1.) The nurse is caring for a client who gave birth 18 hours ago. The client reports that her
nipples are getting tender and the baby is not breastfeeding well. Which of the following
responses is appropriate by the nurse?
A. \u201cApply a small amount of topical breast cream to help with the discomfort\u201d
B. \u201cMake sure to compress the breast so the baby can get an adequate mount of breast tissue
into the mouth.\u201d
C. Wait until the baby is crying to show hunger, then breastfeed to help improve latching.\u201d
D. \u201cTry removing the infant\u2019s clothing and putting the baby skin to skin on your chest.\u201d
2.) The nurse is caring for a client who is 1 hour postpartum and observes a moderate amount of
lochia rubra and several small clots on the client\u2019s perineal pad. The fundus is midline and firm
at the umbilicus. Which of the following actions should the nurse implement?
A. Notify the PCP
B. Document findings and continue to monitor the client
C. Encourage the client to empty bladder
D. Increase the frequency of the fundal massage
3.) The nurse is teaching a client with Diabetes Mellitus (Type 1) who just delivered a
healthy baby. Which of the following information should the nurse include in the client\u2019s
teaching?
A. Change to oral hypoglycemia medications that will control sugar levels better than insulin
B. Urine should be checked for ketones every time the client voids
C. Due to hormonal changes after delivery, the need for insulin may decrease
D. Feed the baby formula since insulin received though breastfeeding may cause low sugar.
4.) The nurse is caring for the following clients in the postpartum unit. Which client should the
nurse see first?
A. Multipara mother who has saturated 2 perineal pads in one hour
B. Primipara mother who delivered 3 hours ago and is having difficulty getting the baby to
latch on to the breast
C. Primipara mother requesting help with repositioning her baby to decrease incisional pain
from a cesarean delivery
D. Multipara mother who delivered 16 hours and is experiencing abdominal cramping and
sweating.
5.) The nurse is assigned clients who delivered withing the last 24 hours and just received
the change of shift report. Which of the following clients should the nurse assess first?
A. The client who reports discomfort in the perineal area from an episiotomy
B. The client who has a temp of 100.3F orally
C. The client who reports passing a dime sized clot with the last void
D. The client who has changes in pulse from 76 to 102
6.) The nurse is caring for a formula-feeding postpartum client who reports painful swollen
breasts on her third post-partum day. The nurse should encourage the mother to<\/p>\n\n\n\n
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