Question 1

Which of the following would be considered a normal assessment finding in a 1-day postpartum patient?

Accepted Answer

A) Pinkish to brown lochia 
B) Voiding frequently 50 mL to 75 mL of urine 
C) Complaining of "after pains" 
D) Fundus 1 cm above the umbilicus 
A) Pinkish to brown lochia 
B) Voiding frequently 50 mL to 75 mL of urine 
C) Complaining of "after pains" 
D) Fundus 1 cm above the umbilicus C

Question 2

What is the term for the cream cheese-like substance that protects the infant's skin from amniotic fluid?

Accepted Answer

A) Lanugo 
B) Meconium 
C) Desquamation 
D) Vernix caseosa 
A) Lanugo 
B) Meconium 
C) Desquamation 
D) Vernix caseosa D

Question 3

When assessing a mother 12 hours following the delivery of a baby,where should the nurse expect to palpate the fundus?

Accepted Answer

A) 2 cm below the umbilicus 
B) At the umbilicus 
C) 1 cm below the umbilicus 
D) Halfway between the umbilicus and the symphysis pubis 
A) 2 cm below the umbilicus 
B) At the umbilicus 
C) 1 cm below the umbilicus 
D) Halfway between the umbilicus and the symphysis pubis B

Question 4

What is the name of the vaginal discharge that occurs immediately following delivery?

Accepted Answer

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

Question 5

After delivery of a 9-lb baby,the nurse assesses a perineal laceration extending through the muscles of the perineum.The nurse records this as a ________-degree laceration.

Accepted Answer

second
A second-degree lacerat

Question 6

What should be included in a teaching plan regarding breast engorgement?

Accepted Answer

A) It typically occurs on the first postpartum day 
B) It is usually first observed in the axillary region 
C) It occurs only in women who are not breastfeeding 
D) It occurs near the nipple on the third postpartum day 
A) It typically occurs on the first postpartum day 
B) It is usually first observed in the axillary region 
C) It occurs only in women who are not breastfeeding 
D) It occurs near the nipple on the third postpartum day

Question 7

Why is vitamin K given by injection to the newborn?

Accepted Answer

A) Most mothers have a vitamin K deficiency that develops during pregnancy. 
B) Bacteria that synthesize vitamin K are not present in newborns. 
C) Vitamin K prevents the synthesis of prothrombin. 
D) The newborn does not store vitamin K. 
A) Most mothers have a vitamin K deficiency that develops during pregnancy. 
B) Bacteria that synthesize vitamin K are not present in newborns. 
C) Vitamin K prevents the synthesis of prothrombin. 
D) The newborn does not store vitamin K.

Question 8

The postpartum mother with a third degree laceration tells the nurse she is afraid to have a bowel movement because of her painful episiotomy.What should the nurse do?

Accepted Answer

A) Offer a suppository or enema 
B) Encourage ambulation 
C) Offer stool softeners as prescribed 
D) Offer pain medication before defecating 
A) Offer a suppository or enema 
B) Encourage ambulation 
C) Offer stool softeners as prescribed 
D) Offer pain medication before defecating

Question 9

The new mother has decided not to breastfeed the baby.How should the nurse correctly instruct the mother to suppress her milk supply?

Accepted Answer

A) Pump the breasts to remove milk 
B) Apply warm, moist compresses 
C) Restrict oral fluids 
D) Apply a firm bra and ice packs 
A) Pump the breasts to remove milk 
B) Apply warm, moist compresses 
C) Restrict oral fluids 
D) Apply a firm bra and ice packs

Question 10

The nurse is caring for a newborn who was circumcised earlier in the day.What should be included in the plan of care?

Accepted Answer

A) Administration of a topical anesthetic to the site 
B) Application of ice to stop bleeding 
C) Retraction of any remaining foreskin 
D) Observation for bleeding for the first 12 hours 
A) Administration of a topical anesthetic to the site 
B) Application of ice to stop bleeding 
C) Retraction of any remaining foreskin 
D) Observation for bleeding for the first 12 hours

Question 11

What is the first secretion produced by the breast?

Accepted Answer

A) Prolactin 
B) Colostrum 
C) False milk 
D) Whey 
A) Prolactin 
B) Colostrum 
C) False milk 
D) Whey

Question 12

Which finding should the nurse suspect as abnormal in the newborn during the initial assessment?

Accepted Answer

A) Eyes crossed at times 
B) Persistent high-pitched cry 
C) Arms and legs flexed 
D) Slight bluish tinge of the extremities 
A) Eyes crossed at times 
B) Persistent high-pitched cry 
C) Arms and legs flexed 
D) Slight bluish tinge of the extremities

Question 13

What is the appropriate way to assess the fundus of the postpartum patient?

Accepted Answer

A) Using the side of one hand moving down from the umbilicus 
B) Using one hand over the lower segment of the uterus 
C) Using one hand pushing upward from the lower uterus 
D) Using one hand on the lower uterine segment while the other hand locates the fundus of the uterus 
A) Using the side of one hand moving down from the umbilicus 
B) Using one hand over the lower segment of the uterus 
C) Using one hand pushing upward from the lower uterus 
D) Using one hand on the lower uterine segment while the other hand locates the fundus of the uterus

Question 14

A mother delivered her baby at midnight and it is now 9 AM.She wants to sleep and asks the nurse to take care of the baby.What is this considered?

Accepted Answer

A) Fatigue from labor 
B) Normal "taking in" response 
C) Abnormal "taking in" response 
D) Risk for altered maternal-infant bonding 
A) Fatigue from labor 
B) Normal "taking in" response 
C) Abnormal "taking in" response 
D) Risk for altered maternal-infant bonding

Question 15

The nurse describes the return of the postpartum patient's uterus to a pregravid state as ________________.

Accepted Answer

involution
Involutio

Question 16

Following delivery of the newborn,which nursing intervention should be carried out immediately?

Accepted Answer

A) Weigh the infant 
B) Warm the infant 
C) Bathe the infant 
D) Inoculate the infant 
A) Weigh the infant 
B) Warm the infant 
C) Bathe the infant 
D) Inoculate the infant

Question 17

Which tests are performed to detect inborn errors of metabolism in the newborn?

Accepted Answer

A) Blood glucose 
B) Phenylketonuria (PKU) 
C) Blood urea nitrogen (BUN) 
D) Prothrombin time (PT) 
A) Blood glucose 
B) Phenylketonuria (PKU) 
C) Blood urea nitrogen (BUN) 
D) Prothrombin time (PT)

Question 18

The nurse identifies that the newborn is jaundiced within the first 24 hours of birth,with jaundice occurring over bony prominences of the face and the mucous membrane.What type of jaundice does this represent?

Accepted Answer

A) Physiological 
B) Normal 
C) Pathologic 
D) Transitory 
A) Physiological 
B) Normal 
C) Pathologic 
D) Transitory

Question 19

The nurse is giving a bath demonstration for a group of new mothers.What should be included in the demonstration?

Accepted Answer

A) Apply baby powder generously to keep baby dry. 
B) Cleanse perineum from front to back. 
C) Use scented soap to make baby smell good. 
D) Partially submerge head in water when shampooing. 
A) Apply baby powder generously to keep baby dry. 
B) Cleanse perineum from front to back. 
C) Use scented soap to make baby smell good. 
D) Partially submerge head in water when shampooing.

Question 20

Before initially feeding an infant,what reflex should the nurse assess?

Accepted Answer

A) Moro reflex 
B) Rooting reflex 
C) Babinski reflex 
D) Swallow reflex 
A) Moro reflex 
B) Rooting reflex 
C) Babinski reflex 
D) Swallow reflex

Exam 27: Care of the Mother and Newborn

Which of the following would be considered a normal assessment finding in a 1-day postpartum patient?

What is the term for the cream cheese-like substance that protects the infant's skin from amniotic fluid?

When assessing a mother 12 hours following the delivery of a baby,where should the nurse expect to palpate the fundus?

What is the name of the vaginal discharge that occurs immediately following delivery?

After delivery of a 9-lb baby,the nurse assesses a perineal laceration extending through the muscles of the perineum.The nurse records this as a ________-degree laceration.

What should be included in a teaching plan regarding breast engorgement?

Why is vitamin K given by injection to the newborn?

The postpartum mother with a third degree laceration tells the nurse she is afraid to have a bowel movement because of her painful episiotomy.What should the nurse do?

The new mother has decided not to breastfeed the baby.How should the nurse correctly instruct the mother to suppress her milk supply?

The nurse is caring for a newborn who was circumcised earlier in the day.What should be included in the plan of care?

What is the first secretion produced by the breast?

Which finding should the nurse suspect as abnormal in the newborn during the initial assessment?

What is the appropriate way to assess the fundus of the postpartum patient?

A mother delivered her baby at midnight and it is now 9 AM.She wants to sleep and asks the nurse to take care of the baby.What is this considered?

The nurse describes the return of the postpartum patient's uterus to a pregravid state as ________________.

Following delivery of the newborn,which nursing intervention should be carried out immediately?

Which tests are performed to detect inborn errors of metabolism in the newborn?

The nurse identifies that the newborn is jaundiced within the first 24 hours of birth,with jaundice occurring over bony prominences of the face and the mucous membrane.What type of jaundice does this represent?

The nurse is giving a bath demonstration for a group of new mothers.What should be included in the demonstration?

Before initially feeding an infant,what reflex should the nurse assess?

Evolution of Nursing

Legal and Ethical Aspects of Nursing

Documentation

Communication

Nursing Process and Critical Thinking

Cultural and Ethnic Considerations

Asepsis and Infection Control

Body Mechanics and Patient Mobility

Hygiene and Care of the Patient’s Environment

Safety

Vital Signs

Physical Assessment

Admission, Transfer, and Discharge

Surgical Wound Care

Specimen Collection and Diagnostic Testing

Care of Patients Experiencing Urgent Alterations in Health

Complementary and Alternative Therapies

Pain Management, Comfort, Rest, and Sleep

Nutritional Concepts and Related Therapies

Fluids and Electrolytes

Mathematics and Medication Administration

Care of Patients with Alterations in Health

Life Span Development

Loss, Grief, Dying, and Death

Health Promotion and Pregnancy

Labor and Delivery

Care of the High-Risk Mother, Newborn, and Family with Special Needs

Health Promotion for the Infant, Child, and Adolescent

Basic Pediatric Nursing Care

Care of the Child with a Physical and Mental or Cognitive Disorder

Health Promotion and Care of the Older Adult

Concepts of Mental Health

Care of the Patient with a Psychiatric Disorder

Care of the Patient with an Addictive Personality

Home Health Nursing

Long-Term Care

Rehabilitation Nursing

Hospice Care

Professional Roles and Leadership

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