Question 1

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 A

Question 2

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)  Feels 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 C

Question 3

Which finding could prevent early discharge of a newborn who is now 12 hours old?

Accepted Answer

A)  Birth weight of 3000 g
B)  One meconium stool since birth
C)  Voided,clear,pale urine three times since birth
D)  Infant breastfed once with some difficulty with latch and sucking and once with some success for about 5 minutes on each breast D

Question 4

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;72
B)  24;96
C)  48;96
D)  48;120

Question 5

Infant abduction from hospitals in the United States has increased over the past few years.As a result many maternity units have put practices into place to protect infants from possible abduction.These practices include:

Accepted Answer

A)  Limited-entry systems
B)  Photo identification badges
C)  Fingerprint identification of all newborns
D)  Infant should always be transported in a bassinet
E)  Staff wear special scrubs or unique ID badges

Question 6

With regard to rubella and Rh issues,nurses should be aware that:

Accepted Answer

A)  Breastfeeding mothers cannot be vaccinated with the live attenuated rubella virus
B)  Women should be warned that the rubella vaccination is teratogenic and they must avoid pregnancy for at least 1 month after vaccination
C)  Rh immune globulin is safely administered intravenously because it cannot harm a nursing infant
D)  Rh immune globulin boosts the immune system and thereby enhances the effectiveness of vaccinations

Question 7

A 25-year-old multiparous woman gave birth to an infant boy 1 day ago.Today her husband brings a large container of brown seaweed soup to the hospital.When the nurse enters the room,the husband asks for help with warming the soup so that his wife can eat it.The nurse's most appropriate response is to ask the woman:

Accepted Answer

A)  "Didn't you like your lunch?"
B)  "Does your doctor know that you are planning to eat that?"
C)  "What is that anyway?"
D)  "I'll warm the soup in the microwave for you."

Question 8

Regardless of her obstetric status,no woman should be discharged from the recovery area until she has completely recovered from the effects of anesthesia and has been cleared by a member of the anesthesia care team.Is this statement true or false?

Accepted Answer

A) True 
 B)False

Question 9

The _________________________ test is used to detect the amount of fetal blood in the maternal circulation.

Accepted Answer

The answer of The _________________________ test is used to detect...

Question 10

A woman gave birth vaginally to a 9-lb,12-oz 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 11

A woman gave birth 48 hours ago to a healthy infant girl.She has decided to bottle-feed.During your assessment you notice that both her breasts are swollen,warm,and tender on palpation.The woman should be advised that this condition can best be treated by:

Accepted Answer

A)  Running warm water on her breasts during a shower
B)  Applying ice to the breasts for comfort
C)  Expressing small amounts of milk from the breasts to relieve pressure
D)  Wearing a loose-fitting bra to prevent nipple irritation

Question 12

What is not a postpartum practice for preventing infections?

Accepted Answer

A)  Not letting the mother walk barefoot at the hospital
B)  Educating the client to wipe from back to front after voiding
C)  Having staff members with conditions such as strep throat,conjunctivitis,and diarrhea stay home
D)  Instructing the mother to change her perineal pad from front to back each time she voids or defecates

Question 13

What will prevent early discharge of a postpartum woman?

Accepted Answer

A)  Hgb 
B)  Birth at 38 weeks of gestation
C)  Voids about 200 to 300 ml per void
D)  Episiotomy that shows slight redness and edema and is dry and approximated

Question 14

Many new mothers experience some type of nipple pain during the first weeks of initiating breastfeeding.Should this pain be severe or persistent,it may discourage or inhibit breastfeeding altogether.The nurse should be aware of a variety of factors that may contribute to nipple pain.These include:

Accepted Answer

A)  Improper feeding position
B)  Large-for-gestational age infant
C)  Fair skin
D)  Progesterone deficiency
E)  Flat or retracted nipples

Question 15

If a woman is at risk for thrombus and is not ready to ambulate,nurses might intervene by doing all of these interventions except:

Accepted Answer

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

Question 16

During the immediate postpartum period,saturation of one pad within 1 hour or less is considered ____________________ blood loss.

Accepted Answer

The answer of During the immediate postpartum period,saturation of one...

Question 17

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 is disinterested in learning about infant care.
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 18

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 might 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 19

If a mother and her family have freely chosen early discharge from the hospital,the nurse and the health care provider are not legally responsible if complications occur and her condition had not been stabilized within normal limits.Is this statement true or false?

Accepted Answer