Question 1

The nurse is supervising a student nurse who is working with a 14-year-old client who delivered her first child yesterday.Which statement indicates that the nursing student needs additional information before caring for this client?

A)"Because of her age,this client will need less teaching because she will have gotten the right information in school."
B)"Because of her age,this client will require less frequent fundal checks to assess for postpartal hemorrhage."
C)"Because of her age,this client will probably need extra teaching about the terminology for her anatomy."
D)"Because of her age,this client will need to have her grandmother provide daycare and help raise the baby."

Accepted Answer

&#34;Because of her age,this client will probably need extra teaching about the terminology for her anatomy.&#34;

Question 2

The nurse is caring for a client who plans to relinquish her baby for adoption.The nurse would implement which of the following approaches to care? Select all that apply.&#10;A)Encourage the client to see and hold her infant.&#10;B)Encourage the client to express her emotions.&#10;C)Respect any special requests for the birth.&#10;D)Acknowledge the grieving process in the client.&#10;E)Allow for access to the infant if the client requests it.&#10;

Accepted Answer

It is important to encourage the client to express her emotions, respect any special requests for the birth, acknowledge the grieving process in the client, and allow for access to the infant if the client requests it. However, encouraging the client to see and hold her infant may not be appropriate for all clients, as it may cause undue emotional distress. Therefore, A is not a necessary approach to care in all cases.

Question 3

The postpartum client has chosen to bottle-feed her infant.Nursing actions that aid in lactation suppression include:&#10;A)Warm showers b.i.d.&#10;B)Pumping milk t.i.d.&#10;C)Ice packs to the axillary area of each breast q.i.d.&#10;D)Avoiding wearing a bra for 5-7 days.&#10;

Accepted Answer

Ice packs to the axillary area of each breast q.i.d. can help decrease swelling and discomfort associated with lactation.

Question 4

A postpartum client has just received a rubella vaccination.The client demonstrates understanding of the teaching associated with administration of this vaccine when she states:&#10;A)&#34;I will need another vaccination in three months.&#34;&#10;B)&#34;I must avoid getting pregnant for three months.&#34;&#10;C)&#34;This will prevent me from getting chickenpox.&#34;&#10;D)&#34;This will protect my newborn from getting the measles.&#34;&#10;

Accepted Answer

The statement "I must avoid getting pregnant for three months" demonstrates the client's understanding that the rubella vaccine can cause birth defects if the client were to become pregnant within three months of receiving the vaccine. Option A is not accurate as the client only needs one vaccination in adulthood. Option C is not accurate as the rubella vaccine does not protect against chickenpox. Option D is not accurate as the rubella vaccine protects against rubella (also known as German measles), not the regular measles.

Question 5

The nurse is caring for a client who delivered by cesarean birth.The client received a general anesthetic.The nurse would encourage which of the following in order to prevent or minimize abdominal distention? Select all that apply.

A)Increased intake of cold beverages
B)Leg exercises every 2 hours
C)Abdominal tightening
D)Ambulation
E)Using a straw to drink fluids

Accepted Answer

The answer of The nurse is caring for a client...

Question 6

Which of the following best describes the advantage of patient-controlled analgesia (PCA)for the client following a cesarean birth?&#10;A)The client receives a bolus of the analgesia when pressing the button.&#10;B)The client experiences pain relief within 30 minutes.&#10;C)The client feels a greater sense of control and less dependence on the nursing staff.&#10;D)The client can deliver as many doses of the medication as are needed.&#10;

Accepted Answer

Patient-controlled analgesia (PCA) is designed to give the patient more control over their pain management. This is especially important following a cesarean birth, where the patient may feel pain and discomfort for several days. With PCA, the patient is able to control the timing and amount of medication they receive, making them feel more in control of their own care. This helps to reduce anxiety and promote a greater sense of satisfaction with their overall care. While A, B, and D are all elements of PCA, none of these fully captures the advantage of patient control that is central to this form of pain management.

Question 7

The postpartum nurse is planning discharge teaching for the new postpartum mother.Which of the following is the best way to teach information to this client?&#10;A)Provide all information while discharging the patient.&#10;B)Provide written discharge material only.&#10;C)No teaching is required,as this is not the client's first postpartum experience.&#10;D)Deliver information a little at a time and repeat it until discharge.&#10;

Accepted Answer

Delivering information a little at a time and repeating it until discharge is the best way to ensure that the information is effectively communicated and understood. Providing too much information at once can be overwhelming, and relying solely on written materials may not address the client's individual questions or concerns. Even if the client has previous postpartum experience, it is still important to provide updated information and address any potential changes or concerns specific to this pregnancy and postpartum period.

Question 8

The nurse instructs the postpartum client that she can resume light housekeeping after the:&#10;A)Second week at home.&#10;B)First week at home.&#10;C)Six-week postpartum checkup.&#10;D)Second day at home.&#10;

Accepted Answer

Light housekeeping can typically be resumed after the second week at home, allowing time for initial postpartum recovery.

Question 9

A postpartum client calls the telephone triage nurse and reports that her 2-month-old infant has a fever.She asks the nurse what to give the baby.The nurse suggests:&#10;A)Tylenol drops.&#10;B)Aspirin.&#10;C)Advil.&#10;D)Motrin.&#10;

Accepted Answer

Tylenol drops are the recommended medication for infants with a fever. Aspirin should never be given to infants or young children because it has been associated with the dangerous condition called Reye syndrome. Advil and Motrin contain ibuprofen which is not recommended for use in infants under 6 months old without direct guidance from a healthcare provider.

Question 10

A client is preparing to take a Sitz bath for the first time.The nurse will:&#10;A)Allow the client privacy during the Sitz bath time.&#10;B)Place a call bell well within reach and check on the client frequently.&#10;C)Discourage the client from taking a Sitz bath.&#10;D)Check on the client after the Sitz bath.&#10;

Accepted Answer

Placing a call bell within reach and checking on the client frequently ensures safety and allows the client to ask questions or call for assistance if needed. Allowing privacy during the Sitz bath is appropriate, but not the best answer in terms of safety. Discouraging the client from taking a Sitz bath is not appropriate without a medical reason. Checking on the client after the Sitz bath is good practice, but not the best answer in terms of safety during the bath.

Question 11

The breastfeeding client asks the nurse about appropriate contraception.The nurse would state:&#10;A)&#34;Breastfeeding has many effects on sexual intercourse.&#34;&#10;B)&#34;IUDs are easy to use and easy to insert prior to sexual intercourse.&#34;&#10;C)&#34;Breastfeeding hampers ovulation,but to be safe,some form of contraception should be utilized to prevent pregnancy.&#34;&#10;D)&#34;Breastfeeding hampers ovulation,so no contraception is needed.&#34;&#10;

Accepted Answer

The answer of The breastfeeding client asks the nurse about...

Question 12

RhoGAM is given to the postpartum client for the purpose of:&#10;A)Preventing congenital birth defects through vaccination.&#10;B)Preventing or avoiding the chronic state of infection of hepatitis B.&#10;C)Preventing sensitization from the fetomaternal transfusion of Rh-positive fetal red blood cells.&#10;D)Preventing the spread of Group B streptococcal infection in the client's neonate.&#10;

Accepted Answer

The answer of RhoGAM is given to the postpartum client...

Question 13

Which of the following safety devices is most appropriate for the nurse making home visits?&#10;A)Personal handgun&#10;B)Cell phone&#10;C)Can of mace&#10;D)Map of the area&#10;

Accepted Answer

The answer of Which of the following safety devices is...

Question 14

A new parent is concerned about spoiling her newborn.The home care nurse teaches the mother that:&#10;A)Newborns can be manipulative,so caution is advised.&#10;B)Meeting the infant's needs develops a trusting relationship.&#10;C)Spoiling occurs when an infant is rocked to sleep every night.&#10;D)Crying is good for a baby,and letting them cry it out is advised.&#10;

Accepted Answer

The answer of A new parent is concerned about spoiling...

Question 15

The nurse assesses the postpartum client to have moderate lochia rubra with clots.Which of the following nursing interventions would be appropriate?&#10;A)Assess fundus and bladder status.&#10;B)Catheterize the client.&#10;C)Administer Methergine IM per order.&#10;D)Contact the physician immediately.&#10;

Accepted Answer

The answer of The nurse assesses the postpartum client to...

Deck 31: The Postpartal Family: Early Care Needs and Home Care