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NR 327 STUDY GUIDE 2026
COMPREHENSIVE ANSWER DIGEST
◉Following a client's rupture of membranes, the nurse finds an umbilical cord in the vagina. What are the two priority actions for the nurse?. Answer: Relieve pressure on the cord by lifting the presenting part off the cord. Place the patient in a knee-chest position. ◉Premature rupture of membranes (PROM). Answer: rupture of the amniotic membranes before true labor has started can lead to a uterine infection ◉preterm premature rupture of membranes (PPROM). Answer: Occurring before 37 weeks gestation, there is a rupture of the amniotic membranes before true labor has started ◉cardinal movements of labor. Answer: the maneuvers, adjustments, and turns the fetal head normally makes as it descends in the pelvis
◉Amniotic fluid should be.... Answer: clear, watery, and 1000 mL in amount. Anything other than that requires follow up by the nurse ◉Amniotic fluid that is thick, has a foul odor, or is yellowish may indicate a. Answer: uterine infection ◉Episiotomy. Answer: Anesthetic is injected into the tissue of the perineum between the vagina and the anus, then a surgical incision is made in that area to widen the perineal opening.__ ◉_____ ______ is the medication most commonly used for a C section. Answer: Spinal anesthesia ◉How long does it typically take for a woman who has delivered a baby to return to a pre-pregnant physical state?. Answer: 6 weeks ◉Which findings may indicate a deep vein thrombosis (DVT) in a lower extremity in a postpartum woman?. Answer: Localized warmth Weak pedal pulse in the affected extremity Tenderness
Uterine atony ◉Under normal circumstances, the mother and newborn are discharged from the hospital together ____ hours after a vaginal delivery and _________ hours after a cesarean delivery. Answer: 48 72 - 96 ◉signs of infection following a c section. Answer: Redness, drainage, separation of incision Temperature greater than 100.4°F Chills Foul-smelling vaginal discharge ◉Which statements should the nurse include in postpartum education regarding abnormal uterine characteristics?. Answer: "Make sure your uterus stays firm like a softball." "Make sure your uterus stays in line with your belly button." "Since you are breastfeeding, you will continue to feel cramping in your uterus." "Your uterus should go down the width of your finger every day" "By 14 days postpartum, you should no longer be able to feel your uterus through your abdomen. If it is not in this position or is not firm, let your healthcare provider know."
◉Which normal characteristics of lochia should the nurse include in postpartum teaching?. Answer: Lochia with some small clots Lochia that will gradually become lighter in amount and color ◉An episiotomy should begin to heal in ______ weeks. Answer: about 2 - 3 ◉What should the nurse tell the client to expect after a cesarean birth?. Answer: "If you notice redness, drainage, or separation of the incision, let your healthcare provider know right away." "If you have a temperature over 100.4°F, let your healthcare provider know right away." ◉Which statements made by a client at her first postpartum visit are consistent with postpartum depression?. Answer: "I cry all the time no matter what I do." "I am having trouble sleeping." "I don't care about anything anymore." ◉It is recommended that for the first ____ months of life, infants are exclusively breastfed, but ideally should be breastfed for at least the first ___ months of life. Answer: 6 12
◉Mastitis. Answer: inflammation of breast tissue in lactating women usually caused by an infection ◉What to know about the birth control implant on the arm. Answer: "It provides continuous contraception for 3 years." "A possible side effect is irregular bleeding (spotting), especially in the first 6-12 months." "There may be some temporary tenderness or swelling around the implant after insertion." ◉Which client history would prohibit the use of combined oral contraceptives?. Answer: Blood clots Breast cancer Migraines Chronic uncontrolled hypertension ◉When teaching a high school health class, which information about latex condoms is most important for the nurse to include?. Answer: Leave room at the condom tip for a reservoir for semen. ◉side effects of combination oral contraceptives. Answer: weight gain nausea and vomiting breakthrough bleeding
breast tenderness headache irritability ◉side effects of an IUD. Answer: increased menstrual bleeding ectopic pregnancy pelvic infection perforation of the uterus infertility ◉Tubal sterilization. Answer: Fallopian tubes being sterilized by crushing, litigating, clipping, or plugging ◉Vasectomy. Answer: Bilateral litigation and resection of ductus deferens ◉Client education on using a diaphragm. Answer: Empty bladder before inserting the diaphragm. Wash the diaphragm with warm water and mild soap after use. Insert the diaphragm up to six hours before intercourse to enhance spontaneity. Always void after intercourse when using a diaphragm.
fundus located above the expected level excessive lochia excessive clots expelled ◉Placenta accreta. Answer: the placenta was attached deeply, it was difficult for it to detach. ◉Indication of a uterine infection. Answer: Pain in the lower abdomen or pelvis Foul-smelling, profuse lochia ◉The nurse is caring for a client with uterine atony. Which interventions will the nurse expect to complete to address uterine atony?. Answer: Encourage the client to empty her bladder Administer oxytocin Perform fundal massage ◉Puerperal Infection. Answer: a temperature of 100.4 ºF or greater after the first 24 hours postpartum and occurring on 2+ days of the first 10 days postpartum. ◉The nurse is providing care to a client who has a puerperal infection. Which actions by the nurse are appropriate?. Answer: Administer prescribed antipyretics.
Provide analgesics. Promote good hand washing. Teach adequate nutrition ◉The nurse is caring for a newborn one minute after delivery. Which is the best indication that the newborn is adjusting well to extrauterine life?. Answer: Strong, vigorous cry ◉Which nursing action is most critical when caring for the newborn immediately following birth?. Answer: suction the mouth and nares ◉Acrocyanosis. Answer: when a newborn has blue fingertips and toes ◉The birthweight of a term infant ranges between...... Answer: 5 lbs 8 oz- 8lbs 13 oz ◉The normal range for the apical heart rate for a newborn is _________ beats per minute. Answer: 120- 160 ◉the normal rage for respiratory rate for a newborn is ______ breaths per minute. Answer: 30- 60
