Quiz 2

Question 1

Tocolytic therapy; for preterm patients

Answer 1

indomethacin, nifedipine procardia

Question 2

Oxytoxic meds; hemorrhage
baby position for back labor:

Answer 2

oxytocin, hemabate, methergine

Question 3

less than 24 hrs postpartum. Expect to find?

Answer 3

Fundus at umbilicus, everyday
post 1 sonometer down (-1, -2, -3), tone is firm midline.

Question 4

First thing to do when fundus is boggy and shifted to right

Answer 4

empty bladder

Question 5

Walk in two hours after assessments, saturated two pads within 30 mins what to do

Answer 5

assess the fungus

Question 6

Person just delivered, 12-14 hrs postpartum, dependent taking in phase of postpartum adjustment. What are we seeing?

Answer 6

Talkative and excited.

Question 7

3 wks pp, feels down no energy, wants to cry. U first ask?

Answer 7

For signs of postpartum depression, it affects her and her lil dumbass baby

Question 8

What patient gets rhogam

Answer 8

mom is rh- and gave birth to rh+

Question 9

Walk in delivered 4 hrs ago, got oxytocin bag infusing, large amount of lochia, bp 152/94 p 80 rr 18, reviewing orders, which order do you question?

Answer 9

Methergine order (oxytoxic)

Question 10

Best thing to do for pt who is 6hr post C-sec, Hx of __, and u want to prevent complications?

Answer 10

ambulate

Question 11

Signs of postpartum infection

Answer 11

pelvic pain, chills, fever, tachycardia, anorexia and fatigue

Question 12

Pt delivered 10 days ago, pain redness left calf ( what to do )

Answer 12

Tell to see HCP immediately. Elevate.

Question 13

Signs of bladder distention on PP pt?

Answer 13

Boggy shifted left or right up??

Question 14

Pt delivered shift ago

Answer 14

Ice pack infected area

Question 15

Ngn: pt is presenting with signs of premature rupture membrane, what are the
interventions?

Answer 15

Check temperature & odor bc we’re suspecting chorioamnionitis

Question 16

NGN: upt has boggy uterus, large amount of lokia, saturation on pad. Suspected:
hemorrhage.

Answer 16

Check: fundus is nice and firm. Document: amount of lochia

Question 17

Administered methergine.

Answer 17

Signs that indicate effectiveness? Uterus tone

Question 18

Purpose of betamethasone:

Answer 18

for the lungs of premature babies to promote lung maturity

Question 19

Pt is preterm and gets terbutaline, expect to see?

Answer 19

Lessening of contractions, shaking
and shivering

Question 20

Red, swollen in ONE breast.

Answer 20

Mastitis

Question 21

Walk in and postpartum pt has a baby that is 9 lb what is the mom at risk for?

Answer 21

Tearing,
bleeding, uterine atony

Question 22

Pt is reporting abd pain, fundal height is +3, large amount of vaginal bleeding. We are
suspecting?

Answer 22

Subinvolution of the uterus. Expect to give? Pitocin and methergine

Question 23

Name of potential risk for prolapse umbilical cord. Rupture of membranes, head that is
high and not engaged in pelvis

Answer 23

(-3, -4, breached, can’t feel top of head)

Question 24

Adverse responses to terbutaline:

Answer 24

tachycardia n shaking

Question 25

Priority nursing assessment for pt receiving mag sulfate?

Answer 25

RR

Question 26

Assessing mom, home visit, 3-4 days pp, breast feeding, baby lost wt. What is this from?

Answer 26

short , infrequent feeding. 5-6% weight lost after birth, incorrect latch or feeding.

Question 27

Reflex that the newborn have to breastfeed:

Answer 27

rooting

Question 28

Nurse is teaching about nutrition guidelines to parents. Which statement indicates understanding?

Answer 28

I should give fruit juice until my baby is 6 months of age.

Question 29

Review assessment finding.

Answer 29

UTI, Preterm or Both. Vaginal exam 3 sonometer (preterm) Lower abd pain (Both), Has vaginal dc (Preterm), Temp of 100.5 (UTI)

Question 30

Teaching pt about bottle feeding, which needs further instructions?

Answer 30

I will tilt the nipple so air would be present while bby sucks

Question 31

#1 thing to do to help w breast engorgement?

Answer 31

Feed more frequently

Question 32

Walk in look on monitor, pt just delivered, bp 60/50. What do you do?

Answer 32

Assess the fundus

Question 33

Pt has severe pelvic pain, no contractions, fetal heart rate it bradycardic:

Answer 33

it is uterine abruption so we prepare pt for surgery and if they have oxytocin u shut it off

Question 34

Pt is PP, breastfeeding and has nipple soreness.

Answer 34

Suggestions to reduce nipple pain? Making sure baby is latching correctly, start on non sore nipple, apply cyclosternum breastmilk before feeding