Ch. 21 Postpartum Adaptations Flashcards Preview

Mckinney, 3rd edition Mother baby > Ch. 21 Postpartum Adaptations > Flashcards

Flashcards in Ch. 21 Postpartum Adaptations Deck (13)
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1
Q
  1. A postpartum woman overhears the nurse tell the obstetrics clinician that she has a positive Homans sign and asks what it means. The nurse’s best response is:
A

“You have calf pain when the nurse flexes your foot.”

2
Q
  1. Which woman would be most likely to have severe afterbirth pains and request a narcotic analgesic?
A

Gravida 5, para 5

3
Q
  1. Which maternal event is abnormal in the early postpartum period?
A

Lochial color changes from rubra to alba

4
Q
  1. Which finding 12 hours after birth would require further assessment?
A

The fundus is palpable two fingerbreadths above the umbilicus.

5
Q
  1. If the client’s white blood cell (WBC) count is 25,000/mm on her second postpartum day, the nurse should:
A

recognize that this is an acceptable range at this point postpartum.

6
Q
  1. Postpartal overdistention of the bladder and urinary retention can lead to which complication?
A

Postpartum hemorrhage and urinary tract infection

7
Q
  1. A postpartum client asks, “Will these stretch marks go away?” The nurse’s best response is:
A

“They will fade to silvery lines but won’t disappear completely.”

8
Q
  1. A pregnant client asks when the dark line on her abdomen (linea nigra) will go away. The nurse knows the pigmentation will decrease after delivery because of:
A

decreased melanocyte-stimulating hormone.

9
Q
  1. If the fundus is palpated on the right side of the abdomen above the expected level, the nurse should suspect that the client has:
A

a distended bladder.

10
Q
  1. The Centers for Disease Control and Prevention (CDC) recommends the use of personal protective equipment when the nurse is likely to come into contact with:
A

blood and blood products.

11
Q
  1. Rho immune globulin will be ordered postpartum if which situation occurs?
A

Mother Rh–, baby Rh+

12
Q
  1. If rubella vaccine is indicated for a postpartum client, instructions to the client should include:
A

an explanation of the risks of becoming pregnant within 3 months after injection.

13
Q
  1. Which nursing action is most appropriate to correct a boggy uterus that is displaced above and to the right of the umbilicus?
A

Assist the client in emptying her bladder.