Question 1

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 B

Question 2

The nurse is observing a new mother interact with her infant.Which observation would indicate that bonding is occurring? (Select all that apply.)

Accepted Answer

A) The mother is making eye contact with the infant. 
B) The mother is sending the infant to the nursery for feedings. 
C) The mother is cuddling with the infant and napping. 
D) The mother is requesting that the mother-in-law change all diapers. 
E) The mother states that her favorite thing to do with her baby is to breastfeed. 
A) The mother is making eye contact with the infant. 
B) The mother is sending the infant to the nursery for feedings. 
C) The mother is cuddling with the infant and napping. 
D) The mother is requesting that the mother-in-law change all diapers. 
E) The mother states that her favorite thing to do with her baby is to breastfeed. A,C,E

Question 3

Which statement would be a correct description of colostrum?

Accepted Answer

A) Slightly yellow and low in protein 
B) Slightly yellow and provides antibodies 
C) Creamy and high in fat and protein 
D) Colorless and high in fat and carbohydrates 
A) Slightly yellow and low in protein 
B) Slightly yellow and provides antibodies 
C) Creamy and high in fat and protein 
D) Colorless and high in fat and carbohydrates B

Question 4

A mother delivered her baby at midnight and it is now 9 a.m. 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 5

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 6

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 7

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 8

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 9

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 10

A new Native American mother tells the nurse that when she goes home,her mother-in-law will be caring for the baby while she rests.The nurse has concerns.What should the nurse do?

Accepted Answer

A) Explain the importance of ambulating to recover. 
B) Explain the importance of maternal-infant bonding. 
C) Explore ways to blend this with safe health teaching. 
D) Encourage this cultural behavior. 
A) Explain the importance of ambulating to recover. 
B) Explain the importance of maternal-infant bonding. 
C) Explore ways to blend this with safe health teaching. 
D) Encourage this cultural behavior.

Question 11

Which newborn assessment finding can suggest a chromosomal disorder?

Accepted Answer

A) Epstein pearls 
B) Gynecomastia 
C) Babinski reflex 
D) Simian crease 
A) Epstein pearls 
B) Gynecomastia 
C) Babinski reflex 
D) Simian crease

Question 12

Which of the following measures could help prevent infant abduction? (Select all that apply.)

Accepted Answer

A) Only transport infants by carrying them. 
B) Require staff members to wear appropriate identification badges. 
C) Respond immediately when an alarm sounds. 
D) Never leave infants unattended at any time. 
E) Take all the infants to their mothers at the same time. 
A) Only transport infants by carrying them. 
B) Require staff members to wear appropriate identification badges. 
C) Respond immediately when an alarm sounds. 
D) Never leave infants unattended at any time. 
E) Take all the infants to their mothers at the same time.

Question 13

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

Question 14

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 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 to 75 mL of urine 
C) Complaining of "after pains" 
D) Fundus 1 cm above the umbilicus

Question 15

Where would acrocyanosis be assessed on a newborn?

Accepted Answer

A) Circumoral area 
B) Brow 
C) Feet 
D) Mucous membrane 
A) Circumoral area 
B) Brow 
C) Feet 
D) Mucous membrane

Question 16

Within the first hour following a vaginal delivery,the nurse assesses the mother and finds the fundus is firm and there is a trickle of bright red blood.What should be the nurse's reaction to the assessment?

Accepted Answer

A) This is a normal occurrence. 
B) This is abnormal and should be reported. 
C) The patient should be administered a blood thinner. 
D) The patient should be restricted to bed rest. 
A) This is a normal occurrence. 
B) This is abnormal and should be reported. 
C) The patient should be administered a blood thinner. 
D) The patient should be restricted to bed rest.

Question 17

When is breast engorgement most likely to occur?

Accepted Answer

A) When the infant's mouth surrounds the areola when feeding 
B) When the breast tissue becomes congested 
C) When the breast is emptied completely at each feeding 
D) When the infant's mouth grasps the nipple firmly 
A) When the infant's mouth surrounds the areola when feeding 
B) When the breast tissue becomes congested 
C) When the breast is emptied completely at each feeding 
D) When the infant's mouth grasps the nipple firmly

Question 18

What is a characteristic of a normal breast-fed infant's stool?

Accepted Answer

A) Green and loose 
B) Dark green and sticky 
C) Pale yellow and frequent 
D) Light brown and pasty 
A) Green and loose 
B) Dark green and sticky 
C) Pale yellow and frequent 
D) Light brown and pasty

Question 19

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

Question 20

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.

Exam 28: Care of the Mother and Newborn

What is the first secretion produced by the breast?

The nurse is observing a new mother interact with her infant.Which observation would indicate that bonding is occurring? (Select all that apply.)

Which statement would be a correct description of colostrum?

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

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 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 name of the vaginal discharge that occurs immediately following delivery?

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

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

A new Native American mother tells the nurse that when she goes home,her mother-in-law will be caring for the baby while she rests.The nurse has concerns.What should the nurse do?

Which newborn assessment finding can suggest a chromosomal disorder?

Which of the following measures could help prevent infant abduction? (Select all that apply.)

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?

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

Where would acrocyanosis be assessed on a newborn?

Within the first hour following a vaginal delivery,the nurse assesses the mother and finds the fundus is firm and there is a trickle of bright red blood.What should be the nurse's reaction to the assessment?

When is breast engorgement most likely to occur?

What is a characteristic of a normal breast-fed infant's stool?

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

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

The 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 Patients Environment

Safety

Admission,transfer,and Discharge

Vital Signs

Physical Assessment

Oxygenation

Elimination and Gastric Intubation

Care of Patients Experiencing Urgent Alterations in Health

Dosage Calculation and Medication Administration

Fluids and Electrolytes

Nutritional Concepts and Related Therapies

Complementary and Alternative Therapies

Pain Management,comfort,rest,and Sleep

Surgical Wound Care

Specimen Collection and Diagnostic Testing

Lifespan 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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