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Practice Question

The nurse has received shift report on the postpartum unit. Which patient should the nurse see first?

Answer Choices:

Correct Answer:

First baby, day of delivery, fundus 2 cm above umbilicus deviated to left.

Rationale:

🔴 A fundus that is above the umbilicus and deviated to the left suggests a full bladder, which can interfere with uterine involution and increase the risk of postpartum hemorrhage.

🔴 This patient is immediately postpartum, and uterine tone and position must be closely monitored to prevent excessive bleeding.

🔴 The nurse should assess the bladder and assist the patient to void, which often helps the uterus return to midline and firm position.

🔴 The other findings (hypoactive bowel sounds, diastasis recti, lochia serosa on day 3) are expected or non-urgent postpartum conditions.

🔴 Prompt attention to this patient can prevent a serious complication, making her the top priority.

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This question is from Maternity exam 2 ( Samuel Merit University) which contains 49 questions.

More Questions from This Exam
A patient delivered 2 hours ago without medication. She is alert and active in bed but has not been out of bed yet. She states she needs to go the bathroom. What is the nurse's most appropriate response?

Answer Choices:

A. "I'll walk you to the bathroom and stay with you."
B. ‘’I will get a bedpan for you."
C. ‘’Leave your peri-pad in place after you use the restroom so I can check your bleeding when you get back."
D. ‘’wait until I have had a chance to assess you first"
The nurse is teaching a newborn care class to parents who are about to give birth to their first babies. Which statement indicates that teaching was effective?

Answer Choices:

A. Keep umbilical cord dry and above the level of the diaper.
B. Baby will need to breast feed every hour
C. Be sure to always wrap baby in 2 blankets when going outside
D. Limit the amount of time baby is skin to skin with parents
A full term newborn was just born. Which nursing intervention is important for the nurse to perform first?

Answer Choices:

A. Dry the infant throughly and place on mom skin to skin
B. Determine Apgar Score.
C. Encourage mother to begin breastfeeding.
D. Administer medication for eye prophylaxis.
A mother asks whether or not she should be concerned that her baby never opens his mouth to breathe when his nose is so small. Which of the following is the nurse's best response?

Answer Choices:

A. "Babies usually breathe in and out through their noses so they can feed without choking."
B. "You are right. I will report the baby's small nasal openings to the pediatrician right away.*
C. Everything about babies is small. It truly is amazing how everything works so well."
D. "The baby does rarely open his mouth but you can see that he isn't in any distress.
Part of the health assessment of a newborn includes observation of the neonate's breathing pattern. A full-term newborn's breathing pattern is predominantly:

Answer Choices:

A. Abdominal with synchronous chest movements.
B. Chest breathing with nasal flaring.
C. Diaphragmatic with chest retraction.
D. Deep with a regular rhythm.
From Exam
Maternity exam 2 ( Samuel Merit University)

49 Questions

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Question Details
  • Category: RN Nursing Exam(s)
  • Subcategory: General Exams
  • Domain: 🤱🏼Maternity & Newborn Care
  • Answer Choices: 4
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