May 22, 2015 · NCLEX 55 practice questions: OB/GYN – Intrapartum 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. A nurse is preparing to administer dextrose 5% in water (D5W) 1,000 mL IV to infuse over 8 hr to a client. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) The nurse is examining a 2 day postpartum client whose fundus is 2 cm below the umbilicus and whose bright red lochia saturates about 4 inches of a pad in 1 hour. What should the nurse document in the nursing record? A nurse is caring for a newborn and calculating the Apgar score. At 1 min after delivery, the following findings are noted: heart rate if 110/min; slow, weak cry; some flexion of extremities; grimace in response to suctioning of the nares; body pink in color with blue extremeities. This preview shows page 8 - 11 out of 12 pages. Nurse is caring for a client 4 hr postpartum following a vaginal birth, the client has saturated a perineal pad within 10 min, which of the following is nurses first action  Massage the fundus. Subscribe to view the full document. A nurse is assessing the lochia in a 24-hour-postpartum client, and expresses blood clots with fundal massage. The client's fundus is firm but elevated and deviated to the right. What would be the most appropriate nursing action? Iberian addon stremioA multiparous client 48 hours postpartum who is breast-feeding tells the nurse, "i am having a lot of cramping. this did not happen when i nursed my first baby." which would be the nurse's best response? A nurse is caring for a newborn and calculating the Apgar score. At 1 min after delivery, the following findings are noted: heart rate if 110/min; slow, weak cry; some flexion of extremities; grimace in response to suctioning of the nares; body pink in color with blue extremeities. 1. A primipara client gave birth vaginally to a healthy newborn girl 48 hours ago. The nurse palpates the clients fundus, expecting it to be at which location? A) Two fingerbreadths above the umbilicus B) At the level of the umbilicus C) Two fingerbreadths below the umbilicus D) Four fingerbreadths below the umbilicus 2. When caring for a mother who has had a cesarean birth, the nurse would ... A nurse is caring for a client who is 1 hr postpartum and observes a large amount of lochia rubra and several small clots on the client's perineal pad. The fundus is midline and firm at the umbilicus. Study Exam 2 - Practice Questions (Postpartum) flashcards from Elias Cortez's class online, or in Brainscape's iPhone or Android app. Learn faster with spaced repetition. d childbirth: labour, delivery and immediate postpartum care Always begin with Rapid assessment and management (RAM) B3-B7 . Next, use the chart on Examine the woman in labour or with ruptured membranes D2 - D3 to assess the clinical situation and obstetrical history, and decide the stage of labour. 17. A woman with severe preeclampsia has been receiving magnesium sulfate by intravenous infusion for 8 hours. The nurse assesses the client and documents the following findings: temperature of 37.1° C, pulse rate of 96 beats per minute, respiratory rate of 24 breaths per minute, BP of 155/112 mm Hg, 3+ DTRs, and no ankle clonus. The nurse is monitoring a client in the immediate postpartum period for signs of hemorrhage. Which sign, if noted, would be an early sign of excessive blood loss? 1. temp of 100.4 A nurse is assessing the lochia in a 24-hour-postpartum client, and expresses blood clots with fundal massage. The client's fundus is firm but elevated and deviated to the right. What would be the most appropriate nursing action? A nurse is caring for a client who is 1 hr postpartum and observes a large amount of lochia rubra and several small clots on the client's perineal pad. The fundus is midline and firm at the umbilicus. Placing a code cart at the client’s bedside; 8. A nurse is monitoring a client in active labor and notes that the client is having contractions every 3 minutes that last 45 seconds. The nurse notes that the fetal heart rate between contractions is 100 BPM. Which of the following nursing actions is most appropriate? 17. A woman with severe preeclampsia has been receiving magnesium sulfate by intravenous infusion for 8 hours. The nurse assesses the client and documents the following findings: temperature of 37.1° C, pulse rate of 96 beats per minute, respiratory rate of 24 breaths per minute, BP of 155/112 mm Hg, 3+ DTRs, and no ankle clonus. RN-Nclex Examas Practice Qusestions Posted by Unknown Posted on 1/03/2014 Q.1 .The nurse should assess the client who is taking risperidone (Risperdal) 1 mg, orally twice a day for: 2. "You should not become pregnant for 2 to 3 months after administration of the vaccine.". The nursing student is assigned to care for a client in the postpartum unit. The coassigned nurse asks the student to identify the most objective method to assess the amount of lochial flow in the client. A nurse is caring for a client who is 1 day postpartum following a cesarean birth. To prevent thrombophlebitis, the nurse should contribute which of the following interventions to the client’s plan of care? Have the client ambulate frequently in the hallway. 38. A nurse is assessing a client who is 8hr postpartum and multiparous. A nurse is assessing a client who is 3 days postpartum and is breastfeeding. Her fundus is three fingerbreadths below the umbilicus, and her lochia rubra is moderate. Her breasts feel hard and warm. The nurse should identify that the client... The nurse is monitoring a client in the immediate postpartum period for signs of hemorrhage. Which sign, if noted, would be an early sign of excessive blood loss? 1. temp of 100.4 Jan 26, 2014 · Maternal-Neonatal Nursing, Postpartum Period NCLEX RN Practice Questions 01. A nurse is caring for a postpartum client suspected of developing postpartum psychosis. Which of the following statements accurately characterize this disorder?Select all that apply. a. Symptoms start 2 days after delivery. b. The disorder is common in postpartum women. A nurse is assessing the lochia in a 24-hour-postpartum client, and expresses blood clots with fundal massage. The client's fundus is firm but elevated and deviated to the right. What would be the most appropriate nursing action? Keystone maskPet shop names