Deck 9: The Family After Birth

Question 1

After birth,the nurse quickly dries and wraps the newborn in a blanket to prevent heat loss by:

A) conduction.
B) radiation.
C) evaporation.
D) convection.

Answer 1

evaporation.

Question 2

Following delivery,the nurse's assessment reveals a soft,boggy uterus located above the level of the umbilicus.The appropriate intervention is to:

A) notify the physician.
B) massage the fundus.
C) initiate measures that encourage voiding.
D) position the patient flat.

Answer 2

massage the fundus.

Question 3

When a woman asks about resumption of her menstrual cycle after childbirth,the nurse responds that:

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.

Answer 3

most nonlactating women resume menstruation about 2 months postpartum.

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." Based on the mother's comment,she is most likely in the postpartum psychological stage of:

A) taking in.
B) taking hold.
C) letting go.
D) settling down.

Question 5

The nurse instructed a postpartum woman about storing and freezing breast milk.The nurse determines that the teaching was effective when the woman says:

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 6

The nurse should teach the postpartum woman about perineal self-care by instructing her to:

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 7

A new mother has decided not to breastfeed her newborn.The nurse planning to teach the mother about formula feeding would include:

A) positioning the bottle so that the nipple is full of formula during the entire feeding.
B) heating infant formula in a microwave.
C) burping the infant after 4 ounces and again when the bottle is empty.
D) propping a bottle for a feeding.

Question 8

The nurse's instructions for a new mother to care for the infant's umbilical cord will include:

A) keeping the area covered with a sterile dressing.
B) dressing the stump with antibiotic ointment at every diaper change.
C) fastening diaper low to allow for air circulation.
D) giving the newborn a daily tub bath until the cord falls off.

Question 9

The nurse explains that the physician will order RhoGAM in the event that a(n):

A) unsensitized Rh-negative mother has an Rh-positive infant.
B) Rh-negative mother becomes sensitized.
C) sensitized infant has a rising bilirubin level.
D) unsensitized infant exhibits no outward signs.

Question 10

The nurse assesses the initial lochia postdelivery,which is known as:

A) serosa.
B) rubra.
C) alba.
D) vaginalis.

Question 11

The nurse can expect which intervention to be ordered if the postpartum woman is not immune to rubella?

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 12

The nurse assessing a newborn recognizes a sign of hypoglycemia,which is:

A) increased nasal mucus.
B) increased temperature.
C) active muscle movements.
D) high-pitched cry.

Question 13

The nurse counseling a lactating mother about diet would include instructions to:

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 1,000 more calories than her usual prepregnancy diet.

Question 14

A primipara tells the nurse,"My afterpains get worse when I am breastfeeding." The most appropriate nursing response would be:

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 15

In the recovery room,the nurse checks the newly delivered woman's fundus following a cesarean section.How would the nurse proceed with this assessment?

A) Palpate from the midline to the side of the body.
B) Palpate from the symphysis to the umbilicus.
C) Palpate from the side of the uterus to the midline.
D) Massage the abdomen in a circular motion.

Question 16

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

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

The nurse assessing the fundus of the uterus immediately after delivery would expect to find the uterus:

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.

Question 18

A new mother states her preference to formula feed her newborn.The nurse planning discharge instructions would tell her about a measure to help suppress lactation and promote comfort,which is to:

A) wear a well-fitting bra continuously for several days.
B) stand in a warm shower, letting the water spray over the breasts.
C) express small amounts of milk from the breasts several times a day.
D) massage the breasts when they ache.

Question 19

The statement made by a new mother that indicates she needs additional information about breastfeeding is:

A) "I let the baby nurse 10 to 15 minutes on the first breast and then switch to the other breast. "
B) "The baby needs to nurse at least 5 minutes on the breast to get the hindmilk. "
C) "The baby has been nursing every 2 to 3 hours. "
D) "If the baby gets fussy between feedings, I give her a bottle of water. "

Question 20

The statement that indicates the new mother is breastfeeding correctly is:

A) "I will put the baby first on the breast that she took last in the previous feeding. "
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. "

Question 21

What postpartum exercise(s)should the nurse teach a patient who had a vaginal delivery yesterday? Select all that apply.

A) Abdominal tighteners
B) Head lift
C) Pelvic tilt
D) Kegel exercises
E) Leg lifts

Question 22

The nurse assesses a 6-inch stain of lochia rubra on a pad that was worn for 2 hours.The nurse would document this as a(n)________________ amount of lochia.

Question 23

The nurse explains that the three infections that are contraindications to breastfeeding are _______________,_______________,and ________________.

Question 24

The hormone responsible for milk production is ____________________.

Question 25

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

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 26

For security purposes,when the nurse brings the infant from the nursery to the mother the nurse should:

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 to that of the mother.

Question 27

Which assessment(s)would lead the nurse to determine the gestational age of the infant as preterm? Select all that apply.

A) Thin, transparent skin
B) Vernix only in the body creases
C) Folded ear springs back slowly
D) Breast tissue under the nipple
E) Creases over entire sole

Question 28

While instructing a new mother on formula preparations,what type(s)would the nurse include? Select all that apply.

A) Ready-to-feed formula
B) Concentrated liquid formula
C) Powdered formula
D) Cow's milk
E) Canned evaporated milk

Question 29

The nurse is aware that the newborn is considered hypoglycemic if the blood glucose level is below _____ mg/dL.

A) 70
B) 60
C) 50
D) 40

Question 30

The hormone responsible for milk "let-down" or ejection from the breasts is ____________.