Nokea
A charge nurse is discussing risk factors for postpartum hemorrhage with a newly licensed nurse.
Which of the following conditions should the nurse include as a risk factor?
- A. Retained placental fragments
- B. Urinary tract infection
- C. Oligohydramnios
- D. Breech presentation
Correct Answer: A
Rationale: Retained placental fragments can lead to postpartum hemorrhage due to incomplete expulsion, causing ongoing bleeding. Failure of the uterus to contract effectively increases bleeding risk, making it a significant factor.
You may also like to solve these questions
A nurse is reinforcing teaching about car seat safety with a parent of a newborn.
Which of the following statements by the parent indicates an understanding of the teaching?
- A. I should place my baby in the car seat at a 90-degree angle.
- B. I will place a thick, soft pad behind my baby's back.
- C. I can turn the car seat so it faces forward when my baby weighs 15 pounds.
- D. I will place the retainer clip at the level of my baby's armpits
Correct Answer: D
Rationale: Placing the retainer clip at the armpit level ensures proper harness positioning, providing optimal protection in a crash, indicating understanding of car seat safety.
A nurse is assisting in the care of a client who is 3 hours postpartum and reports complete saturation of their perineal pad in the past 30 minutes.
Which of the following actions is the highest priority?
- A. Perform fundal massage
- B. Weigh the perineal pad
- C. Apply oxygen by face mask
- D. Monitor urine output
Correct Answer: A
Rationale: Complete saturation of the perineal pad within 30 minutes postpartum suggests excessive bleeding, potentially indicating postpartum hemorrhage. Fundal massage stimulates uterine contractions to control bleeding by compressing blood vessels at the placental site, making it the highest priority action.
A nurse is assisting with the care of a client who is in labor and has received nalbuphine hydrochloride.
Which of the following manifestations should the nurse identify as an adverse effect of this medication?
- A. Diuresis
- B. Fever
- C. Diarrhea
- D. Sedation
Correct Answer: D
Rationale: Nalbuphine hydrochloride is an opioid analgesic used for pain relief during labor. Sedation is a common adverse effect of opioid medications, including nalbuphine, due to central nervous system depression, leading to drowsiness and decreased consciousness.
A nurse is checking the reflexes of a newborn.
Which of the following actions should the nurse use to elicit the Babinski reflex?
- A. Touch the corner of the newborn's mouth.
- B. Place the newborn supine and apply pressure to the soles of the feet.
- C. Stroke upward on the lateral aspect of the sole of the newborn's foot
- D. Pull the newborn up by the wrist from a supine position.
Correct Answer: C
Rationale: Stroking upward on the lateral sole elicits the Babinski reflex, where toes fan and extend, a normal newborn response indicating neurological health.
A nurse is caring for a client who is pregnant and has a vaginal culture that is positive for chlamydia.
Which of the following medications should the nurse plan to administer?
- A. Acyclovir
- B. Metronidazole
- C. Tetracycline
- D. Amoxicillin
Correct Answer: D
Rationale: Amoxicillin is a safe and effective antibiotic for treating chlamydia in pregnant women, avoiding tetracyclines which are contraindicated due to fetal risks.