Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
Why is it necessary for a nurse to massage the woman's uterus briefly until it is firm?.
A. To increase the boggy nature of the uterus.
Massaging the uterus does not increase its boggy nature, but rather helps it contract and become firm, reducing the risk of postpartum hemorrhage.
B. To constrict the uterine blood vessels.
Massaging the uterus helps constrict the uterine blood vessels, which reduces bleeding after the placenta has been expelled.
C. To lessen the chances of conducting an episiotomy.
Massaging the uterus has no effect on the likelihood of conducting an episiotomy, which is a surgical incision made during childbirth.
D. To remove pieces left attached to the uterine wall.
Massaging the uterus does not remove pieces left attached to the uterine wall. This would require a manual or surgical procedure.
This question is an excerpt from Nurse Dive's nursing test bank - ATI RN Custom 2023 Fall NPRO 1100 Proctored Exam 3. Take the full exam now
Full Explanation
The correct answer is choice B.
Choice A rationale:
Massaging the uterus does not increase its boggy nature, but rather helps it contract and become firm, reducing the risk of postpartum hemorrhage.
Choice B rationale:
Massaging the uterus helps constrict the uterine blood vessels, which reduces bleeding after the placenta has been expelled.
Choice C rationale:
Massaging the uterus has no effect on the likelihood of conducting an episiotomy, which is a surgical incision made during childbirth.
Choice D rationale:
Massaging the uterus does not remove pieces left attached to the uterine wall. This would require a manual or surgical procedure.
Similar Questions
A nurse is completing the admission assessment of a client who is at 38 weeks of gestation and has severe preeclampsia.
Which of the following is an expected finding?.
A. Report of headache.
A headache is a common symptom of severe preeclampsia due to increased blood pressure in the brain.
B. Absence of clonus.
The presence, not absence, of clonus (a series of involuntary muscular contractions and relaxations) is a sign of severe preeclampsia.
C. Polyuria.
Oliguria, not polyuria, is a symptom of severe preeclampsia due to decreased renal perfusion.
D. Tachycardia.
Tachycardia is not typically associated with preeclampsia. It could be a sign of other complications.
Full Explanation
The correct answer is choice A.
Choice A rationale:
A headache is a common symptom of severe preeclampsia due to increased blood pressure in the brain.
Choice B rationale:
The presence, not absence, of clonus (a series of involuntary muscular contractions and relaxations) is a sign of severe preeclampsia.
Choice C rationale:
Oliguria, not polyuria, is a symptom of severe preeclampsia due to decreased renal perfusion.
Choice D rationale:
Tachycardia is not typically associated with preeclampsia. It could be a sign of other complications.
A nurse is teaching a newborn's parent to care for the umbilical cord stump.
Which of the following instructions should the nurse include?.
A. Wash the cord daily with mild soap and water.
Washing the cord daily with mild soap and water is not recommended as it can delay healing and increase the risk of infection.
B. Apply petroleum jelly to the cord stump.
Applying petroleum jelly to the cord stump is not recommended as it can create a moist environment that promotes bacterial growth.
C. Cover the cord with the diaper.
The diaper should be folded down to keep the cord stump dry and exposed to air, which promotes healing.
D. Give a sponge bath until the cord stump falls off.
Giving a sponge bath until the cord stump falls off is recommended to keep the area dry and prevent infection.
Full Explanation
The correct answer is choice D.
Choice A rationale:
Washing the cord daily with mild soap and water is not recommended as it can delay healing and increase the risk of infection.
Choice B rationale:
Applying petroleum jelly to the cord stump is not recommended as it can create a moist environment that promotes bacterial growth.
Choice C rationale:
The diaper should be folded down to keep the cord stump dry and exposed to air, which promotes healing.
Choice D rationale:
Giving a sponge bath until the cord stump falls off is recommended to keep the area dry and prevent infection.
A nurse is completing discharge instructions for a new mother and her 2-day-old newborn.
The mother asks, "How will I know if my baby gets enough breast milk?" which of the following responses should the nurse make?.
A. "Your baby should wet 6 to 12 diapers per day.”. .
A newborn who is getting enough breast milk should wet 6 to 12 diapers per day. This is because adequate hydration, a sign of sufficient milk intake, leads to frequent urination.
B. "Your baby should have a wake cycle of 30 to 60 minutes after each feeding.”. .
A wake cycle of 30 to 60 minutes after each feeding does not necessarily indicate the baby is getting enough milk. It could be due to other factors like sleep patterns or general health.
C. "Your baby should sleep at least 6 hours between feedings.”. .
A baby should not sleep at least 6 hours between feedings. Newborns need to be fed every 2-3 hours.
D. "Your baby should burp after each feeding.”.
While burping can be a sign of a good feeding, it does not necessarily mean the baby is getting enough milk. It’s more related to the baby’s digestion of the milk.
Full Explanation
The correct answer is choice A.
Choice A rationale:
A newborn who is getting enough breast milk should wet 6 to 12 diapers per day. This is because adequate hydration, a sign of sufficient milk intake, leads to frequent urination.
Choice B rationale:
A wake cycle of 30 to 60 minutes after each feeding does not necessarily indicate the baby is getting enough milk. It could be due to other factors like sleep patterns or general health.
Choice C rationale:
A baby should not sleep at least 6 hours between feedings. Newborns need to be fed every 2-3 hours.
Choice D rationale:
While burping can be a sign of a good feeding, it does not necessarily mean the baby is getting enough milk. It’s more related to the baby’s digestion of the milk.