A nurse is preparing to perform a fundal assessment on a postpartum client, Assist the woman to the bathroom to empty bladder 4. Following pregnancy, the woman is at risk for infection, hemorrhage, and the development of a Deep Vein Thrombosis (DVT). Apply an ice pack to the perineum. Your fundal height is measured beginning at about 20 weeks in pregnancy. Slightly boggy and below the umbilicus The uterus here is not firm and not well contracted. During ambulation to the bathroom, a postpartum client experiences a gush of dark red blood that soon stops. Below are recent practice questions under UNIT V: MATERNAL AND NEWBORN CARE for Postpartal Period. The nurse is performing a physical assessment on a client during her first prenatal visit to the clinic. Massage the fundus c. D. The initial nursing action in performing this assessment is which of the following? C. A nurse is preparing to administer morphine oral solution 0. There are 545 NCLEX -style practice questions partitioned into 8 sets. Notify the health care provider. You’re performing a routine assessment on a mother post-delivery. Ask the client to turn on her side C. Assess for hypovolemia and notify the health care provider. 238. A nurse is providing discharge instructions to a client who is 24 hr postpartum and has decided not to breastfeed. Overview of Postpartum Hemorrhage. The nurse can remember the key points of a postpartum (Exam –Elaboration) Latest Obstetric nursing: postpartum (Answered) Complete solution With Rationale A postpartum nurse is preparing to care for a woman who has just delivered a healthy newborn infant. The nurse monitors the client's central venous pressure. Other changes will begin to occur as a result of this adjustment, and the mother must be prepared to deal with these life changes. Advise the woman to use a sitz bath after every voiding. Explanation: brainliest nyo to 41. Gently palpate, applying the same technique used for vaginal deliveries. Exam Mode – Questions and choices are randomly arranged, time limit of 1min per question, answers and grade will be revealed after finishing the exam. evidence of a possible vaginal hematoma B. 1 Postpartum hemorrhage (PPH) is a low volume, high-risk event that labor and delivery (L&D A nursing student is preparing to perform a cardiovascular assessment on a postpartum client. Assess lochia flow d. Answer: C. We’ve made a significant effort to provide you with the most informative rationale, so please read them. ” Indications: When RNs are caring for a woman experiencing postpartum hemorrhage Related Resources, Policies, and 3. In this section are the practice quiz and questions for maternity nursing and newborn care nursing test banks. should be staffed with a 1:1 nurse to patient ratio, with the most experienced nurse available. Which response by the nursing student would indicate an understanding of this assessment technique? NCLEX Exam: Obstetrical Nursing – Postpartum (Sections 1) * Methergine or pitocin is prescribed for a woman to treat PP hemorrhage. Illustration source: Klein S, p. The data that the nurse would give would be essential in the care of the patient with hemorrhage. A woman should use contraception for 1-2 months after a tubal ligation During ambulation to the bathroom, a postpartum client experiences a gush of dark red blood that soon stops. Begin hourly pad counts and reassure the client. Which of the following nursing [Show More] A nurse is preparing to perform a fundal assessment on a postpartum client. A nursing instructor asks the student about the procedure to elicit Homan's sign. Ask the client to urinate and empty her bladder . Massaging the fundus is not appropriate unless the fundus is boggy and soft, and then it should be massaged gently until firm. On postpartum day 1, the fundus should normally be 1 fingerbreadth below the umbilicus. FIGURE 24–1 A sitz bath promotes healing and provides relief from perineal discomfort during the initial weeks following birth. Massage the fundus The nurse is preparing to perform a fundal assessment on a postpartum client. Which of the following actions should the nurse take? a. Her temperature is 100. Which nursing diagnosis takes priority for this client? Maternity Nursing and Newborn Nursing Test Bank. The first hour postpartum is a critical time-period saturated with hormones that have profound effects Considered a “sensitive”period in which maternal-infant attachment can be strongly affected The first 24 hours is the immediate postpartum period The 3 months after delivery are termed the fourth trimester Cantrill RM 2014, WHO 1998 Picmonic. 1-2 hrs after birth the fundus is midline bet umbilicus and symphysis pubis. Begin hourly pad counts and reassure the client C. 2° F. It is important to provide comfort measures for the client during the postpartum period, also call the fourth trimester of pregnancy. Ask the client to turn on her side 2. Which of the following nursing actions would be most appropriate? A nurse is preparing to perform a fundal assessment on a postpartum client. ER FUKUDA POSTPARTUM CARE 12. Based on this finding, which nursing action is most appropriate? 1. Begin fundal massage and start oxygen Maternity Nursing: Postpartum NCLEX Practice Questions #8 | 55 Questions 1. The nurse measures the fundal height in relation to the symphysis pubis. Practice Mode – Questions and choices are randomly arranged, the answer is revealed instantly after each question, and there is no time limit for the exam. Assess the amount of bleeding. 41. Maternity Nursing: OB Postpartum NCLEX Questions, Answers and Rationale #8 2021/2022 Document Content and Description Below The nurse is assessing a client who is 6 hours PP after delivering a full-term healthy infant. Pour water from a squeeze bottle over the client’s perineal area. Lower head of the bed 2. Perform fundal massage ( massage if fundus is boggy) b. Episiotomy. In performing a routine fundal assessment, the nurse finds that the client’s fundus is boggy. A nurse is performing a postpartum assessment 30 minutes after a vaginal delivery. Which of the following findings should the nurse report to the provider?. The initial nursing action in performing this assessment is which of the following? 1. After the first postpartum day, she tells the postpartum nurse that shes afraid that something is wrong because shes perspiring and urinating more than normal. Ask the client to urinate and empty her bladder. A. The nurse is assessing the lochia on a 1 day PP patient. The amount available is morphine oral solution 0. The initial nursing action in performing this assessment is which of the following? Ask the client to lie flat on her back with the knees and legs flat and straight. Ask the client to turn on her side. Which of the following actions indicates that the nurse is performing the assessment correctly? a. 50. 4 mg/mL. A nurse is caring for a client who is 4 hr postpartum and reports that she cannot urinate. 2 cm below the umbilicus. The initial nursing action in performing this assessment is which of the following? What is ask the mother to urinate and empty her bladder. A woman should use contraception for 1-2 months after a tubal ligation Nursing Care Plans. 16. Which of the following findings should the nurse document? 2. The nurse takes the client's temperature and notes that the temperature is 99. 1 cm below the umbilicus. Nurses who care for mothers and babies during recovery and those in leadership positions that determine nurse staffing should be aware of these definitions and use them to guide their care and assignment. The client's medical record reveals the following data: headaches relieved by aspirin, drinks one glass of wine per day, walks 2 miles each day, and smokes a half a pack of cigarettes per day. The nurse is caring for a postpartum client who experienced a second-degree perineal laceration at delivery 2 hours ago. Most sterilization procedures are considered irreversible b. The nurse should first: a. Developing a systematic method of assessing the patient will save time and allow for quicker identification of patient needs. 1) authorizes registered nurses to “manage labour in an institutional setting if the primary maternal care provider is absent. On assessment, a nurse finds the client's uterus to be firm and midline and at the level of the umbilicus. Blood pressure. The nurse has completed a postpartum assessment on a client who delivered an hour ago. The nurse understands that which is the initial nursing action when performing this assessment? 1. Question A postpartum nurse is preparing to care for a woman who has just delivered a healthy newborn infant. Palpate forcefully through the abdominal dressing. Which of the following would be an appropriate intervention? Select all that apply. What should the nurse do first? A. d. Every 15 minutes during the A nurse is preparing to perform a fundal assessment on a postpartum client. Change the client’s position. Every 30 minutes during the first hour and then every hour for the next two hours. In the immediate postpartum period, the nurse plans to take the woman’s vital signs: o A. Administer oxygen. Psychological Changes. Postpartum hospital stays are very brief, so nurses must make every encounter with the patient meaningful. The nurse interprets this finding as A. Ask the mother to urinate and empty her bladder B. 1. A nurse is preparing to perform a fundal assessment on a postpartum client. Notify the physician. The first hour postpartum is a critical time-period saturated with hormones that have profound effects Considered a “sensitive”period in which maternal-infant attachment can be strongly affected The first 24 hours is the immediate postpartum period The 3 months after delivery are termed the fourth trimester Cantrill RM 2014, WHO 1998 A nurse performs an assessment on a client who is 4 hours PP. This is a normal finding post-delivery. What should the nurse do first? 1. Massage the fundus until it is firm. After locating the fundus, the nurse notes that the uterus feels soft and boggy. Which of the following instructions should the nurse include in the teaching? 41. Place hands on both sides of the abdomen and press downward. Postpartum hemorrhage is a major cause of maternal morbidity and mortality, second only to cardiovascular disease. Women with severe preeclampsia should receive care by a multi-disciplinary team. Perineal care is an important infection control measure. f4) Suzanne Mays, a gravid 1 para 1001, has vaginally delivered a full-term infant without complications. As the postpartum period progresses, the woman will realize the most significant difference in herself: she is now a mother. Which nursing intervention is appropriate? Elevate the client’s legs. 04 mg/kg to a newborn who weighs 2. A nurse is preparing to perform a fundal assessment on a postpartum client. Obstetrics Guideline 20: Postpartum Nursing Care Pathway 3 Referring to a Primary Health Care Provider (PHCP) Prior to referring to a Primary Health Care Provider (PHCP) an appropriate postpartum nursing assessment will be performed. Data such as the amount of bleeding, the condition Unit 2: Postpartum Assessment and Care 22 Postpartum and Newborn Care: A Self–study Manual PRIME 1999 First-time mothers and their babies Figure 6: Sometimes the pelvic opening of a young mother is not large enough for her baby. The nurse positions the client: A nurse is performing an assessment of a client who is at 20 weeks of gestation. Every 15 minutes during the first hour and The nurse should give the client orange juice or a glucose preparation prior to this test. 3. 54. B. Rationale: a. Nursing Interventions. NURSING 251/ATI Practice Form A, B & C Women & Newborn Health _LATEST 2021/2022 ATI –Form A 1) A client and her partner ask the nurse for information about permanent contraception. The fundus is midline and firm at the umbilicus. ANS: E PTS: 1 DIF: Cognitive Level: Application OBJ: Nursing Process: Assessment MSC: Client Needs: Physiologic Integrity NOT: To perform a complete noninvasive assessment of circulatory status in after birth patients who are bleeding, the nurse must perform the following: palpation (rate, quality, equality) of arterial pulses; auscultation of Notable topics included in this nursing test bank include nursing care of the pregnant mother (obstetric nursing), labor and delivery, prenatal nursing care, antepartum, intrapartum, and postpartum nursing care, nursing care of patients with preeclampsia, placental and cord anomalies, cesarean birth, labor complications, postpartum depression A nurse reinforcing teaching about vitamin k with a client who is postpartum. 48. The postpartum patient’s emotional status plays a significant part in her recovery and her adjustment to her infant. 17. Insert an indwelling urinary catheter. In the immediate postpartum period the nurse plans to take the woman's vital signs: A postpartum nurse is t 186 Posts. Before administration of these medications, the priority nursing assessment is to check the: Amount of lochia. Ask the mother to urinate and empty her bladder 4. The nurse is caring for a client postoperatively following a cesarean section. *Document findings for vitals, assessment. Assess maternal vital signs to establish baseline 18. Ask the client to turn on her left side. Check for placenta previa. Which of the following statements should the nurse include in the counseling? a. Postpartum Nursing Interventions • Relief of Perineal Discomfort • Ice packs for 24 hours, then warm sitz bath • Topical agents - Epifoam • Perineal care – warm water, gently wipe dry front to back. Assessment guidelines that focus on three The nurse is preparing to assess the uterine fundus of a client in the immediate postpartum period. Assess for hypovolemia and notify the health care provider B. Early recognition and treatment of PPH are critical to care management. The client has to be evaluated for signs of postapartum bleeding. 4. Which of the following interventions should the nurse perform at this time? 1. Locate the level of the fundus 3. The nurse prepares immediately to: A. 0F (37. 5 kg. Document the temperature. A postpartum nurse is preparing to care for a woman who has just delivered a healthy newborn infant. Massage the fundus gently before determining the level of the fundus. Nursing Assessment. Which nursing action would be most appropriate? 1. The nurse is preparing to assess the uterine fundus of a client in the immediate postpartum period. Ask the client to lie on her back with the knees and legs flat and straight 13. Ask the client to lie flat on her back with the knees and legs flat and straight. Healthcare providers use it to measure if your baby's growth is on track. Text Mode – Text version of the exam 1. When the highest part of the fundus has been identified, mark the skin at this point with a pen. The main goal during the immediate postpartum period is to monitor for postpartum hemorrhage. The nurse notes that the client’s fundus is displaced to the right of midline, is firm, and is two fingerbreadths above the umbilicus. The client complains to the nurse of feelings of faintness and dizziness. The nurse tells the client to: A nurse is caring for a client with preeclampsia who is re. she notes the pad to be saturated approximately 12 cm with lochia that is bright red and contains small clots. 1 Postpartum hemorrhage (PPH) is a low volume, high-risk event that labor and delivery (L&D Postpartal Period Practice Tests. day 1- 1 cm or 1 fingerbreadth below the umbilicus (U-1) day 2- 2 cms or 2 fingerbreadths below the umbilicus (U-2) day 3- 3 cms or 3 fingerbreadths below the umbilicus (U-3) Client Education. Obtain hemoglobin and hematocrit levels. The nurse should give the client orange juice or a glucose preparation prior to this test. The nurse in charge is caring for a postpartum client who had a vaginal delivery with a midline episiotomy. A nurse is preparing a postpartum client for discharge. Prepare for emergency cesarean section. Nov 7, 2012. The answer is D. Why first-time mothers are physically at risk Many first-time mothers are young. Advise the woman to sit on a pillow. Continue to monitor the mother. Obtain an order for methylergonovine Ans: B – the nurse should begin to massage the uterus so that it will be stimulated to contract. Assess lochial flow rather than palpating the fundus. The initial nursing action in performing this assessment is which of the following? A. Therefore, if the woman is 48 hours postpartum (2 days) the fundal height will be 2 cm BELOW the umbilicus. Which of the following statements should the nurse include? A nurse is collecting data from a client who is 3 hr postpartum. 6-12 hrs after- at the level of the umbilicus. Call the physician b. Raise the head of the client's bed. If your baby measures smaller or larger than average, an ultrasound may be needed to get a more accurate size. Perform fundal massage and assist the patient to the bathroom. b. Nursing Care Plans. The uterus is soft and displaced to the left of the umbilicus. This is done by starting to gently palpate from the lower end of the sternum. Which of the following nursing actions would be most appropriate? A) Obtain hemoglobin and hematocrit levels B) Instruct the mother to request help w The nurse understands that this is indicated for this client because: A) She had a precipitate birth B) This was an extramural birth C) Retained placental fragments must be expelled D) Multigravidas are at increased risk for uterine atony As part of the postpartum assessment, the nurse examines the breasts of a primiparous breastfeeding woman Questions and Answers. Ask the mother to urinate and empty her bladder. A nurse is preparing to perform a fundal assessment on a PP client who delivered 12 hours ago. A nurse is providing teaching to a postpartum client about strategies to reduce the risk of newborn abduction from the Postpartum Care NCLEX Review and Nursing Care Plans. The nurse notes that the client has cool. Mothers are at risk for postpartum hemorrhage, hence frequent assessment via blood pressure and heart rate every 15 minutes along with Postpartum Hemorrhage The Nurses (Registered) and Nurse Practitioners Regulation: Regulation: (6)(1)(h. Ask the mother to urinate and empty her bladder The nurse is assessing a client who is 6 hours PP after delivering a full-term healthy infant. The nurse reviews the assessment findings and determines that the fetal presenting part is: A nurse performing an assessment of a pregnant client is preparing to take the client’s blood pressure. o B. 18. The fundal height will decrease by 1 cm per day below the umbilicus. A postpartum nurse is preparing to care for The nurse should give the client orange juice or a glucose preparation prior to this test. A nurse is assessing a client who is at 33 weeks of gestation. 8C). Explanation: brainliest nyo to When the nurse is performing fundal assessment, the nurse asks the woman to lie flat on her back with the knees flexed. The primary role of the nurse in caring for patients with postpartum hemorrhage is to assess and intervene early or during a hemorrhage to help the client regain her strength and prevent complications. Continue to palpate down the abdomen until the fundus is reached. Deep tendon reflexes. 2 mg orally to a client who is 2 hr postpartum and has a boggy uterus. What is your next nursing action? A. c. 5. The nurse is assessing a client who is 6 hours postpartum after delivering a full-term healthy newborn. Ask the mother to urinate and empty her bladder . You can view your scores and the answers to all the questions by clicking on the SHOW RESULT red button at the end of the questions. Feel for the fundus of the uterus. Fundal height is the distance between the top of your uterus and your pubic bone. Begin fundal massage and start oxygen by mask. In this video, Meris covers how to assess the fundus and a postpartum patient's lochia, including nursing care and patient teaching along with expected and a A nurse is performing a fundal assessment for a client who is 2 days postpartum and observes the perineal pad for lochia. 1 cm above the umbilicus. This may need to be specific or global (physical, emotional, & psychosocial health, learning needs for The nurse is caring for a postpartum client that has had prolonged lochial discharge The nurse suspects that a client is suffering from subinvolution. clammy skin and is restless and excessively thirsty. A nurse is preparing to administer methylergonovine 0. In the United States, the overall rate of postpartum hemorrhage increased 26% between 1994 and 2006. Nurses also need to intervene early or during the course of a hemorrhage to help the patient regain her strength and vitality. C. Massage the fundus gently before determining the level of the fundus D. an indication of cervical or perineal laceration. 2 cm above the umbilicus. Notable topics included in this nursing test bank include nursing care of the pregnant mother (obstetric nursing), labor and delivery, prenatal nursing care, antepartum, intrapartum, and postpartum nursing care, nursing care of patients with preeclampsia, placental and cord anomalies, cesarean birth, labor complications, postpartum depression Which of the following instructions should the nurse include in the teaching?. The team should consist of an obstetric provider credentialed to perform cesarean sections, nursing, anesthesia, NICU, laboratory, blood bank, social work, and other Overview of Postpartum Hemorrhage. >>NCLEX Review Questions — Test Yourself! (Parts 2-4)<< #11. The nurse notes that the client has cool, clammy skin and is restless and excessively thirsty. The postpartum nursing assessment is an important aspect of care in order to identify early signs of complications in the woman who has just given birth. The nurse is assessing a client who is 6 hours PP after delivering a full-term healthy infant. This should raise the client's blood glucose level and help promote fetal movement. The initial nursing action in performing this assessment is which of the following? 9. Which of the following interventions should the nurse implement? a. Document the findings and continue to monitor the client. Nursing Management. A nurse is caring for a client who is 1 hr postpartum and observes a large amount of lochia rubra and several small clots on the client's perineal pad. HESI Exit Exam 3 – Question and Answers with Rationales HESI Exit Exam 3 – Question and Answers with Rationales A home care nurse is instructing a client with hyperemesis gravidarum about measures to ease nausea and vomiting. 2. 40. a. Perform vigorous fundal massage ; Prepare for a uterine ultrasound Client Education. b . In the immediate postpartum period the nurse plans to take the woman’s vital signs: A.


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