Care of Healthy or At Risk Mother and Child Quiz 3

A nurse is assigned to care to a client who just delivered a healthy newborn infant. The nurse is aware that in the immediate postpartum period it is necessary to monitor the client’s vital signs:

 The client delivered a healthy newborn infant four hours ago. The postpartum nurse is taking the vital signs of the client. The nurse notes that the client’s temperature is 100.2 degrees Fahrenheit. Which of the following actions would be the most appropriate?

A nurse is monitoring a client who is 6 hours postpartum following a delivery of a full-term healthy newborn infant. While making assessment on the, the client complains to he nurse of feelings of faintness and dizziness. Which of the following nursing actions would be most appropriate?

The nurse is performing a fundal assessment on a postpartum client. Which of the following is the initial nursing action in performing a fundal assessment?

The nurse is assigned to monitor the condition of a 1 day postpartum client in the postpartum room. The nurse notes that the lochia discharge of the client is red and has a foul-smelling odor. The nurse determines that this assessment findings is:

The postpartum nurse is performing an assessment on a client; a nurse notes the presence of clots in the lochia. The nurse closely checks and examines the clots and notes that the clots are larger than 1 cm. Which of the following nursing actions is most appropriate?

The nurse is conducting a health teaching regarding lochia and the amount of expected lochia drainage to the clients in the postpartum unit. The nurse instruct the mothers that the normal amount of lochia may vary but should never exceed the need for:

A nurse is performing and assessment and giving instruction to a mother who is preparing to breast-feed the infant. Which of the following breast assessment findings would the nurse determine to be the most effective for breast-feeding?

A woman has delivered a healthy newborn infant. The nurse is aware that she needs to provide instructions regarding bowel elimination. The nurse instruct the mother that she should expect normal bowel elimination to return:

A nurse assigned a nursing student to perform a cardiovascular assessment on a postpartum woman. The nurse asks the student about the procedure to elicit Homan’s sign. Which response by the nursing student would indicate an understanding of this assessment technique?