When performing a PP assessment on a client the nurse notes the presence of clots in the Lochia?

16 Questions | By Santepro | Last updated: Sep 27, 2022 | Total Attempts: 6688

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When performing a postpartum assessment on a client the nurse notes the presence?
How do you assess and evaluate lochia flow?
Which type of lochia should the nurse expect to find in a client 2 days PP?
Which of the following best describes the postpartum period?

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Obstetrical nursing is one of the toughest exams in NCLEX. If you are someone who is preparing for it, then take this quiz that contains questions on obstetrical nursing. The quiz contains various questions ranging from easy medium to hard level that covers all exam-related aspects and prepares you well for the final day. The quiz also provides valuable feedback that would help clarify concepts and revise core exam areas. All the best!

1.
A postpartum nurse is preparing to care for a woman who has just delivered a healthy newborn infant. In the immediate postpartum period the nurse plans to take the woman’s vital signs:
- A.
  Every 30 minutes during the first hour and then every hour for the next two hours.
- B.
  Every 15 minutes during the first hour and then every 30 minutes for the next two hours.
- C.
  Every hour for the first 2 hours and then every 4 hours
- D.
  Every 5 minutes for the first 30 minutes and then every hour for the next 4 hours
2.
A postpartum nurse is taking the vital signs of a woman who delivered a healthy newborn infant 4 hours ago. The nurse notes that the mother’s temperature is 100.2*F. Which of the following actions would be most appropriate?
- A.
  Retake the temperature in 15 minutes
- B.
  Notify the physician
- C.
  Document the findings
- D.
  Increase hydration by encouraging oral fluids
3.
The nurse is assessing a client who is 6 hours PP after delivering a full-term healthy infant. The client complains to the nurse of feelings of faintness and dizziness. Which of the following nursing actions would be most appropriate?
- A.
  Obtain hemoglobin and hematocrit levels
- B.
  Instruct the mother to request help when getting out of bed
- C.
  Elevate the mother’s legs
- D.
  Inform the nursery room nurse to avoid bringing the newborn infant to the mother until the feelings of lightheadedness and dizziness have subsided
4.
A nurse is preparing to perform a fundal assessment on a postpartum client. The initial nursing action in performing this assessment is which of the following?
- A.
  
  Ask the client to turn on her side
- B.
  Ask the client to lie flat on her back with the knees and legs flat and straight.
- C.
  Ask the mother to urinate and empty her bladder
- D.
  Massage the fundus gently before determining the level of the fundus
5.
The nurse is assessing the lochia on a 1 day PP patient. The nurse notes that the lochia is red and has a foul-smelling odor. The nurse determines that this assessment finding is:
- A.
  Normal
- B.
  Indicates the presence of infection
- C.
  Indicates the need for increasing oral fluids
- D.
  Indicates the need for increasing ambulation
6.
When performing a PP assessment on a client. the nurse notes the presence of clots in the lochia. The nurse examines the clots and notes that they are larger than 1 cm. Which of the following nursing actions is most appropriate?
- A.
  Document the findings
- B.
  Notify the physician
- C.
  Reassess the client in 2 hours
- D.
  Encourage increased intake of fluids
7.
A nurse in a PP unit is instructing a mother regarding lochia and the amount of expected lochia drainage. The nurse instructs the mother that the normal amount of lochia may vary but should never exceed the need for:
- A.
  One peripad per day
- B.
  Two peripads per day
- C.
  Three peripads per day
- D.
  Eight peripads per day
8.
A PP nurse is providing instructions to a woman after delivery of a healthy newborn infant. The nurse instructs the mother that she should expect normal bowel elimination to return:
- A.
  One the day of the delivery
- B.
  3 days PP
- C.
  7 days PP
- D.
  Within 2 weeks PP
9.

Select all of the physiological maternal changes that occur during the PP period.
- A.
  Cervical involution occurs
- B.
  Vaginal distention decreases slowly
- C.
  Fundus begins to descend into the pelvis after 24 hours
- D.
  Cardiac output decreases with resultant tachycardia in the first 24 hours
- E.
  Digestive processes slow immediately
10.
A nurse is caring for a PP woman who has received epidural anesthesia and is monitoring the woman for the presence of a vulva hematoma. Which of the following assessment findings would best indicate the presence of a hematoma?
- A.
  Complaints of a tearing sensation
- B.
  Complaints of intense pain
- C.
  Changes in vital signs
- D.
  Signs of heavy bruising
11.
A client is admitted to the L & D suite at 36 weeks’ gestation. She has a history of C-section and complains of severe abdominal pain that started less than 1 hour earlier. When the nurse palpates tetanic contractions. the client again complains of severe pain. After the client vomits. she states that the pain is better and then passes out. Which is the probable cause of her signs and symptoms?
- A.
  Hysteria compounded by the flu
- B.
  Placental abruption
- C.
  Uterine rupture
- D.
  Dysfunctional labor
12.
Upon completion of a vaginal examination on a laboring woman. the nurse records 50%. 6 cm. -1. Which of the following is a correct interpretation of the data?
- A.
  
  Fetal presenting part is 1 cm above the ischial spines
- B.
  Effacement is 4 cm from completion
- C.
  Dilation is 50% completed
- D.
  Fetus has achieved passage through the ischial spines
13.
Late deceleration patterns are noted when assessing the monitor tracing of a woman whose labor is being induced with an infusion of Pitocin. The woman is in a side-lying position. and her vital signs are stable and fall within a normal range. Contractions are intense. last 90 seconds. and occur every 1 1/2 to 2 minutes. The nurse’s immediate action would be to:
- A.
  Change the woman’s position
- B.
  Stop the Pitocin
- C.
  
  Elevate the woman’s legs
- D.
  Administer oxygen via a tight mask at 8 to 10 liters/minute
14.
The nurse should realize that the most common and potentially harmful maternal complication of epidural anesthesia would be:
- A.
  Severe postpartum headache
- B.
  Limited perception of bladder fullness
- C.
  Increase in respiratory rate
- D.
  Hypotension
15.
Perineal care is an important infection control measure. When evaluating a postpartum woman’s perineal care technique. the nurse would recognize the need for further instruction if the woman:
- A.
  Uses soap and warm water to wash the vulva and perineum
- B.
  Washes from symphysis pubis back to episiotomy
- C.
  Changes her perineal pad every 2 – 3 hours
- D.
  Uses the peri bottle to rinse upward into her vagina
16.
Parents can facilitate the adjustment of their other children to a new baby by:
- A.
  Having the children choose or make a gift to give to the new baby upon its arrival home
- B.
  Emphasizing activities that keep the new baby and other children together
- C.
  Having the mother carry the new baby into the home so she can show the other children the new baby
- D.
  Reducing stress on other the by limiting their involvement in the care of the new baby

All questions are shown, but the results will only be given after you’ve finished the quiz. You are given 1 minute per question, a total of 10 minutes in this quiz.

Questions: 10 | Attempts: 12675 | Last updated: Sep 21, 2022

Sample Question
A client is admitted to the birthing suite in early active labor. The priority nursing intervention on the admission of this client would be:

Auscultating the fetal heart

Taking an obstetric history

Asking the client when she last ate

Ascertaining whether the membranes were ruptured

Are you into obstetrical nursing? Play this NCLEX practice quiz on obstetrical nursing to check your understanding of maternal and child health nursing. Obstetrical nursing, also called perinatal nursing, is a...

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Sample Question
The nurse is aware than an adaptation of pregnancy is an increased blood supply to the pelvic region that results in a purplish discoloration of the vaginal mucosa. which is known as:

Ladin’s sign

Hegar’s sign

Goodell’s sign

Chadwick’s sign

Hey, do you understand the concept of labor induction clearly? If so, here's an interesting 'Induction of labor: Fetal care quiz' for you. Labor induction is the process that stimulates childbirth and delivery. This...

Questions: 10 | Attempts: 7961 | Last updated: May 7, 2022

Sample Question
During the period of induction of labor. a client should be observed carefully for signs of:

Severe pain

Uterine tetany

Hypoglycemia

Umbilical cord prolapse

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When performing a postpartum assessment on a client the nurse notes the presence?

When performing a PP assessment on a client, the nurse notes the presence of clots in the lochia. The nurse examines the clots and notes that they are larger than 1 cm.

How do you assess and evaluate lochia flow?

Lochia is assessed during the postpartum period: Saturating one pad in less than an hour, a constant trickle of lochia, or the presence of large (i.e., golf-ball sized) blood clots is indicative of more serious complications and should be investigated immediately.

Which type of lochia should the nurse expect to find in a client 2 days PP?

Lochia (vaginal discharge) It has a stale, musty odor like menstrual discharge. Lochia for the first 3 days after delivery is dark red in color. A few small blood clots, no larger than a plum, are normal. For the fourth through tenth day after delivery, the lochia will be more watery and pinkish to brownish in color.

Which of the following best describes the postpartum period?

The postpartum period is commonly defined as the six weeks after childbirth.

When performing a PP assessment on a client the nurse notes the presence of clots in the Lochia?

When performing a postpartum assessment on a client the nurse notes the presence?

How do you assess and evaluate lochia flow?

Which type of lochia should the nurse expect to find in a client 2 days PP?

Which of the following best describes the postpartum period?

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