1. A nurse on the postpartum unit is caring for a client following a cesarean

birth. Whichof the following assessments is the nurse's priority?

Amount of lochia

When using the airway, breathing, circulation approach to client care, the nurse

should placethe priority in the immediate postpartum period on assessing the

amount of postpartum lochia. The greatest risk to the client is bleeding and

postpartum hemorrhage.

2. 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 followingactions 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.

3. A nurse is demonstrating to a client how to bathe her newborn. In which

order shouldthe 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.

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 the newborn's diaper area.

4. 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