Question 1

What would the nurse expect to find when assessing the fundus of the uterus immediately after delivery?

Accepted Answer

A)  Well-contracted with its upper border at or just below the umbilicus 
B)  Well-contracted with its upper border three or four fingerbreadths above the umbilicus 
C)  Relaxed with its upper border level with the umbilicus 
D)  Relaxed with its upper border two or three fingerbreadths below the umbilicus 
A)  Well-contracted with its upper border at or just below the umbilicus 
B)  Well-contracted with its upper border three or four fingerbreadths above the umbilicus 
C)  Relaxed with its upper border level with the umbilicus 
D)  Relaxed with its upper border two or three fingerbreadths below the umbilicus

Question 2

A primipara tells the nurse,"My afterpains get worse when I am breastfeeding." What is the most appropriate nursing response?

Accepted Answer

A)  "I'll get you some aspirin to relieve the cramping that you feel." 
B)  "Afterpains are more intense with your first baby." 
C)  "Breastfeeding releases a hormone that causes your uterus to contract." 
D)  "A change of position when you're breastfeeding might help." 
A)  "I'll get you some aspirin to relieve the cramping that you feel." 
B)  "Afterpains are more intense with your first baby." 
C)  "Breastfeeding releases a hormone that causes your uterus to contract." 
D)  "A change of position when you're breastfeeding might help."

Question 3

The nurse is caring for a woman of Middle Eastern descent on the first postpartum day.Education is provided regarding instruction on use of a sitz bath.What documentation best indicates that the woman has understood the provided instruction?

Accepted Answer

A)  Patient correctly performed return demonstration. 
B)  Patient indicated understanding by nodding head with instruction. 
C)  Patient verbalizes "I understand." 
D)  Family member indicates patient understands procedure. 
A)  Patient correctly performed return demonstration. 
B)  Patient indicated understanding by nodding head with instruction. 
C)  Patient verbalizes "I understand." 
D)  Family member indicates patient understands procedure.

Question 4

The nurse instructed a postpartum woman about storing and freezing breast milk.What statement by the woman leads the nurse to determine that the teaching was effective?

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 5

The nurse is giving a shower to a patient who had a cesarean section 2 days previously.What interventions should be included before,during,and after the shower?

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 6

Which statement indicates the new mother is breastfeeding correctly?

Accepted Answer

A)  "I will alternate breasts when feeding the baby." 
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 alternate breasts when feeding the baby." 
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

A woman required a cesarean section for safe delivery of her newborn.She is planning to breastfeed and verbalized concern about pain.What is the best suggestion by the nurse?

Accepted Answer

A)  "Consider formula feeding for the first few days." 
B)  "Pumping breast milk would be best for now." 
C)  "Take pain medication 30 to 40 minutes prior to nursing." 
D)  "Use the football hold when breastfeeding." 
A)  "Consider formula feeding for the first few days." 
B)  "Pumping breast milk would be best for now." 
C)  "Take pain medication 30 to 40 minutes prior to nursing." 
D)  "Use the football hold when breastfeeding."

Question 8

Which assessments would lead the nurse to determine the gestational age of the infant as preterm?

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 9

What instruction should the nurse teach the postpartum woman about perineal self-care?

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 10

____________ refers to changes that the reproductive organs,particularly the uterus,undergo after birth to return to their prepregnancy size and condition.

Accepted Answer

Involution
Involution refers t

Question 11

The hormone responsible for milk "let-down" or ejection from the breasts is ____________.

Accepted Answer

oxytocin
The milk "l

Question 12

A new mother states her preference to formula feed her newborn.What will the nurse planning discharge instructions tell her to help suppress lactation and promote comfort?

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 13

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 14

After delivery,the nurse's assessment reveals a soft,boggy uterus located above the level of the umbilicus.What is the most appropriate nursing intervention?

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.

Question 15

A postpartum woman is not immune to rubella.What will the nurse expect?

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.

Exam 9: The Family After Birth

What would the nurse expect to find when assessing the fundus of the uterus immediately after delivery?

A primipara tells the nurse,"My afterpains get worse when I am breastfeeding." What is the most appropriate nursing response?

The nurse is caring for a woman of Middle Eastern descent on the first postpartum day.Education is provided regarding instruction on use of a sitz bath.What documentation best indicates that the woman has understood the provided instruction?

The nurse instructed a postpartum woman about storing and freezing breast milk.What statement by the woman leads the nurse to determine that the teaching was effective?

The nurse is giving a shower to a patient who had a cesarean section 2 days previously.What interventions should be included before,during,and after the shower?

Which statement indicates the new mother is breastfeeding correctly?

A woman required a cesarean section for safe delivery of her newborn.She is planning to breastfeed and verbalized concern about pain.What is the best suggestion by the nurse?

Which assessments would lead the nurse to determine the gestational age of the infant as preterm?

What instruction should the nurse teach the postpartum woman about perineal self-care?

____________ refers to changes that the reproductive organs,particularly the uterus,undergo after birth to return to their prepregnancy size and condition.

The hormone responsible for milk "let-down" or ejection from the breasts is ____________.

A new mother states her preference to formula feed her newborn.What will the nurse planning discharge instructions tell her to help suppress lactation and promote comfort?

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?

After delivery,the nurse's assessment reveals a soft,boggy uterus located above the level of the umbilicus.What is the most appropriate nursing intervention?

A postpartum woman is not immune to rubella.What will the nurse expect?

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 Lymphatic System

The Child with a Gastrointestinal Condition

The Child with a Genitourinary Condition

The Child with a Skin Condition

The Child with a Metabolic Condition

Childhood Communicable Diseases, Bioterrorism, Natural Disasters and the Maternal-Child Patient

The Child with an Emotional or Behavioral Condition

Complementary and Alternative Therapies in Maternity and Pediatric Nursing

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