Deck 55: Postpartum and Newborn Drugs

Question 1

A woman with a newborn elects not to breastfeed. Which measure will most effectively assist in suppressing her milk supply?

A) Stimulation of the breasts
B) Restriction of fluid intake
C) A supportive bra worn at all times
D) Heat applied to the breasts

Answer 1

A supportive bra worn at all times

Question 2

How should the nurse interpret a rubella titer of 1:6/1:10?

A) The rubella vaccine is likely to cause anaphylactic reaction.
B) The rubella vaccine will likely be ineffective with this client.
C) The client has no need for the rubella vaccine.
D) The client has a need for the rubella vaccine.

Answer 2

The client has a need for the rubella vaccine.

Question 3

A client complains of constipation during the postpartum period. Which nursing intervention would be highest priority to include in the client's plan of care?

A) Drink 3 to 4 glasses of fluid per day.
B) Limit activity.
C) Eat beans or cabbage.
D) Avoid using laxatives for longer than a week.

Answer 3

Avoid using laxatives for longer than a week.

Question 4

The nurse is developing a client teaching session about the use of witch hazel in the postpartum period. What is the most accurate instruction that the nurse can provide?

A) Contact a healthcare provider if perineal discomfort does not improve within 7 days.
B) Warm commercial witch hazel pads to increase analgesic properties.
C) Pour lukewarm liquid witch hazel into a cup and soak gauze squares in solution before application.
D) Insert medicated pads gently into the rectum if hemorrhoids are present.

Question 5

The client is scheduled to be treated with bisacodyl (Dulcolax) to promote postpartum bowel function. What is the most important instruction that the nurse should give the client?

A) Always crush the tablets.
B) Give within 1 hour of drinking milk.
C) Never crush the tablets.
D) Give within 1 hour of taking an antacid.

Question 6

The nurse is caring for a newborn immediately after birth. The highest priority nursing intervention to prevent bleeding is to:

A) administer feeding formula that contains iron.
B) order clotting factor studies after birth.
C) wrap the baby in double blankets.
D) administer vitamin K.

Question 7

The client has a perineal wound as a result of a laceration that occurred during the birth process. What is the most accurate nonpharmacologic measure that the nurse teaches the client to use for relief?

A) Warm sitz bath 2 to 3 hours after delivery
B) Cool sitz bath 12 to 24 hours after delivery
C) Client positioned supine or prone
D) Early and frequent ambulation

Question 8

A client is experiencing postpartum discomfort. Three days postpartum, which analgesic will the nurse offer first?

A) Morphine
B) Meperidine
C) Ibuprofen
D) Aspirin

Question 9

A nurse is teaching a woman about the care of her newborn's umbilical cord. Which reflects the current recommendations?

A) The use of triple dye
B) Dry cord care
C) The use of alcohol
D) The use of bacitracin ointment

Question 10

The client expresses concern to the nurse about her need for an effective nonpharmacologic measure during the postpartum period to promote bowel function and prevent constipation. What is the nurse's best recommendation to the client?

A) Rest on left side in bed during the first 6 to 8 hours after delivery.
B) Order cottage cheese on meal tray to promote bowel flora.
C) Drink a minimum of 24 ounces of fluid per day.
D) Do not attempt early defecation because urge sensation can present as referred pain.

Question 11

Which baby would not be a candidate to receive Rh_o (D) immune globulin (RhoGAM)?

A) Direct Coombs' test positive
B) Mother is indirect Coombs' test negative
C) Rho(D) positive
D) Rho(D) negative

Question 12

The instruction that would be contraindicated for women with fourth-degree perineal lacerations is to use:

A) topical witch hazel.
B) rectal suppositories.
C) peribottles frequently.
D) sitz baths frequently.