Exam 15: Caring for the Postpartal Woman and Her Family

An infant was born weighing 6 lb (2.72 kg).At the end of 30 days,approximately how much should this infant weigh to demonstrate effective breastfeeding?

The perinatal nurse includes a pain assessment as part of the postpartum care provided to each patient.This action helps to do which of the following?

A nursing faculty member is explaining to a class of students that women experiencing cesarean birth have more challenges than do women who give birth vaginally.The faculty member is referring to what challenges?

The perinatal nurse teaches the student nurse that deep breathing exercises following cesarean birth are critical to the prevention of what complications?

A woman had a cesarean birth 2 hours ago.She now complains of being hungry and wants something to eat.What action by the nurse is best?

The perinatal nurse observes the new mother watching her baby daughter closely,touching her face,and asking many questions about infant feeding.This is best described as which stage of mothering?

A woman gave birth 12 hours ago.The patient complains of severe abdominal cramping when she breastfeeds her infant.The perinatal nurse should document this condition as which of the following?

A patient is receiving methylergonovine (Methergine)after a vaginal birth.What assessment finding by the nurse warrants immediate intervention?

A nurse assessing a postpartum woman 12 hours after uncomplicated vaginal birth finds her pulse to be 110 beats/minute.What action by the nurse is best?

A postpartum woman is Rh?(D)-negative and needs an injection of Rh?(D)immune globulin.Which of the following doses would the perinatal nurse expect to be ordered?

A nurse uses the acronym REEDA to perform a perineal assessment on a postpartum woman.What are the components of this exam?

A new mother is concerned that her 3-year-old child is not adapting well to the birth of a new sibling 1 month ago.What suggestion can the nurse provide to best help this mother?

The perinatal nurse describes infant feeding cues to a new mother.These feeding cues include which of the following behaviors?

A nurse is assisting a postpartum woman to get up for the first time after an unmedicated vaginal birth.What action by the nurse is best?

An adolescent has vaginally given birth to a healthy baby.What action by the nurse would be most important in developing a plan to help this mother bond successfully?

A postpartum woman who experienced a spontaneous vaginal birth 12 hours ago describes a headache that is worsening.The patient was given two regular-strength acetaminophen (Tylenol)tablets approximately 30 minutes ago but has had no relief from the pain.The most appropriate nursing action at this time is to do which of the following?

A nurse is observing a student nurse prepare a sitz bath.Which actions should be performed by the student?

A new mother is accompanied by her mother during her hospital stay on the postpartum unit.The patient's mother has made specific various requests of the nurses,including asking for a bottle so she can feed the baby after the new mother attempts to breastfeed for the first time.How would the perinatal nurse best respond to the patient's mother in a culturally sensitive way?

The perinatal nurse is teaching the patient about breastfeeding and explains that which of the following is the most appropriate time to breastfeed?

The perinatal nurse and student nurse are conducting an assessment on a postpartal woman.The nurse demonstrates percussion of the bladder.They hear a dull,thudding sound.How should the nurse document this information?