ATI LPN
Introduction to Maternity and Pediatric Nursing 9th Edition Test Bank
Chapter 6 Questions
Question 1 of 5
One hour postdelivery the nurse notes the new mother has saturated three perineal pads. What is the most appropriate nursing action?
Correct Answer: A
Rationale: Increased lochia may indicate hemorrhage. The fundus should be assessed for firmness. One pad an hour is an acceptable rate for immediate postdelivery.
Question 2 of 5
While caring for a laboring woman, the nurse notices a pattern of variable decelerations in fetal heart rate with uterine contractions. What is the nurse's initial action?
Correct Answer: C
Rationale: Repositioning the woman is the first response to a pattern of variable decelerations. If the decelerations continue, then oxygen should be administered and/or the flow rate of oxygen should be increased.
Question 3 of 5
The physician performs an amniotomy on a laboring woman. What will be the nurse's priority assessment immediately following this procedure?
Correct Answer: A
Rationale: The FHR should be assessed for at least 1 full minute after the membranes rupture to detect potential umbilical cord compression.
Question 4 of 5
How should the nurse intervene to relieve perineal bruising and edema following delivery?
Correct Answer: A
Rationale: An ice pack can be placed on the mother's perineum to reduce bruising and edema for 12 hours followed by a warm pack after the first 12 to 24 hours after delivery.
Question 5 of 5
Why is the relaxation phase between contractions important?
Correct Answer: C
Rationale: Blood flow from the mother into the placenta gradually decreases during contractions. During the interval between contractions, the placenta refills with oxygenated blood for the fetus.