1-A woman is brought to the labor and delivery unit after delivering a term infant and the

placenta in the hospital parking lot 10 minutes ago. Which action should the muse

perform first?

A- Massage the fundus and give an oxytocic agent

B-Collect specimen for hemoglobin and hematocrit

C-Place the infant to breast for bonding

D- Inspect the perineum for lacerations

2-A primigravida client asks the nurse about exercising during pregnancy to help

her prepare for labor Which recommendation should the nurse provide?

A-Limit exercise to brisk walking during pregnancy

B-Stretching exercises are good preparation for labor

C- Leg lifts will help to strengthen abdominal muscles

D-Avoid weight-bearing exercises until the postpartum period

3- the father of a 3-day old infant who is breast feeding calls the postpartum help

to report that his wife is acting strangely She is irritable , can the baby and

frequently cries for no apparent reason What information is most important for

the nurse to provide this father?

A- A fluctuation in hormones in the early postpartum period can cause mood changes

B-Contact the clinic if the behaviors continue for more than two weeks or become

worse

C-Tell the father to count the newborn's number of soiled diapers over the next few

days

D- Recommend giving supplemental bottle Seedings to the baby between breast

feeding

4- a client at 32 weeks gestation presents with extreme abdominal tenderness and a

small amount of bright red vaginal bleeding Her blood pressure is respiratory rate is 24

breath / minute and her heart rate is 116 breast/ minutes he is dizzy with cold clammy

skin priority?

A-Type and cross match for 4 units of whole blood

B-Lactated Ringer's at 200 mi/hr. using an 18-gauge needle

C-Monitor oxygen saturation rate per pulse oximeter

D-insert a Foley catheter