Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
Which documentation on a woman's chart on postpartum day 14 indicates a normal involution process?
A. Moderate bright red lochial flow
Moderate bright red lochial flow on postpartum day 14 may indicate excessive bleeding and is not indicative of normal involution.
B. Fundus below the symphysis and nonpalpable
A fundus below the symphysis and nonpalpable suggests a well-contracted uterus, which is indicative of normal involution.
C. Episiotomy slightly red and puffy
An episiotomy that is slightly red and puffy on day 14 may indicate ongoing healing, but it is not a direct measure of uterine involution.
D. Breasts firm and tender
Breasts that are firm and tender on postpartum day 14 may indicate engorgement, but they are not directly related to uterine involution.
This question is an excerpt from Nurse Dive's nursing test bank - Ati Maternal Newborn Proctored Exam 3 Reno 2 2020. Take the full exam now
Full Explanation
A. Moderate bright red lochial flow on postpartum day 14 may indicate excessive bleeding and is not indicative of normal involution.
B. A fundus below the symphysis and nonpalpable suggests a well-contracted uterus, which is indicative of normal involution.
C. An episiotomy that is slightly red and puffy on day 14 may indicate ongoing healing, but it is not a direct measure of uterine involution.
D. Breasts that are firm and tender on postpartum day 14 may indicate engorgement, but they are not directly related to uterine involution.
Similar Questions
A nurse is teaching about crib safety with the parent of a newborn. Which of the following statements by the client indicates understanding of the teaching?
A. "I will place my baby on his stomach when he is sleeping."
Placing the baby on the stomach is not recommended due to the risk of sudden infant death syndrome (SIDS).
B. "I should place my baby's crib next to the heater to keep him warm during the winter."
Placing the crib next to the heater may cause overheating, which is a risk factor for SIDS.
C. "I should remove extra blankets from my baby's crib."
Removing extra blankets from the baby's crib is important to reduce the risk of SIDS.
D. "I should pad the mattress in my baby's crib so that he will be more comfortable when he sleeps."
Padding the mattress in the baby's crib is not recommended as it can pose a suffocation risk.
Full Explanation
A. Placing the baby on the stomach is not recommended due to the risk of sudden infant death syndrome (SIDS).
B. Placing the crib next to the heater may cause overheating, which is a risk factor for SIDS.
C. Removing extra blankets from the baby's crib is important to reduce the risk of SIDS.
D. Padding the mattress in the baby's crib is not recommended as it can pose a suffocation risk.
A nurse is teaching about crib safety with the parent of a newborn. Which of the following statements by the client indicates understanding of the teaching?
A. "I will place my baby on his stomach when he is sleeping."
Placing the baby on the stomach is not recommended due to the risk of sudden infant death syndrome (SIDS).
B. "I should place my baby's crib next to the heater to keep him warm during the winter."
Placing the crib next to the heater may cause overheating, which is a risk factor for SIDS.
C. "I should remove extra blankets from my baby's crib."
Removing extra blankets from the baby's crib is important to reduce the risk of SIDS.
D. "I should pad the mattress in my baby's crib so that he will be more comfortable when he sleeps."
Padding the mattress in the baby's crib is not recommended as it can pose a suffocation risk.
Full Explanation
A. Placing the baby on the stomach is not recommended due to the risk of sudden infant death syndrome (SIDS).
B. Placing the crib next to the heater may cause overheating, which is a risk factor for SIDS.
C. Removing extra blankets from the baby's crib is important to reduce the risk of SIDS.
D. Padding the mattress in the baby's crib is not recommended as it can pose a suffocation risk.
A nurse is caring for a newborn and auscultates an apical heart rate of 130/min. Which of the following actions should the nurse take?
A. Document this as an expected finding.
An apical heart rate of 130/min is within the normal range for a newborn and does not require immediate intervention.
B. Call the provider to further assess the newborn.
Contacting the provider is not necessary as the heart rate is within the expected range.
C. Prepare the newborn for transport to the NICU.
Preparing for NICU transport is not warranted based on a heart rate of 130/min.
D. Ask another nurse to verify the heart rate.
Verifying the heart rate with another nurse is unnecessary for a heart rate within the normal range.
Full Explanation
A. An apical heart rate of 130/min is within the normal range for a newborn and does not require immediate intervention.
B. Contacting the provider is not necessary as the heart rate is within the expected range.
C. Preparing for NICU transport is not warranted based on a heart rate of 130/min.
D. Verifying the heart rate with another nurse is unnecessary for a heart rate within the normal range.