1. Julla Marco asks you which type of exercise is best
I understand why folle acid is important for
to strengthen perineal muscles. Your best anewer
would be:
A. Walk 20 minutes daily at a fairly rapid pace.
B. Alternately fighten and relax perineal
muscles as if stopping voiding.
C. Periodically push as if you're moving your
bowels.
D. Lift both legs into the air while you lie
supine.
2. Julia wants to learn Lamaze breathing techniques.
What is a principle of Lamaze childbirth?
A. Pain can be interrupted before it registers in
the brain as pain.
B. Labor contractions are not pain; they're
muscle inflammation.
C. "Brown pain" like labor contractions can be
lessened.
D. Labor contractions are intensified by
abdominal massage.
3.What is a goal of all birth settings?
A. To allow women to eat during labor
B. To keep childbirth pain free
C. To have a safe birth for mother and baby
D. To limit the cost of medical procedures
4.Angelina Gomez is the 22-year-old woman you met
at the beginning of the chapter, Which condition
would make her more prone than others to
developing a Candida infection during pregnancy?
A. She usually drinks tomato juice for
breakfast.
B. She was over 35 when she became pregnant.
C. Her husband plays golf 6 days a week.
D. She has developed gestational diabetes.
5.Angelina develops a deep vein thrombosis
following an auto accident and is prescribed heparin
subq. What should you educate her about regarding
this?
A. Her infant will be born with scattered
petechiae on his trunk.
B. Heparin can cause darkened skin in
newborns,
C. Heparin does not cross the placenta and so
does not affect a fetus.
D. Same infants will be born with allergic
symptoms to heparin.
6. Which statement by a woman with sickle-cell
anemia would alert you she may need further
instruction on prenatal care?
A.
red cell formation.
B. I'm careful to drink at least eight glasses of
fluid every day.
C. I take an iron pill every day to help grow
new red blood celis.
D. I've stopped jogging so I don't risk becoming
dehydrated.
7.Angelina Gomez had tuberculosis as a teenager.
What Is a danger of this during pregnancy?
A. Calcium deposits that wall off old
tuberculosis lesions can break down.
B. Tuberculosis can tum to pneumonla if a
woman has a folic acid deficit.
C. PPD tests are negative during pregnancy so
TB goes undetected.
D. If tuberculosis spreads to the stomach, It can
cause stomach ulcers.
8.Angelina Gomez routinely takes acetylsalicylic acid
(as-pirin) for arthritis. Why should she limit or
discontinue this toward the end of pregnancy?
A. Salicylates can lead to increased maternal
bleeding at childbirth.
B. Newborns develop withdrawal headaches
from salicylates.
C. Aspirin can lead to deep vein thrombosis
following birth.
D. Newborns develop a red rash from salicylate
toxicity
9.Angelina uses an insulin pump to administer insulin
for gestational diabetes. Why is nighttime a
particularly hazardous time for her fetus with pump
therapy?
A. The fetus can develop hyperglycemia from
excessive insulin administration.
B. Continuous insulin administration with no
food can lead to hypoglycemia.
C. The mother's lack of exercise at night tends
to lead to hypercalcemia.
D. The pump's needie can migrate inward and
possibly pierce the fetus.
10.Angelina received a laceration on her leg from her
automobile accident. Why are lacerations of lower
extremities potentially more serious in pregnant
women than others?
A. A woman is less able to keep the laceration
clean because of her fatigue.
B. Increased bleeding can occur from uterine
pressure on leg veins.
 C. Lacerations can provoke allergic responses
because of gonadotropic hormone.
D. Healing is limited during pregnancy, so
these will not heal until after birth.
11.Suppose Beverly Muzuki develops a placenta
previa.What would be an important assessment to
make with her after her baby's birth?
A. Whether she recognizes that this is inherited
and will probably happen again
B. Assessment of vaginal bleeding, as she is
prone to have more than usual
C. Whether she appears "jittery" from the
prebirth drugs she received
D. Whether she understands that her uterus has
a scar and so will be always weakened
12.Beverly Muzuki is in preterm labor. When you see
her in the emergency room, what should be your first
action?
A. Keep her walking so the fetal head puts
harder pressure on the cervix.
B. Ask her to lie down in a side-lying position
and assess her contractions.
C. Obtain blood for a human chorionic
gonadotropin hormone assessment.
D. Caution her to not allow anyone to start IV
fluid; dehydration halts contractions.
13.If Beverly Muzuki had developed severe
preeclampsia, what would be the drug you would
expect to administer?
A. Magnesium sulfate
B. Ranitidine (Zantac)
C. A nonsteroidal inflammatory agent
D. A loop diuretic
14. If a patient developed a HELLP syndrome, what
symptoms would be most important to assess for?
A. Rapid, anxious breathing
B. Ecchymosis or petechiae
C. Blink reflex
D. Enlarged thyroid
15.Suppose Beverly Muzuki was Rh negative. Under
what circumstance would she be eligible for Rh (D)
immune globulin (RhIG)?
A. If she were having a multiple pregnancy
B. If her fetus were found to be Ah negative
C. If her fetus's heartbeat became tachycardic
D. If her fetus's blood type was Rh positive
16.You need to schedule a first home visit for Lee
Puente.When is a first home-care visit typically
made?
A. Within 1 hour after discharge
B. Within 24 hours after discharge
C. Within 4 days after discharge
D. Within 1 week of discharge
17.What should you do if, in the middle of visiting
Lee Puente at home, her former boyfriend arrives and
threatens you and Lee? What would you do?
A. Tell him threatening someone is not mature
behavior and he should stop.
B. Suggest that Lee change all of her home
locks so this man can't visit again.
C. Leave the home and notify your agency that
you were in unsafe circumstances.
D. Telephone 91t and report that you and a
client are being threatened.
18.Lee Puente is developing constipation from being
on bed rest. What measure would you suggest she
take to help prevent this?
A. Drink more milk, as increased calcium
intake prevents constipation.
B. Walk for at least half an hour daily to
stimulate peristalsis.
C. Drink eight full glasses of a fluid such as
water daily.
D. Eat more frequent small meals instead of
three large ones daily.
19.Mindy Carson is still an adolescent. What is a task
of adolescence, according to Erlkson, that she needs
to complete to be ready to be a mother?
A. Establish a value system.
B. Grow to her final height.
C. Prepare clothes for the baby.
D. Finish her education.
20.Mindy Carson was placed on an iron supplement
because her hemoglobin level was below normal.
What. is a usual test to demonstrate adherence to an
iron supplement?
A. Assessing if her skin appears darker.
B. Assessing her blood reticulocyte count
C. Analyzing her urine for iron deposits
D. Measuring if she has grown in height
21.Women over 40 are at increased risk for
developing pregnancy-induced hypertension. The
reason for this is:
A. Many are overweight before they enter
pregnancy.
 B. They drink more fluids daily than younger
women.
C. They do not exercise much, so edera fluid
accumulates.
D. Their blood vessels are not as elastic as
those of younger women.
22.Women with high thoracic spinal cord injury can
develop autonomic dysreflexia during labor. The best
action to take for this would be:
A. Ask her to lie flat and take deep breaths.
B. Elevate her legs to restore her blood
pressure.
C. Give a prescribed hypotensive medicine.
D. Talk to her calmly to reduce her anxiety.
23.Mindy Carson tells you she takes
methamphetamine almost daily. A fetus of a drug-
addicted mother receives approximately what
percentage of the mother's drug concentration?
A. 20%
B. 50%
C. 70%
D. 100%
24.Celeste Bailey didn't recognize for over an hour
that she was in labor. A sign of true labor is:
A. Sudden increased energy from epinephrine
release.
B. "Nagging" but constant pain in the lower
back.
C. Urinary urgency from increased bladder
pressure.
D. "Show" or release of the cervical mucus
plug.
25.Celeste asks you which fetal position and
presentation are ideal. Your best answer would be:
A. Right accipitoanterior with full flexion,
B. Left transverse anterior in moderate flexion.
C. Right occipitoposterior with no flexion.
D. Left sacroanterior with full fiexion.
26.Celeste is having long and hard uterine
contractions. What length of contraction would you
report as abnormal?
A. Any length over 30 seconds.
B. A contraction over 70 seconds in length.
C. A contraction that peaks at 20 seconds.
D. A contraction shorter than 60 seconds.
27.You assess Celeste Bailey's uterine contractions.
In relation to the contraction, when does a late
deceleration begin?
A. Forty-five seconds after the contraction is
over.
B. Thirty seconds after the start of a
contraction.
C. After every tenth or more contraction.
D. After a typical contraction ends.
28.Celeste has an amniotomy (artificial rupture of the
membranes). After this procedure, which of the
following would be an important nursing assessment?
A. Ask her it her pain level is tolerable
postprocedure.
B. Assess maternal heart rate to detect possible
bleeding.
C. Assess fetal heart rate to detect possible cord
prolapse.
D. Document the amount of amniotic fluid that
has been lost.
29.Jonny asks you what the purpose of a doula in
labor is. Your best answer would be:
A. She times contractions and keeps them from
becoming too lengthy.
B. She can cook for a woman in labor to keep
her from becoming dehydrated,
C. She can serve as a support person and coach
during labor.
D. She replaces the husband as a woman's
support person.
30.Jonny asks you if she could use warm-water tub
bathing during labor. Your best answer would be:
A. No. No one is allowed to tub bathe during
labor.
B. Yes, as long as her membranes are not
ruptured.
C. No, because warm water can diminish labor
contractions.
D. Yes, as long as the werm water doesn't raise
her temperature.
31.Jonny chooses to have epidural anesthesia. What
are two risks associated with this?
A. Hypotension and prolonged second stage of
labor.
B. Severe headache and coldness of all
extremities.
C. Continued back pain and short first stage of
labor.
D. Hypertension and a reduced red blood cell
count.
32.There is no reason to think that Jonny will need a
general anesthetic. If she did, what type of drug is
usually prescribed to minimize the risk of aspiration
of vomitus?
A. An anticonvulsant such as diazepam
(Vallum),
B. A nerve relakant such as phenobarbital.
C. Metaclopramide (Regian) to spaed gastric
emptying.
D. Oxytocin to Increase the effectiveness of
labor.
33.Jonny reports in early labor she isn't having much
pain. You assess that her contractions are also not
strong. What position usually promotes efficient
uterine contractions in early labor?
A. Sitting or standing.
B. Lying supine.
C. Lying prone.
D. Side-lying.
34.Moja Hamma is concerned she may lose an
excessive amount of blood with cesarean surgery.
What is the usual amount of blood lost with cesarean
birth?
A. 100-220 mL
B. 250-350 mL
C. 300-500 mL
D. 500-1,000 mL
35.What is an important measure to reduce the size of
the bladder and keep it away from the surgical field
during a cesarean birth?
A. Restrict fluids in the woman for 4 hours
before surgery.
B. Insert a urinary catheter to drain the bladder
and decrease its size,
C. Administer an oxytocic to contract the
bladder.
D. Give a diuretic to reduce the bladder to its
smallest size.
37.Moja Hamma asks you how big her scar will be
after cesarean birth. Your best answer would be:
A. The incision is big and runs vertically across
your abdomen.
B. The incision is made through the vagina so
doesn't leave a scars.
C. Most cesarean-birth incisions are so low
they don't show over a bikini.
D. It is so large that it will always show but
think of it as a mark of pride.
38.Roseann Bigalow has prolonged labor. What is the
most common cause for arrest of descent during the
second stage of labor?
A. Cephalopelvic disproportion (CPD)
B. Maternal calcium deficiency
C. The fetus is asleep during labor
D. The maternal outlet Is narrow
39.Suppose a woman experiences a uterine inversion
and the placenta is still attached. What would be your
best action?
A. Remove the placenta manually so that the
uterus contracts.
B. Attempt to replace the uterus so that it
becomes compressed.
C. Increase the woman's intravenous fluid to
help restore blood loss.
D. Give an emergency bolus of an oxytocin
such as Pitocin IV.
40.Oxytocin is administered to Roseann to augment
labor.What are the first symptoms of water
intoxication to observe for during this procedure?
A. A high, choking voice
B. Headache and vomiting
C. A swollen, tender tongue
D. Abdominal bloating and pain
41. Which of the following actions would alert you
that a new mother is entering a postpartal taking-hold
phase?
A. She tells you she was in a lot of pain all
during labor.
B. She sleeps as if exhausted from the effort of
labor.
C. She urges the baby to stay awake so that she
can breast-feed him or her.
D. She says that she has not selected a name for
the baby as yet.
42.You observe Joan Cooper holding her newborn.
Which position would best reassure you that she is
relating well to her newbam?
A. She looks directly at her infant's face and
talks to him.
B. She holds the Infant over her shoulder to
burp him.
C. She sits in a rocking chair and rocks the new
infant.
D. She lies in bed and places the Infant on her
stomach.
43You care for Joan Cooper at a 6-week postpartum
visit. What should her fundal height be at this time?
A. Six fingerbreadths below the umbilicus.
B. No longer palpable on her abdomen.
C. One centimeter above the symphysis pubis.
D. Inverted and palpable at the cervix.
44.Suppose Mary Blackhawk has a retained placental
fragment that is causing extensive postpartal
bleeding. What hormone lest would you anticipate
being ordered to detect whether placenta is still
present?
A. Placental and cord blood estrogen
B. Progesterone from the placenta
C. Human chorionic gonadetropin hormone
D. Systemic prolactin (a pituitary hormone)
45.Mary Blackhawk develops endometritis. What
would be the best activity for her?
A. Lying in bed with a cold cloth on her
forehead.
B. Walking around her room listening to music.
C. Reading while resting in a Trendelenburg
position.
D. Sitting with her feet elevated while playing
cards.
46.Which statement by Mary Blackhawk is most
suggestive of a woman developing postpartal
psychosis
A. "I wish my baby had more hair."
B. "My baby has the devil's eyes.
C. "I feel exhausted since birth."
D. "Breast-feeding is harder than I thought."
47.Beverty Muzuki, the woman you met at the
beginning of the chapter, had a miscarriage when she
was younger. What would be the best advice to give a
woman who tells you she is miscarrying?
A. Lie down and do not move for 24 hours to
stop the bleeding.
B. Do not do anything special; early
miscarriages happen all the time.
C. Save any clots or material passed for your
health care provider.
D. Use a tight tampon to put pressure on your
cervix and stop the bleeding.
48. Suppose Beverly Muzuki was discovered to have
an ectopic pregnancy. What advice would you give
her?
A. Most ectopic pregnancies go to completion,
although the newborn is small.
B. If she must have a fallopian tube removed,
she will be sterile afterward.
C. She will have a continuous nagging pain
through the rest of pregnancy.
D. Ectopic pregnancy can be either medically
or surgically treated.
49. Suppose Beverly Muzuki develops a placenta
previa. What would be an important assessment to
make with her after her baby's birth?
A. Whether she recognizes that this is inherited
and will probably happen again.
B. Assessment of vaginal bleeding, as she is
prone to have more than usual.
C. Whether she appears "jittery" or nervous
from the prebirth drugs she received.
D. Whether she understands that her uterus has
a scar and so will be always weakened.
50. Beverly Muzuki is in preterm labor. When you
see her in the emergency department, what should be
your first action?
A. Keep her walking so the fetal head puts
harder pressure on the cervix.
B. Ask her to lie down in a side-lying position
and assess her contractions.
C. Obtain blood for a human chorionic
gonadotropin hormone assessment.
D. Caution her to not allow anyone to start IV
fluid; dehydration halts contractions.
51. Mindy Carson is still an adolescent. What is a
task of adolescence, according to Erikson, that she
needs to complete to be ready to become a mother?
A. Establish a value system.
B. Grow to her final height.
C. Prepare clothes for the baby.
D. Finish her education.
52. Mindy Carson was placed on an iron supplement
because her hemoglobin level was below normal.
What is a common test to demonstrate adherence to
an iron supplement?
A. Assessing if her skin appears darker.
B. Assessing her blood reticulocyte count.
C. Analyzing her urine for iron deposits.
D. Measuring if she has grown in height.
53. Baby Atkins was given a drug at birth to reverse
the effects of a narcotic given to his mother in labor.
What drug is commonly used for this?
A. Sodium chloride
B. Morphine sulfate
 C. Penicillin G
D. Naloxone (Narcan)
54. Why are small-for-gestational-age newborns at
risk for difficulty maintaining body temperature?
A. They are preterm, so they are born relatively
small in size.
B. They are more active than usual, so they
throw off covers.
C. They do not have as much fat stores as do
other infants.
D. Their skin is more susceptible to conduction
of cold.
55. Baby Atkins has surfactant administered at birth.
The purpose of surfactant is to:
A. Help raise lung secretions by relaxing the
airway.
B. Prevent alveoli from collapsing on
expiration.
C. Paralyze respiratory muscles to synchronize
breathing.
D. Reduce gastric secretions by action on the
pancreas.
56. Baby Atkins develops hyperbilirubinemia. What
is a method used to treat hyperbilirubinemia in a
newborn?
A. Keeping infants in a warm and dark
environment.
B. Early feeding to speed passage of
meconium.
C. Gentle exercise to stop muscle breakdown.
D. Administration of a cardiovascular stimulant
57. Why is it important for infants of diabetic women
to be fed early?
A. Their stomachs are empty at birth.
B. To help prevent hypoglycemia.
C. Their mothers could not eat during labor.
D. To clear mucus from their intestinal tracts
58. What is the most important consideration in the
care of the child with an omphalocele at birth?
A. Position the infant on his stomach to contain
the intestine.
B. Wrap the omphalocele in cold icy gauze to
prevent fever.
C. Keep the infant seated upright under a
radiant warmer.
D. Contain the intestine in a sterile saline-lined
bowel bag.
59.What is an important nursing measure for a
newborn with a diaphragmatic hernia?
A. Feed the infant immediately to decrease air
in the intestine.
B. Keep the infant positioned head down so the
intestine can expand.
C. Wrap the infant's abdomen tightly to better
contain intestine.
D. Position the infant in an infant chair to
contain intestine in abdomen.
60. Baby Sparrow may be developing increased
intracranial pressure. What vital sign changes occur
with this?
A. Decreased temperature, increased blood
pressure.
B. Increased respirations; decreased pulse rate.
C. Increased temperature; decreased pulse rate.
D. Decreased blood pressure; increased
temperature.
61. What is an important care measure to teach
parents of a child with torticollis?
A. Encourage the infant to turn his head to
stretch the neck.
B. Wrap the infant's neck in a warm towel
twice daily.
C. Massage the infant's shoulders and torso at
bedtime.
D. Administer 1 grain of aspirin with each
bottle feeding.
62. Children with developmental hip dysplasia have
Pavlik harnesses prescribed. You would advise the
parents of a child with this type of therapy that their
child:
A. Will be anesthetized to have the harness
applied.
B. Will experience dull pain all the time it is in
place.
C. Will need to wear this for only 1 or 2 weeks.
D. Should wear it all day except for clothing
changes.
63. M.C. makes friends with another adolescent at the
prenatal clinic: a 19-year-old who has a cognitive
defi-cit. When planning care for this patient, what
would be the best way to meet this patient's
educational needs?
A. Provide simple, written materials rather than
providing verbal instructions.
B. Provide education to the patient's partner or
another person with full cognitive function.
C. Ensure that teaching is appropriate to the
patient's level of cognition.
 D. Enlist the help of a social worker when
teaching the patient.
64. M.C. tells the nurse she uses methamphetamine
almost daily. What priority nursing intervention
should the nurse perform?
A. Obtain a urine or serum sample for
toxicology.
B. Emphasize the fact that meth is not good for
her.
C. Advise her to stop taking the substance
immediately.
D. Refer M.C. to substance use disorder
support services.
65. R.G. states that her contractions are irregular in
frequency and short in duration. She screams in pain,
however, every time she has a contraction. What
action by the nurse would be best?
A. Recognize that this is a usual response to
labor and offer her a back rub.
B. Notify the anesthesiologist that R.G. needs
to have epidural anesthesia.
C. Obtain a prescription from her primary care
provider for an analgesic.
D. Document/report frequency and duration of
contractions plus facilitate pain relief.
66. R.G.' primary care provider is considering
whether to augment her labor with oxytocin. What
would make the nurse question the care providers use
of oxytocin for her?
A. Her blood pressure is slightly elevated above
normal.
B. Her membranes ruptured after only 1 hour of
labor.
C. Her fetus is large for gestational age by a
sonogram.
D. She had an amniocentesis performed during
pregnancy.
67. The nurse notices R.G.'s contractions are 70
seconds long and occur every 90 seconds when
assessing the frequency of her contractions after she
receives oxytocin. What would be the nurse's first
action?
A. Ask R.G. to turn onto her left side and
breathe deeply.
B. Increase the rate of R.G.'s IV fluid infusion.
C. Discontinue the administration of the
oxytocin infusion.
D. Give an emergency bolus of oxytocin to
relax the uterus.
68. R.G.'s baby is not only large but also in an
occipito-posterior position. The nurse would want the
team members to know which position is best for a
patient whose baby is in the occipito-posterior
position during labor?
A. On their right side to stretch the pelvic inlet
B. Walking about to encourage fetal descent
C. Sitting in a rocking chair to aid presentation
D. On their hands and knees to help fetal
rotation
69. To determine which risk factors were associated
with shoulder dystocia, researchers evaluated 19,236
births at five hospitals in the United States for
shoulder dystocia and its risk factors. The results of
the study found an increased incidence of shoulder
dystocia associated with increased fetal weight,
gestational age greater than 41 weeks, diabetes,
obesity, epidural use, and nulliparity (Santos et al.,
2018).
Based on this study and the fact that a sonogram has
shown R.G.'s fetus to be extremely large, what
assessment would the nurse want to prioritize for
R.G.'s baby after birth?
A. If the abdominal wall appears to be ruptured
B. If the arms feel warm and are the same
length
C. If the buttocks or back have extensive
bruising
D. If the eyes can focus steadily on a nearby
object
70. Suppose M.H. had an amniotomy during her
labor. Immediately after this procedure, which
nursing assessment would be most important for the
nurse to make?
A. Ask her to rate her pain level after the
procedure.
B. Assess maternal heart rate to detect possible
bleeding.
C. Assess FHR to detect possible cord prolapse.
D. Document the amount of amniotic fluid that
has been lost.
71. The nurse gives a report to an OR nurse prior to a
cesarean birth and describes actions they took to
reduce the size of the patient's bladder and to keep it
away from the surgical field during the procedure.
Which action should the nurse describe to their
colleague?
A. Inserting a Foley catheter to drain the
bladder and decrease its size
B. Administering an oxytocic drug to cause the
bladder to forcefully contract
 C. Restricting the patient's fluids for at least 16
hours before surgery
D. Administering a diuretic to reduce bladder
volume
72. M.H. needs to have an IV infusion started prior to
her cesarean procedure. Which course of action
would be best?
A. Introduce the cannula into the back of either
hand.
B. Begin the IV infusion in the hand nearest to
you.
C. Ask M.H. which hand she would prefer you
to use.
D. Explain that IVs are typically started in the
right hand.
73. The nurse notices that a colleague who was
helping to prepare M.H. has left the room to liaise
with the OR in anticipation of the cesarean birth. The
nurse also notices that the colleague left M.H.'s
electronic health record open and in view of her
support people. Which course of action would be
best?
A. Immediately close the record even though
all care may not yet be recorded.
B. Locate the nurse and ask them to come back
so they can close the record.
C. Minimize the record and wait for the nurse
to come back and close it.
D. Report the nurse to the nurse manager for
violating confidentiality.
74. The majority of patients wo have cesarean birth
are physically eligible to attempt future births
vaginally. Researchers examine what influences a
patient's choice in birth mode. They looked at 536
people who had a previous cesarean birth. Those
choosing a VAC were more like to be younger and
who a lower BMI as well as fewer complications
during their first pregnancy. People seeking repeat
cesarean were more likely to have had a preterm birth
in the first pregnancy (Herman et al., 2020).
M.H. tells the nurse that although she knows she will
be eligible, she isn't certain if she wants to have a
vaginal birth for her next child. Based on the previous
study findings, what would be the nurse's best
assurance for her?
A. "It doesn't matter. Once a cesarean, always a
cesarean is the rule."
B. "Birth is such a personal experience it's
impossible to say."
C. "Let's talk about the risks and benefits of
both types of deliveries to help you make
your decision."
D. "My coworker had a vaginal birth after a
cesarean birth, and she was satisfied with
her choice."
75. M.H. tells the nurse she does not intend to
continue breastfeeding after she returns home,
stating, "My stomach's too painful." What action
would the nurse add to the plan of care that is most
apt to be helpful to M.H.?
A. Insist that M.H. speak with one of the
hospital's lactation consultants.
B. Instruct her to take over-the-counter
analgesics just before breastfeeding.
C. Design a study to identify factors that affect
breastfeeding success.
D. Explain that her uterine pain will not last
more than a few more days.
76.All postpartum patients are at risk for uterine
hemorrhage. What assessment data should the nurse
first collect when appraising B.C.'s risk for
hemorrhage?
A. Ask her to describe her perineal care.
B. Assess the skin integrity of her abdomen.
C. Assess her oxygen saturation level.
D. Assess her uterus for height and tone.
77. Suppose B.C. has a retained placental fragment
that is causing extensive postpartum bleeding. Which
test prescribed by her primary care provider would
best reveal a retained fragment is present?
A. Placental and cord blood estrogen
B. Progesterone
C. Pelvic ultrasound
D. Oxytocin
78. B.C. has a risk for DVT during the postpartum
period. What would be the best suggestion the nurse
could make to help prevent this?
A. Rest in bed as much as possible for the first
several days.
B. Assume a knee-chest position for 15 minutes
every day.
C. increase fluid intake to reduce blood
viscosity.
D. Ambulate early and consistently to improve
circulation.
79. Postpartum depression can affect not only the
postpartum patient but also other family members
they may have. For example, partners can become
depressed during this time as well. To assess
developmental impacts on children, researchers
assessed 61 no birthing parents, 17 of whom met
criteria for depression, and their interactions with
their infants in a play session. Non birthing parents
with depression were more likely to be withdrawn in
their behavior with their infants, providing less
stimulation for their babies (Koch et al., 2019). Based
on the given study, which statement by B.C.'s partner
would concern the nurse he might be as depressed as
she seems to be?
A. "I never guessed I'd ever really be lucky
enough to be a Parent."
B. "I don't like talking to the baby because they
talk back yet."
C. "I didn't really understand the reason that my
partner bled after the baby was born."
D. "No one told me people could become
depressed after giving birth."

80. A.G. develops DVT while in the hospital on bed

rest and is prescribed LMWH. The nurse identifies
which action as important when planning care for
her?
A. Showing her how to self-administer the drug
as a rectal suppository
B. Cautioning her that her hemoglobin level
will be closely monitored during therapy
C. Allowing her to choose a subcutaneous site
for the injection
D. Monitoring her WBC count daily for
decreased coagulation