Question 1

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

Accepted Answer

Immediately after the placenta is expelled,the uterine fundus can be felt as a firm mass,about the size of a grapefruit,at the level of the umbilicus.

Question 2

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

Accepted Answer

Diaper placement below the umbilical stump allows for drying by air circulation.

Question 3

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

Accepted Answer

To maintain nutrient stores while breastfeeding,the mother needs 500 additional calories each day over her prepregnancy diet.

Question 4

A new mother states her preference to formula feed her newborn.What will the nurse planning discharge instructions tell her to help suppress lactation and promote comfort?

Accepted Answer

When a mother does not wish to breastfeed,a snug bra worn around the clock can help alleviate discomfort from engorgement.

Question 5

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

Accepted Answer

Newborns lose heat quickly after birth as fluid evaporates from their bodies.

Question 6

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?

Accepted Answer

The fundus is checked gently by walking the fingers from the side of the uterus to the midline.

Question 7

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

Accepted Answer

The woman who is not immune to rubella is immunized in the immediate postpartum period because there is no danger of her being pregnant.

Question 8

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

Accepted Answer

Menstrual periods resume in about 6 to 8 weeks if the woman is not breastfeeding.

Question 9

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

Accepted Answer

Breastfeeding mothers may have more afterpains because infant suckling causes the posterior pituitary to release oxytocin,which is a hormone that contracts the uterus.

Question 10

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

Breast milk can be safely stored in glass or clear hard plastic containers.

Question 11

Which statement indicates the new mother is breastfeeding correctly?

Accepted Answer

Alternating breasts for feeding increases milk production,particularly hindmilk,which has a higher protein and fat content.

Question 12

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

Accepted Answer

The initial vaginal discharge after delivery is called lochia rubra.It is red and moderately heavy.Lochia rubra lasts for up to 3 days postpartum.

Question 13

In what situation will the physician order RhoGAM?

Accepted Answer

The Rh-negative woman should receive RhoGAM within 72 hours after the birth of an Rh-positive infant.

Question 14

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 return to bright red lochia rubra may indicate a late postpartum hemorrhage and must be reported.

Question 15

The nurse is assessing a newborn.What sign of hypoglycemia does the nurse record?

Accepted Answer

There are many signs of hypoglycemia in the newborn.One is a high-pitched cry.

Question 16

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 poorly contracted uterus should be massaged until firm to prevent hemorrhage.

Question 17

What statement made by a new mother indicates she needs additional information about breastfeeding?

Accepted Answer

Supplemental feedings of formula or water should not be offered to a healthy newborn who is breastfeeding.

Question 18

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

Accepted Answer

Cleansing from front to back prevents contamination from the rectal area.

Question 19

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

In phase 2,taking hold,the mother begins to initiate action and becomes interested in caring for the infant.In doing so,she may become critical of her performance.

Question 20

A new mother has decided not to breastfeed her newborn.What information will the nurse include when planning to teach the mother about formula feeding?

Accepted Answer

The nipple of the bottle should be kept full of formula to reduce the amount of air the infant swallows.

Quiz 9: The Family After Birth