The vaginal discharge following delivery is called lochia. It changes color over time and has different names. The initial discharge is charted by the nurse as lochia:
a. serosa.
b. rubra.
c. palatine.
d. alba.
Question 2When changing the position of a patient with a spinal cord injury at T4, the nurse observes the first indication of an episode of autonomic dysreflexia, which is:
a. nausea.
b. pallor.
c. goose bumps.
d. dizziness.
Question 3The nurse instructs the mother of a 5-year-old who sustained a mild brain injury that although all neurological evaluations are normal, her child may exhibit postconcussive syndrome, which is characterized by:
a. convulsions and high fever.
b. irritability and memory deficits.
c. muscular twitching and muscle pain.
d. paresis of limbs.
Question 4Twelve hours following the delivery of a baby, the mother is assessed by the nurse. As the nurse palpates the level of the fundus of the uterus, it should be:
a. firm and 2 cm below the umbilicus.
b. firm and at the umbilicus.
c. slightly boggy and 1 cm below the umbilicus.
d. halfway between the umbilicus and the symphysis pubis.
Question 5The nurse takes special care to be gentle in caring for patients with spinal cord injuries to avoid stimulating the autonomic nervous system and triggering an episode of:
a. paresis.
b. heterotopic ossification.
c. postural hypotension.
d. autonomic dysreflexia.
Question 6The nurse shows the patient an x-ray of the fetal spine in parallel alignment with the mother's to demonstrate a ________ lie.
Fill in the blank(s) with correct word
Question 7To reduce the incidence of postural hypotension in a patient with a spinal cord injury, the nurse should:
a. monitor diastolic blood pressure closely.
b. encourage the patient to sit in wheelchair in upright position.
c. raise the head of the bed 45 degrees before transfer to a wheelchair.
d. encourage adequate intake of fluids to expand fluid volume.
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