Question 1

A woman will be discharged 48 hours after a vaginal delivery.When planning discharge teaching,the information the nurse would include about lochia is that:

Accepted Answer

A)  lochia should disappear 2 to 4 weeks postpartum. 
B)  it is normal for the lochia to have a slightly foul odor. 
C)  a change in lochia from pink to bright red should be reported. 
D)  a decrease in flow will be noticed with ambulation and activity. 
A)  lochia should disappear 2 to 4 weeks postpartum. 
B)  it is normal for the lochia to have a slightly foul odor. 
C)  a change in lochia from pink to bright red should be reported. 
D)  a decrease in flow will be noticed with ambulation and activity. C

Question 2

Following delivery,the nurse's assessment reveals a soft,boggy uterus located above the level of the umbilicus.The appropriate intervention is to:

Accepted Answer

A)  notify the physician. 
B)  massage the fundus. 
C)  initiate measures that encourage voiding. 
D)  position the patient flat. 
A)  notify the physician. 
B)  massage the fundus. 
C)  initiate measures that encourage voiding. 
D)  position the patient flat. B

Question 3

The nurse can expect which intervention to be ordered if the postpartum woman is not immune to rubella?

Accepted Answer

A)  The rubella virus vaccine should be administered before discharge. 
B)  The woman should receive the rubella virus vaccine at her 6-week postpartum checkup. 
C)  The woman should be instructed not to get pregnant until she receives the rubella vaccine. 
D)  No intervention is indicated at this time because the woman is not at risk for rubella. 
A)  The rubella virus vaccine should be administered before discharge. 
B)  The woman should receive the rubella virus vaccine at her 6-week postpartum checkup. 
C)  The woman should be instructed not to get pregnant until she receives the rubella vaccine. 
D)  No intervention is indicated at this time because the woman is not at risk for rubella. A

Question 4

While instructing a new mother on formula preparations,what type(s)would the nurse include? Select all that apply.

Accepted Answer

A)  Ready-to-feed formula 
B)  Concentrated liquid formula 
C)  Powdered formula 
D)  Cow's milk 
E)  Canned evaporated milk 
A)  Ready-to-feed formula 
B)  Concentrated liquid formula 
C)  Powdered formula 
D)  Cow's milk 
E)  Canned evaporated milk

Question 5

The nurse assessing a newborn recognizes a sign of hypoglycemia,which is:

Accepted Answer

A)  increased nasal mucus. 
B)  increased temperature. 
C)  active muscle movements. 
D)  high-pitched cry. 
A)  increased nasal mucus. 
B)  increased temperature. 
C)  active muscle movements. 
D)  high-pitched cry.

Question 6

The statement that indicates the new mother is breastfeeding correctly is:

Accepted Answer

A)  "I will put the baby first on the breast that she took last in the previous feeding. " 
B)  "I keep the baby on a 4-hour feeding schedule. " 
C)  "I let the baby stay on the first breast only 5 minutes. " 
D)  "I put only the nipple in the baby's mouth when I am breastfeeding. " 
A)  "I will put the baby first on the breast that she took last in the previous feeding. " 
B)  "I keep the baby on a 4-hour feeding schedule. " 
C)  "I let the baby stay on the first breast only 5 minutes. " 
D)  "I put only the nipple in the baby's mouth when I am breastfeeding. "

Question 7

The hormone responsible for milk production is ____________________.

Accepted Answer

prolactin
During pregnancy,the

Question 8

The nurse should teach the postpartum woman about perineal self-care by instructing her to:

Accepted Answer

A)  perform perineal self-care at least twice a day. 
B)  cleanse with warm water in a squeeze bottle from front to back. 
C)  remove perineal pads from the rectal area toward the vagina. 
D)  use cool water to decrease edema of the perineum. 
A)  perform perineal self-care at least twice a day. 
B)  cleanse with warm water in a squeeze bottle from front to back. 
C)  remove perineal pads from the rectal area toward the vagina. 
D)  use cool water to decrease edema of the perineum.

Question 9

What postpartum exercise(s)should the nurse teach a patient who had a vaginal delivery yesterday? Select all that apply.

Accepted Answer

A)  Abdominal tighteners 
B)  Head lift 
C)  Pelvic tilt 
D)  Kegel exercises 
E)  Leg lifts 
A)  Abdominal tighteners 
B)  Head lift 
C)  Pelvic tilt 
D)  Kegel exercises 
E)  Leg lifts

Question 10

The nurse is aware that the newborn is considered hypoglycemic if the blood glucose level is below _____ mg/dL.

Accepted Answer

A)  70 
B)  60 
C)  50 
D)  40 
A)  70 
B)  60 
C)  50 
D)  40

Question 11

The nurse explains that the three infections that are contraindications to breastfeeding are _______________,_______________,and ________________.

Accepted Answer

human immunodeficiency virus (HIV),hepat

Question 12

The nurse explains that the physician will order RhoGAM in the event that a(n):

Accepted Answer

A)  unsensitized Rh-negative mother has an Rh-positive infant. 
B)  Rh-negative mother becomes sensitized. 
C)  sensitized infant has a rising bilirubin level. 
D)  unsensitized infant exhibits no outward signs. 
A)  unsensitized Rh-negative mother has an Rh-positive infant. 
B)  Rh-negative mother becomes sensitized. 
C)  sensitized infant has a rising bilirubin level. 
D)  unsensitized infant exhibits no outward signs.

Question 13

A new mother states her preference to formula feed her newborn.The nurse planning discharge instructions would tell her about a measure to help suppress lactation and promote comfort,which is to:

Accepted Answer

A)  wear a well-fitting bra continuously for several days. 
B)  stand in a warm shower, letting the water spray over the breasts. 
C)  express small amounts of milk from the breasts several times a day. 
D)  massage the breasts when they ache. 
A)  wear a well-fitting bra continuously for several days. 
B)  stand in a warm shower, letting the water spray over the breasts. 
C)  express small amounts of milk from the breasts several times a day. 
D)  massage the breasts when they ache.

Question 14

The nurse assesses the initial lochia postdelivery,which is known as:

Accepted Answer

A)  serosa. 
B)  rubra. 
C)  alba. 
D)  vaginalis. 
A)  serosa. 
B)  rubra. 
C)  alba. 
D)  vaginalis.

Question 15

Which assessment(s)would lead the nurse to determine the gestational age of the infant as preterm? Select all that apply.

Accepted Answer

A)  Thin, transparent skin 
B)  Vernix only in the body creases 
C)  Folded ear springs back slowly 
D)  Breast tissue under the nipple 
E)  Creases over entire sole 
A)  Thin, transparent skin 
B)  Vernix only in the body creases 
C)  Folded ear springs back slowly 
D)  Breast tissue under the nipple 
E)  Creases over entire sole

Question 16

The nurse is giving a shower to a patient who had a cesarean section 2 days previously.What intervention(s)should be included before,during,and after the shower? Select all that apply.

Accepted Answer

A)  Leave abdominal dressing open to air. 
B)  Position patient with back to water stream. 
C)  Cover infusion site with rubber glove. 
D)  Provide a shower chair. 
E)  Confirm ambulation ability. 
A)  Leave abdominal dressing open to air. 
B)  Position patient with back to water stream. 
C)  Cover infusion site with rubber glove. 
D)  Provide a shower chair. 
E)  Confirm ambulation ability.

Question 17

After birth,the nurse quickly dries and wraps the newborn in a blanket to prevent heat loss by:

Accepted Answer

A)  conduction. 
B)  radiation. 
C)  evaporation. 
D)  convection. 
A)  conduction. 
B)  radiation. 
C)  evaporation. 
D)  convection.

Question 18

The nurse instructed a postpartum woman about storing and freezing breast milk.The nurse determines that the teaching was effective when the woman says:

Accepted Answer

A)  "I can thaw frozen breast milk in the microwave. " 
B)  "I'll put enough breast milk for one day in a container. " 
C)  "Breast milk can be stored in glass containers. " 
D)  "Breast milk can be kept in the refrigerator for up to 3 months. " 
A)  "I can thaw frozen breast milk in the microwave. " 
B)  "I'll put enough breast milk for one day in a container. " 
C)  "Breast milk can be stored in glass containers. " 
D)  "Breast milk can be kept in the refrigerator for up to 3 months. "

Question 19

In the recovery room,the nurse checks the newly delivered woman's fundus following a cesarean section.How would the nurse proceed with this assessment?

Accepted Answer

A)  Palpate from the midline to the side of the body. 
B)  Palpate from the symphysis to the umbilicus. 
C)  Palpate from the side of the uterus to the midline. 
D)  Massage the abdomen in a circular motion. 
A)  Palpate from the midline to the side of the body. 
B)  Palpate from the symphysis to the umbilicus. 
C)  Palpate from the side of the uterus to the midline. 
D)  Massage the abdomen in a circular motion.

Question 20

A new mother has decided not to breastfeed her newborn.The nurse planning to teach the mother about formula feeding would include:

Accepted Answer

A)  positioning the bottle so that the nipple is full of formula during the entire feeding. 
B)  heating infant formula in a microwave. 
C)  burping the infant after 4 ounces and again when the bottle is empty. 
D)  propping a bottle for a feeding. 
A)  positioning the bottle so that the nipple is full of formula during the entire feeding. 
B)  heating infant formula in a microwave. 
C)  burping the infant after 4 ounces and again when the bottle is empty. 
D)  propping a bottle for a feeding.

Exam 9: The Family After Birth

A woman will be discharged 48 hours after a vaginal delivery.When planning discharge teaching,the information the nurse would include about lochia is that:

Following delivery,the nurse's assessment reveals a soft,boggy uterus located above the level of the umbilicus.The appropriate intervention is to:

The nurse can expect which intervention to be ordered if the postpartum woman is not immune to rubella?

While instructing a new mother on formula preparations,what type(s)would the nurse include? Select all that apply.

The nurse assessing a newborn recognizes a sign of hypoglycemia,which is:

The statement that indicates the new mother is breastfeeding correctly is:

The hormone responsible for milk production is ____________________.

The nurse should teach the postpartum woman about perineal self-care by instructing her to:

What postpartum exercise(s)should the nurse teach a patient who had a vaginal delivery yesterday? Select all that apply.

The nurse is aware that the newborn is considered hypoglycemic if the blood glucose level is below _____ mg/dL.

The nurse explains that the three infections that are contraindications to breastfeeding are _______________,_______________,and ________________.

The nurse explains that the physician will order RhoGAM in the event that a(n):

A new mother states her preference to formula feed her newborn.The nurse planning discharge instructions would tell her about a measure to help suppress lactation and promote comfort,which is to:

The nurse assesses the initial lochia postdelivery,which is known as:

Which assessment(s)would lead the nurse to determine the gestational age of the infant as preterm? Select all that apply.

The nurse is giving a shower to a patient who had a cesarean section 2 days previously.What intervention(s)should be included before,during,and after the shower? Select all that apply.

After birth,the nurse quickly dries and wraps the newborn in a blanket to prevent heat loss by:

The nurse instructed a postpartum woman about storing and freezing breast milk.The nurse determines that the teaching was effective when the woman says:

In the recovery room,the nurse checks the newly delivered woman's fundus following a cesarean section.How would the nurse proceed with this assessment?

A new mother has decided not to breastfeed her newborn.The nurse planning to teach the mother about formula feeding would include:

The Past, Present, and Future

Human Reproductive Anatomy and Physiology

Fetal Development

Prenatal Care and Adaptations to Pregnancy

Nursing Care of Women with Complications During Pregnancy

Nursing Care of Mother and Infant During Labor and Birth

Nursing Management of Pain During Labor and Birth

Nursing Care of Women with Complications During Labor and Birth

Nursing Care of Women with Complications After Birth

The Nurse’s Role in Women’s Health Care

The Term Newborn

Preterm and Postterm Newborns

The Newborn with a Perinatal Injury or Congenital Malformation

An Overview of Growth, Development, and Nutrition

The Infant

The Toddler

The Preschool Child

The School-Age Child

The Adolescent

The Child’s Experience of Hospitalization

Health Care Adaptations for the Child and Family

The Child with a Sensory or Neurological Condition

The Child with a Musculoskeletal Condition

The Child with a Respiratory Disorder

The Child with a Cardiovascular Disorder

The Child with a Condition of the Blood, Blood-Forming Organs, or

The Child with a Gastrointestinal Condition

The Child with a Genitourinary Condition

The Child with a Skin Condition

The Child with a Metabolic Condition

The Child with a Communicable Disease

The Child with an Emotional or Behavioral Condition

Complementary and Alternative Therapies in Maternity and Pediatric Nursing

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The nurse explains that the three infections that are contraindications to breastfeeding are _______,_,and __________.