.png){kind=logo}
01. A nurse on the postpartum unit is caring for a client following a cesarean birth. Which of the
following assessments is the nurse's priority?
Amount of lochia
When using the airway, breathing, circulation approach to client care, the nurse should place the
priority in the immediate postpartum period on assessing the amount of postpartum lochia.
The greatest risk to the client is bleeding and postpartum hemorrhage.
02. A nurse is caring for a client who is in labor and whose fetus is in the right occiput posterior
position. The client is dilated to 8 cm and reports back pain. Which of the following actions
should the nurse take?
Apply sacral counterpressure
The nurse should apply sacral counterpressure to assist in relieving back labor pain related to
fetal posterior position.
03. A nurse is demonstrating to a client how to bathe her newborn. In which order should the
nurse perform the following actions? (Move the steps into the box on the right, placing them in
the selected order of performance. Use all the steps.)
Wipe the newborn’s eyes from the inner canthus outward.
Wash the newborn’s neck by lifting the newborn’s chin.
Cleanse the skin around the newborn’s umbilical cord stump.
Wash the newborn’s legs and feet.
Clean the newborn’s diaper area.
The nurse should demonstrate how to bathe a newborn by using a head to toe, clean to dirty,
approach. Therefore, the nurse should first wipe the newborn's eyes from the inner canthus
outward using plain water. The nurse should then wash the newborn's neck by lifting the
newborn's chin. Next, the nurse should cleanse the skin around the umbilical cord stump
followed by washing the newborn's legs and feet. The last step of the bath should be to clean the
newborn's diaper area.
04. A nurse is caring for a client and her partner who have experienced a fetal death. Which of
the following actions should the nurse take?
Take photos of the newborn to give to the parents.
The nurse should create a memory box that includes mementos of the newborn (for example,
photos, the newborn's ID bands, the newborn's hat, and the newborn's blanket).
.png)