can cause postpartum shock, while hypertension is not a cause.
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 should the nurse's next assessment be?
- A. Fullness of the bladder
- B. Amount of lochia
- C. Blood pressure
- D. Level of pain
Correct Answer: A
Rationale: Bladder distention can cause uterine atony. The uterus is massaged to firmness and then the bladder is emptied.
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.