MCN LEC SEMI QUIZ#2
A postpartal patient is receiving heparin
as treatment for thrombophlebitis. What
should the nurse instruct the patient
about breastfeeding during this time?
a. The effect of anticoagulants is
counteracted by infant gastric juices
b. All anticoagulants pass in breast milk
so breastfeeding will have to stop.
c. Breastfeeding can continue
d. The baby will need weekly blood work
Which statement by a postpartum
patient indicates that further teaching
regarding thrombus formation is
unnecessary?
a. "I'll sit in my rocking chair most of the
time."
b. "I'll stay in bed for the first 3 days
after my baby is born."
c. "I'll put my support stockings on every
morning before rising."
d. "I'll keep my legs elevated with
pillows all the time.”
Patients with mastitis should temporarily
stop breast feeding until the infection
on the affected breast clears.
a. True
b. False
Which of the following statements is
CORRECT about pelvic
thrombophlebitis?
a. presence of Homan’s sign
b. sudden, sharp chest pain
c. occurs later than femoral
thrombophlebitis
d. orthopnea
You are at risk for developing deep vein
thrombosis or pulmonary embolism if
you:
a. Are obese
b. Had prolonged 2nd stage of labor
c. Any of the above
d. Are a cigarette smoker
A nurse is performing a postpartum
assessment on a client who delivered a
baby 8 hours ago. The nurse assesses
the client’s legs by checking the
Homan’s sign and the client complains
of pain. Which condition can a positive
Homan’s sign indicate?
a. Achilles tendonitis
b. Calf muscle pump dysfunction
c. Venous insufficiency
d. Deep vein thrombosis
Protamine sulfate is the antagonist for
heparin
a. True
b. False
Women who are high risk for
thrombophlebitis may be prescribed
aspirin every 4 hours to relieve pain.
a. False
b. True
Fever of 38° C or higher for 2
consecutive days usually occurring on
the 4th day of the postpartum period is
indicative of a postpartum infection.
a. True
b. False
MCN LEC SEMI QUIZ#2
A postpartal woman is placed on an
anticoagulant therapy to prevent further
clot formation. She asks the nurse if she
will be able to continue breastfeeding.
The nurse's best response would be that:
a. anticoagulants pass in breast milk, but
not in amounts great enough to cause
harm
b. all anticoagulants pass in breast milk,
so she will have to stop
c. it depends on the type of
anticoagulant she is taking.
d. the effect of anticoagulants is
counteracted by infant gastric juices
Deep vein thrombosis (DVT) occurs in
the _______________.
a. Chest
b. Leg
c. Abdomen
d. Feet
A postpartum client with
thrombophlebitis states that her leg is
very painful. Which nursing instruction is
most appropriate to decrease the pain?
a. Place a bed cradle over the leg to lift
the linens off the affected leg
b. Massage the calf of her leg gently
c. Encourage ambulation every two
hours.
d. Apply ice pack above the knee.
The nurse is assessing the breast of a
woman who is 1 month postpartum. The
woman reports a painful area on one
breast with a red area and is warm to
touch. What should the nurse consider
as the potential diagnosis?
a. breast yeast
b. blocked lobules
c. engorgement
d. mastitis
The signs of pulmonary embolism are
the following, EXCEPT:
a. Tachypnea
b. Bradycardia
c. orthopnea
d. sudden, sharp chest pain
Pulmonary embolism (PE) can occur
without deep vein thrombosis (DVT).
a. False
b. True
Which of the following is the primary
predisposing factor related to mastitis?
a. Epidemic infection from nosocomial
sources localizing in the lactiferous
glands and ducts
b. Endemic infection occurring randomly
and localizing in the periglandular
connective tissue
c. Temporary urinary retention due to
decreased perception of the urge to
avoid
d. Breast injury caused by
overdistention, stasis of milk, and
cracking of the nipples
MCN LEC SEMI QUIZ#2
A postpartum client has a temperature
of 38°C, with a uterus that is tender
when palpated, remains unusually large,
and not descending as normally
expected. Which of the following should
the nurse assess next?
a. total urine in 24 hours
b. Characteristics of lochia
c. Presence of Breast tenderness
d. suture line on the perineum is open
with purulent drainage present
Having a pulmonary embolism includes
risk of possible ______________.
a. High blood pressure
b. Amputation of limbs
c. Diabetes
d. Sudden death
Gina a postpartum client is diagnosed
with endometritis. Which position would
you expect to place her based on this
diagnosis?
a. Semi-fowlers
b. Supine
c. Left side lying
d. Trendelenburg
Which of the following statements does
not describe mastitis?
a. The affected breast appears swollen
and reddened.
b. Nipple discharge
c. Excessive Breast milk production
d. Breast lumps
Signs and symptoms of pulmonary
embolism (PE) can include:
a. Muscle spasms, vertigo, ringing ears
b. All of the above
c. Redness, warmth, tenderness and
swelling on the affected leg
d. Shortness of breath, chest pain,
coughing
Signs and symptoms of deep vein
thrombosis (DVT) can include:
a. Shortness of breath, chest pain,
coughing
b. Redness, warmth, tenderness and
swelling on the affected leg
c. Muscle spasms, vertigo, ringing ears
d. All of the above
Nurse Justin is taking care a client
with deep vein thrombosis. Which
position should be provided to the
client?
a. Bed rest with the affected extremity in
a dependent position.
b. Bed rest with the affected extremity
elevated.
c. Bed rest with the unaffected extremity
on top of the affected extremity.
d. Bed rest with the affected extremity
remain flat at all times.
A postpartum patient was in labor for 30
hours and had ruptured membranes for
24 hours. For which of the following
would the nurse be alert?
a. Endometriosis
b. Salpingitis
c. Pelvic thrombophlebitis
d. Endometritis
MCN LEC SEMI QUIZ#2

Which of the following is NOT a Drug of

choice for treatment of mastitis:
a. Clindamycin
b. Dicloxacillin
c. Amoxicillin
d. Doxycycline