Test Bank for Perry’s Maternal Child Nursing Care in Canada, 3RD Edition.

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Sample questions from Test Bank for Perry’s Maternal Child Nursing Care in Canada, 3RD Edition.

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.At change of shift on the birth unit, a 29-year-old client requires reassessment. Refer to the client's chart. Which action should the nurse take first?

   • A.Reassess the fetal heart rate after the next 15-minute interval.
   • B.Perform a vaginal examination to determine whether birth is imminent.
   • C.Increase the oxytocin infusion to shorten the second stage.
   • D.Stop the oxytocin infusion and reposition the client laterally.

   Rationale: Six contractions in 10 minutes with recurrent late decelerations during oxytocin infusion indicate excessive uterine activity with impaired fetal oxygenation. Stopping oxytocin and lateral repositioning address the likely cause immediately. A vaginal examination may follow but does not correct the problem, and increasing oxytocin could worsen it. Waiting another 15 minutes delays treatment of a deteriorating fetal pattern.

2. 2.On a postpartum unit, an RN coordinates care for a stable 24-year-old client 18 hours after an uncomplicated vaginal birth. Which task is appropriate to delegate to an unregulated care provider who has demonstrated competency?

   • A.Determine whether the client's perineal pain requires a new prescription.
   • B.Assist the client with a routine shower after the RN confirms safe mobility.
   • C.Teach the client how to recognize postpartum infection.
   • D.Assess the fundus when the client reports increased bleeding.

   Rationale: Routine hygiene assistance for a stable client is an appropriate delegated task after the RN establishes safe mobility. Assessment of increased bleeding and decisions about treatment require nursing judgment. Initial teaching also remains the RN's responsibility. Delegation transfers performance of a task, not accountability for assessment and evaluation.

3. 3.During recovery after birth, a 35-year-old client develops increasing bleeding. Refer to the client's chart. Which actions should the nurse initiate? Select all that apply.

   • A.Massage the uterine fundus.
   • B.Activate the postpartum hemorrhage response.
   • C.Administer methylergonovine despite the current blood pressure.
   • D.Delay treatment until another hemoglobin result is available.
   • E.Administer prescribed oxytocin and increase isotonic IV fluids per protocol.

   Rationale: Blood loss of 1,100 mL, a boggy uterus, and a heart rate rising to 124/min require immediate hemorrhage response and fundal massage. Prescribed oxytocin treats uterine atony, while isotonic fluids support circulation. Methylergonovine is inappropriate with severe hypertension, including the current BP of 164/106 mm Hg. Waiting for repeat hemoglobin delays lifesaving care because early laboratory values may not reflect acute blood loss.

4. 4.Before an urgent cesarean birth, a 31-year-old client with stable vital signs says, 'I signed the form, but I do not understand why surgery is needed.' Which response is best?

   • A.Notify the surgeon that the client needs further explanation before proceeding.
   • B.Explain that the signed form means consent is complete.
   • C.Administer the prescribed sedative so the client can relax.
   • D.Ask the support person to explain the indication.

   Answer and rationale are in the full material.

5. 5.In an adolescent clinic, a 16-year-old requests contraception and asks whether the visit must be disclosed to a parent. The client is alert and demonstrates understanding of treatment choices. What should the nurse do first?

   • A.Require parental permission because the client is younger than 18.
   • B.Promise that no information can ever be disclosed.
   • C.Assess decision-making capacity and explain confidentiality and its legal limits.
   • D.Ask the parent to remain present during the sexual health history.

   Answer and rationale are in the full material.