Within 3 hours, the fundus becomes boggy and is located 2 cm above the umbilicus and displaced to the right in the postpartum patient.
What is the priority nursing action?

Inform the obstetrician.

Straight catheterize the patient.

Prepare the patient for manual removal of uterine clots.

Ask the patient to void.

Answer and Explanation

The Correct Answer is D

Choice A rationale
Informing the obstetrician is important, but it is not the first action to take. The nurse should first try to address the issue at hand, which is a displaced and boggy uterus.
Choice B rationale
Straight catheterization of the patient could be necessary if the patient is unable to void. However, the first step should be to ask the patient to void.
Choice C rationale
Preparing the patient for manual removal of uterine clots is a more invasive procedure that should be considered if other measures, such as asking the patient to void or massaging the fundus, are not effective.
Choice D rationale
A full bladder can displace the uterus and prevent it from contracting properly. Asking the patient to void can help the uterus contract and reduce bleeding.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

Choice A rationale
Prolongation of the luteal phase is not the primary action of Pergonal (Menotropins). The luteal phase is part of the menstrual cycle, and while hormones do regulate it, Pergonal’s primary function is not to extend this phase.
Choice B rationale
Pergonal (Menotropins) is used to stimulate ovulation. It contains follicle-stimulating hormone (FSH) and luteinizing hormone (LH), which are essential for ovulation. FSH stimulates the growth and maturation of ovarian follicles, and LH triggers ovulation and the development of the corpus luteum.
Choice C rationale
Suppression of menstruation is not an expected action of Pergonal. This medication is used to promote ovulation, not to stop menstrual periods.
Choice D rationale
While hormonal changes during the menstrual cycle can affect cervical mucus production, the primary action of Pergonal is not to promote cervical mucus production. Its main role is to stimulate ovulation.

A. This device will prevent me from contracting a sexually transmitted infection. B. I will need to check the string attached to the device every month. C. I will need to have the intrauterine device inserted a week after my menstrual period. D. I will need to have the intrauterine device fitted and replaced annually.

Correct Answer is B

Explanation

Choice A rationale
While the intrauterine device (IUD) is a highly effective form of birth control, it does not protect against sexually transmitted infections.
Choice B rationale
Checking the string of the IUD every month is a good practice to ensure that the device is still in place. This is an indication that the patient understands how to monitor the IUD correctly. Choice C rationale
The timing of IUD insertion can vary and does not necessarily need to be a week after the menstrual period. This statement does not accurately reflect understanding of the use of the IUD67.
Choice D rationale
Depending on the type of IUD, it may need to be replaced every 3-10 years, not annually. This statement does not accurately reflect understanding of the use of the IUD67.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Within 3 hours, the fundus becomes boggy and is located 2 cm above the umbilicus and displaced to the right in the postpartum patient. What is the priority nursing action?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient is to receive Pergonal (Menotropins) injections for infertility prior to in vitro fertilization. What is the expected action of this medication?

Correct Answer is B

Explanation

Which of the following statements, if made by the patient, would indicate that the nurse’s teaching about the intrauterine device has been effective?

Correct Answer is B

Explanation

What would the nurse expect to find when taking the health history of a woman admitted for repair of cystocele and rectocele, who has nine living children?

A woman is scheduled for diagnostic testing to evaluate for endometrial cancer. Which procedure should the nurse prepare the woman for?

The nurse is assessing the laboratory test results of a client with abnormal uterine bleeding (AUB). Which finding should the nurse prioritize?

When assessing a woman who has been unable to conceive, which factor would the nurse least likely identify as a potential risk in her history?

The labor nurse is admitting a patient in active labor who has a history of genital herpes. The patient reports a recent outbreak, and the nurse verifies lesions on the perineum. What action should the nurse take in anticipating the plan of care for this patient?

For which reason would a nurse in the well-baby nursery report to the neonatologist that a newborn appears to be preterm?

What behaviors are often exhibited by newborns whose mothers are substance abusers?

A patient is scheduled to receive Pergonal (Menotropins) injections as part of an infertility treatment before in vitro fertilization. What is the anticipated effect of this medication?

Within 3 hours, the fundus becomes boggy and is located 2 cm above the umbilicus and displaced to the right in the postpartum patient.
What is the priority nursing action?