Question 1

In many hospitals new mothers are routinely presented with gift bags containing samples of infant formula.This practice:

Accepted Answer

A)  Is inconsistent with the Baby Friendly Hospital Initiative.
B)  Promotes longer periods of breastfeeding.
C)  Is perceived as supportive to both bottle-feeding and breastfeeding mothers.
D)  Is associated with earlier cessation of breastfeeding. A

Question 2

Much of a woman's behavior during the postpartum period is strongly influenced by her cultural background. Nurses are likely to come into contact with women from many different countries and cultures. All cultures have developed safe and satisfying methods of caring for new mothers and babies. Please match the cultural norm with the nationality of origin.

-Muslim countries

Accepted Answer

A)  Prefer not to give babies colostrum
B)  Eat only warm foods and hot drinks
C)  Take the placenta home to bury
D)  Will not eat pork or pork products
E)  Have an IUD inserted after the first child D

Question 3

Nurses play a critical role in educating parents regarding measures to prevent infant abduction.Which instructions contribute to infant safety and security?

Accepted Answer

A)  The mother should check the photo ID of any person who comes to her room.
B)  The baby should be carried in the parent's arms from the room to the nursery.
C)  Because of infant security systems, the baby can be left unattended in the patient's room.
D)  Parents should use caution when posting photos of their infant on the Internet.
E)  The mom should request that a second staff member verify the identity of any questionable person. A,D,E

Question 4

Much of a woman's behavior during the postpartum period is strongly influenced by her cultural background. Nurses are likely to come into contact with women from many different countries and cultures. All cultures have developed safe and satisfying methods of caring for new mothers and babies. Please match the cultural norm with the nationality of origin.

-Chinese

Accepted Answer

A)  Prefer not to give babies colostrum
B)  Eat only warm foods and hot drinks
C)  Take the placenta home to bury
D)  Will not eat pork or pork products
E)  Have an IUD inserted after the first child

Question 5

Much of a woman's behavior during the postpartum period is strongly influenced by her cultural background. Nurses are likely to come into contact with women from many different countries and cultures. All cultures have developed safe and satisfying methods of caring for new mothers and babies. Please match the cultural norm with the nationality of origin.

-Mexican

Accepted Answer

A)  Prefer not to give babies colostrum
B)  Eat only warm foods and hot drinks
C)  Take the placenta home to bury
D)  Will not eat pork or pork products
E)  Have an IUD inserted after the first child

Question 6

Because a full bladder prevents the uterus from contracting normally,nurses intervene to help the woman empty her bladder spontaneously as soon as possible.If all else fails,the last thing the nurse could try is:

Accepted Answer

A)  Pouring water from a squeeze bottle over the woman's perineum.
B)  Placing oil of peppermint in a bedpan under the woman.
C)  Asking the physician to prescribe analgesics.
D)  Inserting a sterile catheter.

Question 7

Excessive blood loss after childbirth can have several causes; the most common is:

Accepted Answer

A)  Vaginal or vulvar hematomas.
B)  Unrepaired lacerations of the vagina or cervix.
C)  Failure of the uterine muscle to contract firmly.
D)  Retained placental fragments.

Question 8

The nurse caring for the postpartum woman understands that breast engorgement is caused by:

Accepted Answer

A)  Overproduction of colostrum.
B)  Accumulation of milk in the lactiferous ducts and glands.
C)  Hyperplasia of mammary tissue.
D)  Congestion of veins and lymphatics.

Question 9

The laboratory results for a postpartum woman are as follows: blood type,A; Rh status,positive; rubella titer,1:8 (EIA 0.8); hematocrit,30%.How would the nurse best interpret these data?

Accepted Answer

A)  Rubella vaccine should be given.
B)  A blood transfusion is necessary.
C)  Rh immune globulin is necessary within 72 hours of birth.
D)  A Kleihauer-Betke test should be performed.

Question 10

On examining a woman who gave birth 5 hours ago,the nurse finds that the woman has completely saturated a perineal pad within 15 minutes.The nurse's first action is to:

Accepted Answer

A)  Begin an intravenous (IV)  infusion of Ringer's lactate solution.
B)  Assess the woman's vital signs.
C)  Call the woman's primary health care provider.
D)  Massage the woman's fundus.

Question 11

Much of a woman's behavior during the postpartum period is strongly influenced by her cultural background. Nurses are likely to come into contact with women from many different countries and cultures. All cultures have developed safe and satisfying methods of caring for new mothers and babies. Please match the cultural norm with the nationality of origin.

-Korean or other South East Asian countries.

Accepted Answer

A)  Prefer not to give babies colostrum
B)  Eat only warm foods and hot drinks
C)  Take the placenta home to bury
D)  Will not eat pork or pork products
E)  Have an IUD inserted after the first child

Question 12

In the recovery room,if a woman is asked either to raise her legs (knees extended)off the bed or to flex her knees,place her feet flat on the bed,and raise her buttocks well off the bed,most likely she is being tested to see whether she:

Accepted Answer

A)  Has recovered from epidural or spinal anesthesia.
B)  Has hidden bleeding underneath her.
C)  Has regained some flexibility.
D)  Is a candidate to go home after 6 hours.

Question 13

If a woman is at risk for thrombus and is not ready to ambulate,nurses may intervene by performing a number of interventions.Which intervention should the nurse avoid?

Accepted Answer

A)  Putting the patient in antiembolic stockings (TED hose)  and/or sequential compression device (SC
D)   boots.
B)  Having the patient flex, extend, and rotate her feet, ankles, and legs.
C)  Having the patient sit in a chair.
D)  Notifying the physician immediately if a positive Homans' sign occurs.

Question 14

A recently delivered mother and her baby are at the clinic for a 6-week postpartum checkup.The nurse should be concerned that psychosocial outcomes are not being met if the woman:

Accepted Answer

A)  Discusses her labor and birth experience excessively.
B)  Believes that her baby is more attractive and clever than any others.
C)  Has not given the baby a name.
D)  Has a partner or family members who react very positively about the baby.

Question 15

A primiparous woman is to be discharged from the hospital tomorrow with her infant girl.Which behavior indicates a need for further intervention by the nurse before the woman can be discharged?

Accepted Answer

A)  The woman leaves the infant on her bed while she takes a shower.
B)  The woman continues to hold and cuddle her infant after she has fed her.
C)  The woman reads a magazine while her infant sleeps.
D)  The woman changes her infant's diaper and then shows the nurse the contents of the diaper.

Question 16

Under the Newborns' and Mothers' Health Protection Act,all health plans are required to allow new mothers and newborns to remain in the hospital for a minimum of _____ hours after a normal vaginal birth and for _____ hours after a cesarean birth.

Accepted Answer

A)  24, 73
B)  24, 96
C)  48, 96
D)  48, 120

Question 17

A hospital has a number of different perineal pads available for use.A nurse is observed soaking several of them and writing down what she sees.This activity indicates that the nurse is trying to:

Accepted Answer

A)  Improve the accuracy of blood loss estimation, which usually is a subjective assessment.
B)  Determine which pad is best.
C)  Demonstrate that other nurses usually underestimate blood loss.
D)  Reveal to the nurse supervisor that one of them needs some time off.

Question 18

A woman gave birth vaginally to a 9-pound,12-ounce girl yesterday.Her primary health care provider has written orders for perineal ice packs,use of a sitz bath tid,and a stool softener.What information is most closely correlated with these orders?

Accepted Answer

A)  The woman is a gravida 2, para 2.
B)  The woman had a vacuum-assisted birth.
C)  The woman received epidural anesthesia.
D)  The woman has an episiotomy.

Question 19

Which nursing action is most appropriate to correct a boggy uterus that is displaced above and to the right of the umbilicus?

Accepted Answer

A)  Notify the physician of an impending hemorrhage.
B)  Assess the blood pressure and pulse.
C)  Evaluate the lochia.
D)  Assist the patient in emptying her bladder.

Question 20

When caring for a newly delivered woman,the nurse is aware that the best measure to prevent abdominal distention after a cesarean birth is:

Accepted Answer

A)  Rectal suppositories.
B)  Early and frequent ambulation.
C)  Tightening and relaxing abdominal muscles.
D)  Carbonated beverages.

Exam 19: Nursing Care of the Family During the Postpartum Period

In many hospitals new mothers are routinely presented with gift bags containing samples of infant formula.This practice:

Nurses play a critical role in educating parents regarding measures to prevent infant abduction.Which instructions contribute to infant safety and security?

Because a full bladder prevents the uterus from contracting normally,nurses intervene to help the woman empty her bladder spontaneously as soon as possible.If all else fails,the last thing the nurse could try is:

Excessive blood loss after childbirth can have several causes; the most common is:

The nurse caring for the postpartum woman understands that breast engorgement is caused by:

The laboratory results for a postpartum woman are as follows: blood type,A; Rh status,positive; rubella titer,1:8 (EIA 0.8) ; hematocrit,30%.How would the nurse best interpret these data?

On examining a woman who gave birth 5 hours ago,the nurse finds that the woman has completely saturated a perineal pad within 15 minutes.The nurse's first action is to:

In the recovery room,if a woman is asked either to raise her legs (knees extended) off the bed or to flex her knees,place her feet flat on the bed,and raise her buttocks well off the bed,most likely she is being tested to see whether she:

If a woman is at risk for thrombus and is not ready to ambulate,nurses may intervene by performing a number of interventions.Which intervention should the nurse avoid?

A recently delivered mother and her baby are at the clinic for a 6-week postpartum checkup.The nurse should be concerned that psychosocial outcomes are not being met if the woman:

A primiparous woman is to be discharged from the hospital tomorrow with her infant girl.Which behavior indicates a need for further intervention by the nurse before the woman can be discharged?

Under the Newborns' and Mothers' Health Protection Act,all health plans are required to allow new mothers and newborns to remain in the hospital for a minimum of _ hours after a normal vaginal birth and for _ hours after a cesarean birth.

A hospital has a number of different perineal pads available for use.A nurse is observed soaking several of them and writing down what she sees.This activity indicates that the nurse is trying to:

A woman gave birth vaginally to a 9-pound,12-ounce girl yesterday.Her primary health care provider has written orders for perineal ice packs,use of a sitz bath tid,and a stool softener.What information is most closely correlated with these orders?

Which nursing action is most appropriate to correct a boggy uterus that is displaced above and to the right of the umbilicus?

When caring for a newly delivered woman,the nurse is aware that the best measure to prevent abdominal distention after a cesarean birth is: