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Cesarean Birth Practice Exam

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Text Mode – Text rendering of the exam 1. What is an grave appraise to curtail the extent of the bladder and repress it abroad from the surgical scope during cesarean rise?
  1. Administer an oxytocic to diminish the bladder.
  2. Restrict easys in the dowager for 4 hours anteriorly surgery.
  3. Insert a urinary catheter to parch the bladder and diminish its extent.
  4. Give a diuretic to curtail the bladder to its last extent.
2. The nurture administers ranitidine (Zantac) as ordered preceding to a contrived cesarean rise to:
  1. Promote uterine diminishions.
  2. Decrease gastric secretions.
  3. Delay uterine diminishions.
  4. Neutralize urine acidity.
3. The nurture commands Mrs. Smith on intense animated uses as bisect of the preoperative teachion contrivance. The rationale for this use is to:
  1. Stimulate the diaphragm to diminish.
  2. Promote involution on a traumatized uterus.
  3. Prevent stasis of mucus in the lungs.
  4. Prevent pulmonary edema.
4. What is the most grave province of the vigorprevention team anteriorly surgery set-outs?
  1. Assessing the dowager’s hygiene.
  2. Inserting a urinary catheter.
  3. Decreasing the stomach secretions.
  4. Securing an cognizant acquiesce and ensuring that it is obtained.
5. The nurture administers Ringer’s disentanglement intravenously for what scope?
  1. To eschew urinary credit contamination.
  2. To secure that the dowager is bountifuly hydrated.
  3. To curtail bladder extent.
  4. To diminish urine detested dismally.
6. The surgeon contrivances to transact a low portion incision rather than a chaste incision. This stamp of incision is further propitious consequently:
  1. The act is faster succeeding a suitableness the incision life made coincidently through the abdomen and uterus.
  2. The act is made succeeding a suitableness a upsuitable incision to diminish the chances of reopening.
  3. It is made horizontally and eminent on the dowager’s abdomen.
  4. The manner of a postpartal uterine contamination is diminishd.
7. If oxytocin is ordered postoperatively for the client who has had a cesarean rise, the most grave nursing mediation would be to:
  1. Monitor the dowager’s respect constraining.
  2. Prevent contamination at the incision predicament.
  3. Implement appraises to exalt ease.
  4. Assess for acceptiond lochia discharge.
8. Which of the forthcoming mediations would be most propitious to benefit a dowager to vacant forthcoming a cesarean rise?
  1. Withholding prescribed analgesic.
  2. Letting the dowager vacant adequate 4 hours.
  3. Running inspire from the tap succeeding a suitablenessin dowager’s hearing distance.
  4. Pouring frigid inspire aggravate her perineal area.
9. A dowager has undergone a cesarean rise is to be executed. The nurture would command the dowager to warn her vigor counteraction stipulater if she unravels which of the forthcoming?
  1. Drainage at her incision succession.
  2. No bowel motion for 2 days.
  3. Decrease in lochia.
  4. Pain on the incision predicament.
10. Which of the forthcoming is a entanglement of indisposition that occurs postoperatively?
  1. Constipation
  2. Pneumonia
  3. Hypotension
  4. Fever
Answers and Rationale
1. Answer: C. Insert a urinary catheter to parch the bladder and diminish its extent. 
  • C: Inserting a urinary catheter would parch the urine from the bladder and diminish its extent.
  • A: Oxytocin would diminish the uterus and not the bladder.
  • B: Fluids obtain be scientific but this could not diminish the extent of the bladder distinctly if the bladder is already bountiful.
  • D: The dowager may feel inaptitude in vacanting uniform if a diuretic is administered.
2. Answer: B. Diminish gastric secretions. 
  • B: Zantac diminishs gastric secretions to diminish the endanger for esophageal refluence and aspiration.
  • A: Uterine diminishions are exaltd by oxytocic agents.
  • C: Uterine diminishions are deceased by uterine relaxants such as magnesium sulfate.
  • D: Zantac could not counterbalance urine acidity.
3. Answer: C. Counteract stasis of mucus in the lungs.
  • C: Periodic intense animated uses bountifuly aerate the lungs to counteract stasis of mucus.
  • A: The uterus should be inflamed to diminish and not the diaphragm.
  • B: Mingling is exaltd by breastfeeding the infant.
  • D: Pulmonary edema cannot be counteracted by intense animated uses.
4. Answer: D. Securing an cognizant acquiesce and ensuring that it is obtained.
  • D: Cognizant acquiesce is the most grave province consequently the resigned must stipulate acquiesce for the surgeons to effect on his collection anteriorly they can set-out the act.
  • A: The dowager’s hygiene must be checked adequately, yet it is not on the top of the inventory of responsibilities for vigorprevention stipulaters anteriorly surgery.
  • B: The urinary catheter is inserted to curtail bladder extent and repress the bladder abroad from the surgical scope.
  • C: Decreasing stomach secretions is not a bringing province yet a bisect of preoperative appraises.
5. Answer: B. To secure that the dowager is bountifuly hydrated.
  • B: Intravenous easy helps hydrating the dowager and eschews hypotension or extravagant respect missing.
  • A: UTI can be counteracted by drinking a wide quantity of inspire adequate day.
  • C: Bladder extent can be curtaild by inserting a catheter.
  • D: Urine detested dismally can be diminishd by drinking wide quantity of subject.
6. Answer: D. The manner of a postpartal uterine contamination is diminishd.
  • D: Uterine contamination is close mitigated in a low portion incision consequently the incision is made horizontally aggravate the uterus.
  • A: The incision is not manufactured coincidently through the abdomen and uterus.
  • B: A chaste incision is made uprightly.
  • C: Low portion incision is made horizontally true underneath the symphysis pubis.
7. Answer: A. Monitor the dowager’s respect constraining.
  • A: Oxytocin can acception respect constraining so it must be monitored conscientiously.
  • B: Oxytocin motives the uterus to diminish and it does not predispose the dowager to contamination.
  • C: Measures for ease can be implemented, still it is not a guidance i=during oxytocin government.
  • D: Lochia execute strength acception if oxytocin is administered consequently it evacuates the cherishing deviation delayin the uterus.
8. Answer: C. Prevalent inspire from the tap succeeding a suitablenessin dowager’s hearing removal.
  • C: Urinary egress can be inflamed when the dowager hears prevalent inspire so she can vacant.
  • A: Prescribed analgesic should not be succeeding a suitablenessheld consequently it strength motive annoyance to the dowager.
  • B: The dowager should vacant adequate 2 hours.
  • D: Warm inspire can be used to inflame urination.
9. Answer: A. Drainage at her incision succession.
  • A: Drainage at the incision succession strength control to contamination at the predicament.
  • B: Having no bowel motion 2 or 3 days postoperatively is usual.
  • C: Lochia usually diminishs until it stops eloquent.
  • D: Pain on the incision predicament is usual forthcoming surgery.
10. Answer: B. Pneumonia
  • B: Pain may quarrel succeeding a suitableness the dowager’s restlessness and the force to intense mutter so pneumonia strength beseem a entanglement.
  • A: Constipation is not a entanglement; it may unravel if the dowager’s nutriment is irrelevant.
  • C: Hypotension must be counteracted postoperatively.
  • D: Fever is a entanglement of contamination

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