Question 1

After birth,the nurse quickly dries and wraps the newborn in a blanket.How does this action prevent heat loss?

Accepted Answer

A)   Conduction
B)   Radiation
C)   Evaporation
D)   Convection C

Question 2

What would the nurse expect to find when assessing the fundus of the uterus immediately after delivery?

Accepted Answer

A)   Well-contracted with its upper border at or just below the umbilicus
B)   Well-contracted with its upper border three or four fingerbreadths above the umbilicus
C)   Relaxed with its upper border level with the umbilicus
D)   Relaxed with its upper border two or three fingerbreadths below the umbilicus A

Question 3

Which statement indicates the new mother is breastfeeding correctly?

Accepted Answer

A)   "I will alternate breasts when feeding the baby."
B)   "I keep the baby on a 4-hour feeding schedule."
C)   "I let the baby stay on the first breast only 5 minutes."
D)   "I put only the nipple in the baby's mouth when I am breastfeeding." A

Question 4

On the second postpartum day,a mother bathed her newborn for the first time.She tells the nurse,"I don't think I did it right." What postpartum psychological stage is this woman most likely in based on this comment?

Accepted Answer

A)   Taking in
B)   Taking hold
C)   Letting go
D)   Settling down

Question 5

The nurse is assessing a newborn.Which sign would indicate hypoglycemia?

Accepted Answer

A)   Increased nasal mucus
B)   Increased temperature
C)   Active muscle movements
D)   High-pitched cry

Question 6

The nurse is counseling a lactating mother about diet.What would the nurse include with this information?

Accepted Answer

A)   Consume 500 more calories than her usual prepregnancy diet.
B)   Eat less meat and more fruits and vegetables.
C)   Drink 3 to 4 tall glasses of fluid daily.
D)   Eat 1000 more calories than her usual prepregnancy diet.

Question 7

After delivery,the nurse's assessment reveals a soft,boggy uterus located above the level of the umbilicus.What is the most appropriate nursing intervention?

Accepted Answer

A)   Notify the physician.
B)   Massage the fundus.
C)   Initiate measures that encourage voiding.
D)   Position the patient flat.

Question 8

A woman required a cesarean section for safe delivery of her newborn.She is planning to breastfeed and verbalized concern about pain.What is the best suggestion by the nurse?

Accepted Answer

A)   "Consider formula feeding for the first few days."
B)   "Pumping breast milk would be best for now."
C)   "Take pain medication 30 to 40 minutes prior to nursing."
D)   "Use the football hold when breastfeeding."

Question 9

A woman has given birth to an unresponsive newborn that NICU staff are attempting to revive.The patient and her husband are grief stricken and request the child be baptized immediately.What is the nurse's most appropriate action?

Accepted Answer

A)   Contact the hospital chaplain.
B)   Request the couple's clergy.
C)   Baptize the newborn.
D)   Ask the physician to baptize the newborn.

Question 10

What type of lochia will the nurse assess initially after delivery?

Accepted Answer

A)   Serosa
B)   Rubra
C)   Alba
D)   Vaginalis

Question 11

A primipara tells the nurse,"My afterpains get worse when I am breastfeeding." What is the most appropriate nursing response?

Accepted Answer

A)   "I'll get you some aspirin to relieve the cramping that you feel."
B)   "Afterpains are more intense with your first baby."
C)   "Breastfeeding releases a hormone that causes your uterus to contract."
D)   "A change of position when you're breastfeeding might help."

Question 12

The nurse is caring for a woman of Middle Eastern descent on the first postpartum day.Education is provided regarding instruction on use of a sitz bath.What documentation best indicates that the woman has understood the provided instruction?

Accepted Answer

A)   Patient correctly performed return demonstration.
B)   Patient indicated understanding by nodding head with instruction.
C)   Patient verbalizes "I understand."
D)   Family member indicates patient understands procedure.

Question 13

What instruction should the nurse teach the postpartum woman about perineal self-care?

Accepted Answer

A)   Perform perineal self-care at least twice a day.
B)   Cleanse with warm water in a squeeze bottle from front to back.
C)   Remove perineal pads from the rectal area toward the vagina.
D)   Use cool water to decrease edema of the perineum.

Question 14

The nurse instructed a postpartum woman about storing and freezing breast milk.What statement by the woman leads the nurse to determine that the teaching was effective?

Accepted Answer

A)   "I can thaw frozen breast milk in the microwave."
B)   "I'll put enough breast milk for one day in a container."
C)   "Breast milk can be stored in glass containers."
D)   "Breast milk can be kept in the refrigerator for up to 3 months."

Question 15

Below what blood glucose level is the newborn considered hypoglycemic?

Accepted Answer

A)   Below 70 mg/dL
B)   Below 60 mg/dL
C)   Below 50 mg/dL
D)   Below 40 mg/dL

Question 16

A woman will be discharged 48 hours after a vaginal delivery.When planning discharge teaching,the nurse would include what information about lochia?

Accepted Answer

A)   Lochia should disappear 2 to 4 weeks postpartum.
B)   It is normal for the lochia to have a slightly foul odor.
C)   A change in lochia from pink to bright red should be reported.
D)   A decrease in flow will be noticed with ambulation and activity.

Question 17

What should the nurse implement for security purposes when bringing the infant from the nursery to the mother?

Accepted Answer

A)   Ask,"Is this your band number?"
B)   Confirm room number of mother.
C)   Ask the mother to identify herself verbally.
D)   Check the band number of the infant with that of the mother.

Question 18

The nurse is giving a shower to a patient who had a cesarean section 2 days previously.What interventions should be included before,during,and after the shower? (Select all that apply. )

Accepted Answer

A)   Leave abdominal dressing open to air.
B)   Position patient with back to water stream.
C)   Cover infusion site with rubber glove.
D)   Provide a shower chair.
E)   Confirm ambulation ability.

Question 19

A postpartum woman is not immune to rubella.What will the nurse expect?

Accepted Answer

A)   The rubella virus vaccine should be administered before discharge.
B)   The woman should receive the rubella virus vaccine at her 6-week postpartum checkup.
C)   The woman should be instructed not to get pregnant until she receives the rubella vaccine.
D)   No intervention is indicated at this time because the woman is not at risk for rubella.

Question 20

A woman asks about resumption of her menstrual cycle after childbirth.What should the nurse respond?

Accepted Answer

A)   A woman will not ovulate in the absence of menstrual flow.
B)   Most nonlactating women resume menstruation about 2 months postpartum.
C)   Generally,a woman does not ovulate in the first few cycles after childbirth.
D)   The return of menstruation is delayed when a woman does not breastfeed.

Exam 9: The Family After Birth