Title: Module 4 Quiz
Course: NUR 1411C Nursing Care for the Family Part 1 > Section: Module 4

Q: Your 26-year-old G3 P2 delivered term twins today. You will assess her specifically for:
- Uterine shock
- Uterine atony
- Inverted uterus
- Postpartum depression
A: Uterine atony

Q: Which woman is most likely to experience strong afterpains?
- A woman who was diagnosed with oligohydramnios
- A woman who is a gravida 4, para 4-0-0-4
- A woman who is bottle-feeding her infant
- A woman whose infant weighs 5 lbs 3 ounces
A: A woman who is a gravida 4, para 4-0-0-4

Q: Two days ago a woman gave birth to a full-term infant. Last night she awakened several times to urinate, and noted that her gown and bedding were wet from profuse diaphoresis. The nurse should know that this is most likely caused by:
- Elevated temperature related to a postpartum infection
- Increased basal metabolic rate after giving birth
- Loss of increased blood volume associated with pregnancy
- Increased venous pressure in the lower extremities
A: Loss of increased blood volume associated with pregnancy

Q: A woman gave birth vaginally I hour ago with an EBL (estimated blood loss) of 1500 ml. When assessing the woman’s vital signs, the nurse would be the most concerned with which of the following?
- Temp- 98F, HR 120, R 20, BP 90/50
- Temp- 99F, HR 88, R 36, BP 126/68
- Temp-100F, HR 80, R 16, BP 110/80
- Temp- 988F, HR 60, R 18, BP 140/90
A: Temp- 98F, HR 120, R 20, BP 90/50

Q: On examining a woman who gave birth 5 hours ago, the nurse finds that the woman has completely saturated her perineal pad within 15 minutes. The nurse’s first action should be to:
- Notify the physician
- Begin an IV fluid bolus
- Assess the vital signs
- Massage the fundus
A: Massage the fundus

Q: If a woman is at risk for thrombus and is not ready to ambulate, nurses might intervene by doing all of the following EXCEPT:
- Putting her in antiembolic stockings (TED hose) or sequential compression device (SCD)
- Having her flex, extend, and rotate her feet, ankles, and legs
- Having her sit in a chair
- Notifying the MD immediately in a positive Homan’s sign is assessed.
A: Having her sit in a chair

Q: During a follow-up conversation with a woman who is four days postpartum, the woman tells the nurse, “I don’t know what’s wrong. I love my son, but I feel so let down. I cry for no reason!” The nurse would recognize that the woman is experiencing:
- Taking-in
- Postpartum Depression
- Postpartum blues (baby blues)
- Attachment difficulty
A: Postpartum blues (baby blues)

Q: What woman is at greatest risk for postpartum hemorrhage?
- A primiparous woman being prepped for an emergency C-section for fetal distress
- A woman with severe preeclampsia on magnesium sulfate whose labor is being induced
- A multiparous woman (G3P2) with an 8 hour labor
- A primigravida in spontaneous labor with preterm twins at 28 weeks.
A: A woman with severe preeclampsia on magnesium sulfate whose labor is being induced

Q: Which of the following symptoms would indicate puerperal infection in the postpartum woman who delivered vaginally one week ago (SELECT ALL THAT APPLY)
- A stinging sensation at the episiotomy site with voiding
- Foul-smelling lochia
- Scant serosa lochia
- temperature of 100.4 degress or higher on two occasions.
A: Foul-smelling lochia; temperature of 100.4 degress or higher on two occasions.

Q: The perinatal nurse assisting with lactation is aware that the incidence of acute mastitis can be minimized by (SELECT ALL THAT APPLY):
- Proper hygiene
- Ensuring a proper latch
- Wearing a nipple shield for the few days of breastfeeding
- The use of a lanolin topical cream
A: Proper hygiene; Ensuring a proper latch

Q: Twelve hours after a C/S delivery you find the client has perspiration on her face. Her temp. is 101.3(F), fundus is firm @ U -2, but tender. You suspect which of the following:
- Diaphoresis in an early sign of shock, therefore postpartum hemorrhage should
be suspected.
- Excessive sweating is not expected post-delivery and this warrants further investigation.
- The client may be showing signs of puerperal infection and should have her temperature taken every two hours.
- Diaphoresis is a mechanism to reduce the retained fluids of pregnancy and is considered normal.
A: The client may be showing signs of puerperal infection and should have her temperature taken every two hours.

Q: A woman gave birth to a stillborn infant. Which of the following nursing actions is the LEAST appropriate in supporting the woman’s coping with loss?
- Remind her that she should be happy that she can get pregnant again
- Assist her in taking pictures of the baby
- Encourage her to hold the baby to say good-bye
- Offer her the opportunity to speak with the hospital chaplain
A: Remind her that she should be happy that she can get pregnant again

Q: On assessment the RN notes: Temp of 102 (F), Pulse >100, foul smelling discharge. What do you suspect?
- Endometriosis
- Hemorrhage
- Endometritis
- Pyelonephritis
A: Endometritis

Q: You anticipate Rhogam to be administered to which client?
- Client and baby that are Rh (-)
- Client and baby that are Rh (+)
- Client is Rh (-) and baby is Rh (+)
- Client is Rh (+) and baby is Rh (-)
A: Client is Rh (-) and baby is Rh (+)

Q: What teaching is mandatory to clients receiving the rubella vaccine?
- Respiratory isolation is necessary for 24 hours after injection.
- For 3 months, no breastfeeding.
- Measles rash is to be expected 72 hours after vaccination.
- Avoid pregnancy for 28 days.
A: Avoid pregnancy for 28 days.

Q: You will assess which of the following clients first?  The postpartum C/Section mother with:
- Temp 100.3F
- Pain 5/10
- B/P 150/96
- Nausea and vomiting
A: B/P 150/96

Q: Reciprocal bonding from parents to baby should be assessed in the post-partum period by the nurse.  Which of the following are appropriate signs of parental bonding? (SELECT ALL THAT APPLY).
- gaze, direct eye contact
- non-attentiveness to cues
- open hand/palm touch
- positive comments of baby features
A: gaze, direct eye contact; open hand/palm touch; positive comments of baby features

Q: Medications used to manage postpartum hemorrhage include (SELECT ALL THAT APPLY):
- Pitocin
- Methergine
- Terbutaline
- Hemabate
A: Pitocin; Methergine; Hemabate

Q: The physician manually removed placental fragments from your patient after an episode of heavy postpartum bleeding. Your client needs to be monitored for:
- delayed lactation
- postpartum infection
- mastitis
- more severe after pains
A: postpartum infection

Q: A client who is HIV positive wants to know when she can begin breastfeeding. Your best response is:
- When your IV has been removed
- As soon as the baby is alert
- On the third day, when you milk is in
- It would be best to bottle feed your baby
A: It would be best to bottle feed your baby