Nurses Assessing Postpartum Question & Answer Guide (With Explanation)

This question tests key academic concepts commonly covered in coursework.

What This Question Is About

This question relates to nurses assessing postpartum and requires a structured academic response.

How to Approach This Question

Start by identifying the main issue, then apply relevant academic frameworks.

Key Explanation

This topic involves nurses assessing postpartum. A strong answer should include explanation, application, and examples.

Original Question

52, the nurses are assessing a postpartum client who has preeclampsia and is receiving IC sulfate. Which of the following assessment findings would indicate possible toxicity in the preeclamptic client? Select all that apply. Absent deep tendon reflexes Severe headache Oliguria D Respiratory rate of 11 Altered level of consciousness 53. A 13 year old boy states. The girls in my class tower over me. What would the nurse’s most informative response be? It may seem that way because girls have a growth spurt two years earlier than boys. B. Perhaps your parents are not exceptionally tall You may feel short but you are actually average height for your age Boys usually experience a growth spurt one year earlier than girls. 54. A nurse is deciding which toy would be the best choice for a 10 month old infant. Which of the following toys should the nurse choose? A, A push and pull toy B crayons and a coloring book C, Puzzles with multiple pieces D, Crib gym 55. Nursing care of a post operative OB client following cesarean delivery should include which of the following interventions to the client’s plan of care to prevent thrombophlebitis? A. Frequent ambulation B. strict bed rest C. Apply warm compresses to the client’s lower legs D. position pedal owner crying knees while she is resting in supine position 56. In lactic Ting, the client reports nipples soreness. Which of the following actions will diminish her discomfort during breastfeeding? (Select all that apply) A. Utilize of breast form until Nipple’s soreness has resolved B. Rotate breastfeeding position C. alternate breast at the beginning of each feeling D. Express breast milk and apply to her nipples between fees E. Limit breastfeeding to every four hours to allow the tissue time to heal 57. Folate plays a big role in promoting healthy fetal development. Why is folate so important? Folate help prevent mental retardation Folate helps prevent cretinism cretinism Folate helps prevent gestational diabetes Folate helps prevent neural tube defects. 58. A client presents at 1 week postpartum with suspected endometritis. Which of the following findings will be most consistent with the condition? A. T 99.6 B. Pelvic pain C. Lochia serosa D. Painful urination 59. Everyone has a different perception of pain. That is why when it comes to pain management we base our interventions on what the client says rather than why we observe. However, sometimes our clients do not ask for pain medication. What observation would make them think that our client in labor might need pain medication? (Select all that apply) A. Resting with eyes closed B. Clenched fists C. Facial grimacing D. Non-labored respirations E. Elevated blood pressure 60. A nurse is working with the RN as he creates a plan for a woman who is in active labor. The RN has written several nursing diagnoses, each of them specific to a defined stage of labor. The RN review the following nursing diagnosis with the nurse and then asks, which of these four diagnoses would be most appropriate for a woman in the fourth stage of labor? Which of the following would be the best response? A. Fear related to the probable need for cesarean delivery. B. Risk for injury related to hemorrhage C. Dysuria related to prolonged labor and decreased intake. D. Pain related to increasing frequency and intensity of contractions. 61. Parents repost seeing ‘white spots ‘on their baby’s face and ask what they need to do next. The mother points out the spots, and the nurse sees that it is milia. Which is often seen on the face and nose of an infant. What is the best response for the parent? A. Squeeze out the white material after cleaning the face. B. Leave the milia alone. It will disappear spontaneously. No treatment is needed. C. Wash the infant’s face with a mild astringent several times a day. D. Contact a pediatric dermatologist for topical medications 62. A. child has an order for Amoxicillin 40 mg/kg/day in two equally divided does. The child weighs 55 pounds. How many mg will the child receive at each dose? ( round to the nearest whole number). A. 750 mg B. 450 mg C. 500 mg D. 1000 mg 63. Folate, calcium, Iron and protein are all important nutrients for women who are pregnant. Which of the following is a good source of calcium? A. Orange juice drink B. Baked C. Milk D. Lean ground bee 64. A client presents 5 days post-partum reporting that she is breastfeeding, and her breast feel heavy and swollen. Which of the following recommendations would be appropriate for this client? A. Express milk from both breasts B. Avoid stimulating the nipples as that will worsen the symptoms 73. When planning care for a-year – old child. Which of the following toys would be the choice? A. Modeling clay. B. Checkerboard and checker. C. A puzzle with 100 pieces D. A mobile that is brightly colored. 74. A nurse is providing discharge instructions with a client who is 2 days postpartum and has a history of postpartum depression with her last pregnancy. Which of the following instructions should the nurse include? A. Plan to return to work within 4-6 weeks. B. contact case manager once a week for symptom check. C. Nap when the baby is napping. D. Stay home until your follow up at 2 weeks postpartum. 75. A 3-year-old child, while playing with her favorite toy in the playroom of the pediatric unit, is approached by another child who also wants to play with the same toy. What should the nurse anticipate that the 3-year- old will do next? A. Ignore the toy and go on to something else. B. Become angry, and a physical response might ensure. C. Play cooperatively with the other child D. Give up the toy and refuse to play more.

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