Question 1

With regard to postpartum ovarian function,nurses should be aware that:

Accepted Answer

A) Almost 75% of women who do not breastfeed resume menstruating within a month after birth. 
B) Ovulation occurs slightly earlier for breastfeeding women. 
C) Because of menstruation/ovulation schedules,contraception considerations can be postponed until after the puerperium. 
D) The first menstrual flow after childbirth usually is heavier than normal. 
A) Almost 75% of women who do not breastfeed resume menstruating within a month after birth. 
B) Ovulation occurs slightly earlier for breastfeeding women. 
C) Because of menstruation/ovulation schedules,contraception considerations can be postponed until after the puerperium. 
D) The first menstrual flow after childbirth usually is heavier than normal.

Question 2

Although all other joints return to their normal prepregnancy state,those in the parous woman's feet do not. The new mother may notice a permanent increase in her shoe size.

Accepted Answer

A) True 
 B)False

Question 3

With regard to afterbirth pains,nurses should be aware that these pains are:

Accepted Answer

A) Caused by mild,continuous contractions for the duration of the postpartum period. 
B) More common in first-time mothers. 
C) More noticeable in births in which the uterus was overdistended. 
D) Alleviated somewhat when the mother breastfeeds. 
A) Caused by mild,continuous contractions for the duration of the postpartum period. 
B) More common in first-time mothers. 
C) More noticeable in births in which the uterus was overdistended. 
D) Alleviated somewhat when the mother breastfeeds.

Question 4

The interval between the birth of the newborn and the return of the reproductive organs to their normal nonpregnant state is called the:

Accepted Answer

A) Involutionary period because of what happens to the uterus. 
B) Lochia period because of the nature of the vaginal discharge. 
C) Mini-tri period because it lasts only 3 to 6 weeks. 
D) Puerperium,or fourth trimester of pregnancy. 
A) Involutionary period because of what happens to the uterus. 
B) Lochia period because of the nature of the vaginal discharge. 
C) Mini-tri period because it lasts only 3 to 6 weeks. 
D) Puerperium,or fourth trimester of pregnancy.

Question 5

A woman gave birth to a healthy infant boy 5 days ago. What type of lochia would the nurse expect to find when assessing this woman?

Accepted Answer

A) Lochia rubra 
B) Lochia sangra 
C) Lochia alba 
D) Lochia serosa 
A) Lochia rubra 
B) Lochia sangra 
C) Lochia alba 
D) Lochia serosa

Question 6

Knowing that the condition of the new mother's breasts will be affected by whether she is breastfeeding,nurses should be able to tell their clients all of the following statements except:

Accepted Answer

A) Breast tenderness is likely to persist for about a week after the start of lactation. 
B) As lactation is established,a mass may form that can be distinguished from cancer by its position shift from day to day. 
C) In nonlactating mothers colostrum is present for the first few days after childbirth. 
D) If suckling is never begun (or is discontinued),lactation ceases within a few days to a week. 
A) Breast tenderness is likely to persist for about a week after the start of lactation. 
B) As lactation is established,a mass may form that can be distinguished from cancer by its position shift from day to day. 
C) In nonlactating mothers colostrum is present for the first few days after childbirth. 
D) If suckling is never begun (or is discontinued),lactation ceases within a few days to a week.

Exam 20: Maternal Physiologic Changes

With regard to postpartum ovarian function,nurses should be aware that:

Although all other joints return to their normal prepregnancy state,those in the parous woman's feet do not. The new mother may notice a permanent increase in her shoe size.

With regard to afterbirth pains,nurses should be aware that these pains are:

The interval between the birth of the newborn and the return of the reproductive organs to their normal nonpregnant state is called the:

A woman gave birth to a healthy infant boy 5 days ago. What type of lochia would the nurse expect to find when assessing this woman?

Knowing that the condition of the new mother's breasts will be affected by whether she is breastfeeding,nurses should be able to tell their clients all of the following statements except:

Contemporary Maternity Nursing

The Family and Culture

Community and Home Care

Health Promotion and Illness Prevention

Health Assessment

Common Health Problems

Infertility,Contraception,and Abortion

Genetics,Conception,and Fetal Development

Assessment for Risk Factors

Anatomy and Physiology of Pregnancy

Nursing Care During Pregnancy

Maternal and Fetal Nutrition

Pregnancy at Risk: Preexisting Conditions

Pregnancy at Risk: Gestational Conditions

Labor and Birth Processes

Management of Discomfort

Fetal Assessment During Labor

Nursing Care During Labor and Birth

Labor and Birth at Risk

Nursing Care During the Fourth Trimester

Transition to Parenthood

Postpartum Complications

Physiologic Adaptations of the Newborn

Nursing Care of the Newborn

Newborn Nutrition and Feeding

Infants With Gestational Age-Related Problems

The Newborn at Risk: Acquired and Congenital Problems

Contemporary Pediatric Nursing

Community-Based Nursing Care of the Child and Family

Family Influences on Child Health Promotion

Social,cultural and Religious Influences on Child Health Promotion

Developmental Influences on Child Health Promotion

Communication, history, physical and Developmental Assessment

Pain Assessment and Management

The Infant and Family

The Toddler and Family

The Preschooler and Family

The School-Age Child and Family

The Adolescent and Family

Chronic Illness, Disability and End of Life Care

Impact of Cognitive or Sensory Impairment on the Child and Family

Family-Centered Home Care

Reaction to Illness and Hospitalization

Pediatric Variations of Nursing Interventions

Respiratory Dysfunction

Gastrointestinal Dysfunction

Cardiovascular Dysfunction

Hematologic and Immunologic Dysfunction

Genitourinary Dysfunction

Cerebral Dysfunction

Endocrine Dysfunction

Integumentary Dysfunction

Musculoskeletal or Articular Dysfunction

Neuromuscular or Muscular Dysfunction

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