Title RECALLS 7 - NP2 - SC ✅

cervix and effacement is 100 percent. The patient is in true labor pains. 31. The nurse is caring for Danica with a precipitous labor. What information would the nurse provide to the client regarding this type of labor? A. Induction may be necessary. B. The onset of contractions is gradual. C. The labor may last less than 3 hours. D. A lengthy period of pushing may be necessary. 32. Patient Josephine was referred to the physician, routine blood examinations were taken. After reviewing the serum electrolyte levels, an order of isotonic intravenous (IV) infusion was prescribed. Which IV solution should the nurse prepare? A. 5 percent dextrose in water B. 0.45 percent sodium chloride solution C. 10 percent dextrose in water D. 3 percent sodium chloride solution 33. Nurse Jordyn reads the physician's prescription to administer methylergonovine maleate (Methergin) intramuscularly after delivery. The rationale for giving this medication is which of the following? A. Reduces the amount of lochia drainage. B. Prevents postpartum hemorrhage C. Decreases uterine contractions. D. Maintains normal blood pressure. 34. Patient Danica asks why her labor is much shorter compared to previous deliveries. Which of the following is the BEST RESPONSE? A. Onset of contraction was gradual. B. Multigravida patients have shorter labor. C. Cervical lengthening was longer. D. Induction of labor was done. 35. The mechanisms involved in fetal delivery is: A. Descent, extension, flexion, external rotation B. Descent, flexion, internal rotation, extension, external rotation C. Flexion, internal rotation, external rotation, extension D. Internal rotation, extension, external rotation, flexion Situation: Nurse Josephine is educating a postpartum mother about the concept of lochia and puerperium. 36. For uterine assessment after delivery, position the patient supine so that the height of the uterus is not influenced by an elevated position. Observe the abdomen for contour, to detect distention, and for the appearance of striae or a diastasis. Where will you begin to place your hand? A. fundus of the uterus B. just above the symphysis pubis C. at the umbilicus D. side of the abdomen 37. The nurse is performing an assessment on a mother who just delivered a healthy newborn. When checking the uterine fundus the nurse should expect to note that the fundus is positioned at which location? A. To the right of the abdomen B. At the level of the umbilicus C. Above the level of the umbilicus D. One fingerbreadth above the symphysis pubis 38. A postpartum nurse caring for a client who delivered vaginally 2 hours ago palpates the fundus and notes the character of the lochia. Which characteristic of the lochia would indicate to the nurse that the client's recovery is normal? A. Pink-colored lochia B. White-colored lochia C. Serosanguineous lochia D. Dark red-colored lochia 39. Which statement by the patient indicates a need for further teaching? A. "I should expect to see lochia for up to 6 weeks after delivery." B. "Lochia should be a yellowish color after the first few days." C. "The color of lochia should progress from red to pink to white." D. "If the lochia reverses in color, I should contact my doctor." 40. A 28-year-old primiparous woman, 2 days postpartum, is exhibiting passive behavior, expressing fatigue and stating, "I can't seem to do anything right." Which phase of puerperium is most likely being exhibited? A. Taking-in phase B. Taking-hold phase C. Letting-go phase D. Giving-up phase Situation: Gestational Trophoblastic disease or abnormal proliferation of the trophoblastic villi tend to occur most often to women who have a low protein intake, women older than 35 years old, and in women of Asian heritage. 41. The characteristic manifestation of gestational trophoblastic disease is: A. Uterus tends to expand slower than a normal pregnancy B. Lower abdominal quadrant pain C. Hyperemesis Gravidarum D. An HCG level of 400,000 IU 42. Assessment of client diagnosed to have hydatidiform mole would include: A. Falling blood pressure with increased cardiac rate B. Absence of fetal heart sounds C. Diaphoresis D. Delusions 43. Which of the following is NOT an expected assessment for a client with H-mole? A. Rapid increase in uterine size B. Excessive nausea and vomiting C. Slow abdominal enlargement D. Vaginal bleeding 44. A common drug given to stop the rapid growth of a hydatidiform mole is: A. Methotrexate B. Meperidine C. Mifepristone D. Misoprostol 45. Which of the following discharge instructions must be given to a woman who has just undergone suction and curettage for gestational trophoblastic disease? A. “Visit your physician after one year for a follow-up examination to find out if there is still a possibility that get pregnant.” B. “Women who have had a molar pregnancy must avoid sexual intercourse for a year or two.” C. “HCG levels usually return to normal 48 hours after evacuation.” D. “Use a reliable contraceptive method for 12 months.” Situation: Placenta Previa and Abruptio Placentae are two serious obstetric conditions involving abnormalities in placental location or separation. 46. A client at 36 weeks gestation arrives at the emergency department with painless, bright red vaginal bleeding. The nurse suspects which complication? A. Placenta previa B. Abruptio placentae C. Uterine rupture D. Vasa previa 47. The nurse is assessing a patient with placenta previa who has experienced vaginal bleeding. Which of the following findings requires immediate intervention? A. Blood color is bright red B. Fetal heart rate is 130 bpm C. The patient reports no pain D. Blood pressure decreases from 120/80 to 80/60 mmHg 48. A pregnant woman is admitted with a tentative diagnosis of placenta previa. The nurse implements orders to start an IV infusion, administer oxygen, and draw blood for laboratory tests. The client’s apprehension is increasing, and she asks the nurse what is happening. The nurse tells her not to worry, that she is going to be all right, and that everything is under control. What is the best interpretation of the nurse’s statement? 3 | Page