A 25 year-old woman gave birth to her second child 6 hours ago. She informs the nurse that she is bleeding more than with her previous birth experience. The initial nursing action is to:

Assess the location and firmness of the fundus.

Explain that this is normal for second-time moms.

Administer Pitocin as per standing order.

Change her pad and return in 1 hour and reassess.

Answer and Explanation

The Correct Answer is A

A. Correct. The priority is to assess the fundus for firmness and location. Uterine atony is a common cause of postpartum hemorrhage and requires immediate assessment and intervention.

B. Incorrect. Increased bleeding in a multiparous client should not be dismissed as normal without assessment.

C. Incorrect. Administering Pitocin may be appropriate but should follow an assessment of the fundus first.

D. Incorrect. Waiting an hour without assessing the fundus could delay necessary interventions for postpartum hemorrhage.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is ["A","C"]

Explanation

A. Correct. Common symptoms of postpartum blues include emotional sensitivity, mood swings, crying spells, and difficulty sleeping.

B. Incorrect. Medications are not typically needed for postpartum blues, as the condition resolves on its own.

C. Correct. Postpartum blues usually last for about 10–14 days and resolve without intervention.

D. Incorrect. While fathers can experience mood changes postpartum, postpartum blues specifically refer to hormonal changes in the mother.

E. Incorrect. Postpartum blues are common, affecting up to 50-80% of postpartum women.

A. "Breast feeding will decrease the risk of ear infections for my baby." B. "Breastfeeding can protect my baby from RSV." C. "Breastfeeding can increase the likelihood of my baby getting gastroenteritis." D. "Breast milk is rich in antibodies for my baby."

Correct Answer is ["A","B","C","D"]

Explanation

A. Breastfeeding reduces the risk of ear infections (otitis media) due to its immune-boosting properties.

B. Breast milk contains antibodies that help protect against respiratory syncytial virus (RSV).

C. Breastfeeding decreases, rather than increases, the risk of gastroenteritis by providing antibodies against pathogens.

D. Breast milk is rich in immunoglobulins (especially IgA), which strengthen the infant's immune system.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A 25 year-old woman gave birth to her second child 6 hours ago. She informs the nurse that she is bleeding more than with her previous birth experience. The initial nursing action is to:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is counseling a woman about postpartum blues. Which of the following should be included in the discussion? Select two that Apply.)

Correct Answer is ["A","C"]

Explanation

A nurse is conducting a teaching session for postpartum patients on the benefits of breastfeeding. The nurse concludes that the patient's have a good understanding of breastfeeding when they make the following statements: (Select All that Apply.)

Correct Answer is ["A","B","C","D"]

Explanation

A nurse is teaching a first-time postpartum mom about newborn feeding cues. Which of the following should she include in her teaching? (Select All that Apply.)

A 25 year-old woman gave birth to her second child 6 hours ago. She informs the nurse that she is bleeding more than with her previous birth experience. The initial nursing action is to:

You are assessing a patient who delivered vaginally 48 hours ago. At this time, where would you expect to feel her fundus?

Exhibits The nurse should recognize that the client is at risk of dropdown due to dropdown

When discussing the need to support the lower uterine segment, which statement by the new nurse indicates understanding.

A nurse is assessing a client who is four hours postpartum. Her temperature is 39 C (102.2F), pulse 96 beats per minute, and respirations 18 breaths per minute. Based on this information, which of these orders is most appropriate for treating the client at this time?

When discussing the need to support the lower uterine segment, which statement by the new nurse indicates understanding.

The nurse can differentiate a new father is experiencing engrossment when she notices which behavior?