Deck 9: The Family After Birth

Question 1

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

A) The area should be kept covered with a sterile dressing.
B) Clean the stump with alcohol at every diaper change.
C) Keep the clamp on until the cord falls off.
D) Give the newborn a daily tub bath until the cord falls off.

Answer 1

Clean the stump with alcohol at every diaper change.

Question 2

The nurse assesses the initial lochia postdelivery, which is:

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

Answer 2

Rubra

Question 3

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:

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.

Answer 3

Wear a well-fitting bra continuously for several days.

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

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.

Question 6

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

A) Increased respiratory rate
B) Increased temperature
C) Active muscle tone
D) High-pitched cry

Question 7

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 for 20 minutes."
D) "I put only the nipple in the baby's mouth when I am breastfeeding."

Question 8

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 9

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 10

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 11

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

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 12

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 13

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 doctor
B) Massage the fundus
C) Initiate measures that encourage voiding
D) Position the patient flat

Question 14

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

Question 15

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 16

The nurse can expect which of the following interventions 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 17

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 18

The nurse explains that the physician will order RhoGAM in the event that a/an:

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

Question 19

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

A) Position the bottle so that the nipple is full of formula during the entire feeding.
B) Infant formula can be heated safely in a microwave.
C) Burp the baby after 4 ounces and again when the bottle is empty.
D) Do not prop a bottle for a feeding until the baby is older.

Question 20

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 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 21

While instructing a new mother on formula preparation, the nurse will include information about formula choices, such as: 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 22

The hormone responsible for milk production is ____________________.

Question 23

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

Question 24

The nurse explains that the only absolute contraindication for a mother to breastfeed her child is ____________________ infection.

Question 25

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