Nclex ?'s
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| show | Document the normal assessment
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| A woman who is 18 hours postpartum says she is having “hot flashes” and “sweats all the time.” The appropriate nursing response is to: Report her signs and symptoms of hypovolemic shock Tell her that her body is getting rid of unneeded fluid Notify he | show 🗑
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| A woman who is 3 hours postpartum has had difficulty in urinating. She finally urinates 100 mL. The initial nursing action is to: Insert an indwelling catheter Have her drink additional fluids Assess the height of her fundus Chart the urination amo | show 🗑
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| show | The pads should be applied and removed in a front-to-back direction
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| A young mother is excited about her first baby. Choose the best teaching to help her obtain adequate rest after discharge. Plan to sleep or rest any time the infant sleeps Do all house cleaning while the infant sleeps Cook several meals at once and fr | show 🗑
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| Choose the best independent nursing action to aid episiotomy healing in the woman who is 24 hours postpartum. Antibiotic cream applications to the area three times each day Squirting warm water over the perineum after voiding or stooling Maintaining c | show 🗑
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| show | Help prevent the uterus from inverting
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| A woman who is 4 hours postpartum ambulates to the bathroom and suddenly has a large gush of lochia rubra. The nurse’s first action should be to: Determine the height of the fundus and if the bleeding slows to normal or remains large Observe vital sig | show 🗑
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| To help the postpartum woman avoid constipation, the nurse should teach her to: Avoid intake of foods such as milk, cheese, or yogurt Take a laxative for the first 3 postpartum days Drink at least 1600 mL of non-caffeinated fluids daily Limit her walk | show 🗑
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| Choose the sign or symptom that the new mother should be taught to report. Occasional uterine cramping when the infant nurses Oral temperature that is 37.20 C (990 F) in the morning Descent of the fundus one fingerbreadth each day Reappearance of red | show 🗑
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| Twelve hours after birth, a mother lies in bed resting. Although she has only one more day in the hospital, she does not ask about her baby or provide any care. What is the probable reason for her behavior? She is still in the taking-in phase of matern | show 🗑
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| show | Explain that safe weight loss will take approximately 6 to 12 months
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| show | Tell the father that the baby cries to communicate a need
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| A newborn is in the crib in his mother’s room. The teenaged mother is watching TV. When the nurse notes that the baby is awake and quiet, the best nursing action is to: Pick the baby up and point out his alert behaviors to the mother Tell the mother | show 🗑
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| show | Giving positive feedback when they provide care
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| show | Assess the firmness of her uterus
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| show | Rectal pain accompanied by a rising pulse
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| One hour after a woman gives birth vaginally, the nurse notes that her fundus is firm, 2 fingerbreadths above the umbilicus, and deviated to the right. Lochia rubra is moderate. Her perineum is slightly edematous, with no bruising; an ice pack is in pla | show 🗑
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| show | Protamine sulfate
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| show | Raise the head of the bed and administer oxygen
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| A woman has an 8 lb, 9 oz baby after an 18 hour labor that required a vacuum extraction. Her membranes have been ruptured for 15 hours. Based on these facts, client teaching should emphasize: Reporting foul-smelling lochia and fever Delaying intercour | show 🗑
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| Postpartum teaching related to urinary health should emphasize: Drinking any type of fluid whenever thirsty Allowing the bladder to fill to promote emptying Cleansing the perineum in a front-to-back direction Eating two servings of acidic fruits or ve | show 🗑
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| show | Tell the father to call the physician immediately and not to leave the woman alone with the baby
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| show | Emptying the breast is important to prevent an abscess
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| show | Listen to her feelings carefully and then acknowledge that something is wrong
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Created by:
L.moore
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