Question 1

A woman gave birth vaginally to a 9-pound,12-ounce girl yesterday.Her primary health care provider has written orders for perineal ice packs,use of a sitz bath tid,and a stool softener.What information is most closely correlated with these orders?

Accepted Answer

A)   The woman is a gravida 2, para 2.
B)   The woman had a vacuum-assisted birth.
C)   The woman received epidural anesthesia.
D)   The woman has an episiotomy. D

Question 2

A postpartum patient asks,"Will these stretch marks go away?" The nurse's best response is

Accepted Answer

A)   "They will continue to fade and should be gone by your 6-week checkup."
B)   "No, never."
C)   "Yes, eventually."
D)   "They will fade to silvery lines but won't disappear completely."

Question 3

In providing support to a new mother who must return to full-time employment 6 weeks after a vaginal delivery,the nurse should

Accepted Answer

A)   Allow her to express her positive and negative feelings freely.
B)   Reassure her that she'll get used to leaving her baby.
C)   Discuss child care arrangements with her.
D)   Allow her to solve the problem on her own.

Question 4

Two days ago,a woman gave birth to a full-term infant.Last night,she awakened several times to urinate and noted that her gown and bedding were wet from profuse diaphoresis.One mechanism for the diaphoresis and diuresis that this woman is experiencing during the early postpartum period is

Accepted Answer

A)   Elevated temperature caused by postpartum infection
B)   Increased basal metabolic rate after giving birth
C)   Loss of increased blood volume associated with pregnancy
D)   Increased venous pressure in the lower extremities

Question 5

Which maternal event is abnormal in the early postpartum period?

Accepted Answer

A)   Diuresis and diaphoresis
B)   Flatulence and constipation
C)   Extreme hunger and thirst
D)   Lochial color changes from rubra to alba

Question 6

Because a full bladder prevents the uterus from contracting normally,nurses intervene to help the woman empty her bladder spontaneously as soon as possible.If all else fails,the last thing the nurse might try is

Accepted Answer

A)   Pouring water from a squeeze bottle over the woman's perineum
B)   Providing hot tea
C)   Asking the physician to prescribe analgesics
D)   Inserting a sterile catheter

Question 7

Which finding 12 hours after birth requires further assessment?

Accepted Answer

A)   The fundus is palpable two fingerbreadths above the umbilicus.
B)   The fundus is palpable at the level of the umbilicus.
C)   The fundus is palpable one fingerbreadth below the umbilicus.
D)   The fundus is palpable two fingerbreadths below the umbilicus.

Question 8

The acronym ________ is used as a reminder that the site of an episiotomy or perineal laceration should be assessed for five physical signs.

Accepted Answer

REEDA
The acronym REEDA indicates rednes...

Question 9

Clotting factors and fibrinogen levels normally are decreased during pregnancy and remain low in the immediate puerperium.This hypocoagulable state increases the risk of thromboembolism,especially after cesarean birth.Is this statement true or false?

Accepted Answer

A) True 
 B)False

Question 10

A new father states,"I know nothing about babies," but he seems to be interested in learning.The nurse should

Accepted Answer

A)   Continue to observe his interaction with the newborn.
B)   Tell him when he does something wrong.
C)   Show no concern, as he will learn on his own.
D)   Include him in teaching sessions.

Question 11

On observing a woman on her first postpartum day sitting in bed while her newborn lies awake in the bassinet,the nurse should

Accepted Answer

A)   Realize that this situation is perfectly acceptable.
B)   Offer to hand the baby to the woman.
C)   Hand the baby to the woman.
D)   Explain "taking in" to the woman.

Question 12

Which hormone remains elevated in the immediate postpartum period of the breastfeeding woman?

Accepted Answer

A)   Estrogen
B)   Progesterone
C)   Prolactin
D)   Human placental lactogen C

Question 13

A 25-year-old gravida 1 para 1 who had an emergency cesarean birth 3 days ago is scheduled for discharge.As you prepare her for discharge,she begins to cry.Your initial action should be to

Accepted Answer

A)   Assess her for pain.
B)   Point out how lucky she is to have a healthy baby.
C)   Explain that she is experiencing postpartum blues.
D)   Allow her time to express her feelings.

Question 14

If rubella vaccine is indicated for a postpartum patient,instructions to the patient should include

Accepted Answer

A)   Drinking plenty of fluids to prevent fever
B)   No specific instructions
C)   Recommending that she stop breastfeeding for 24 hours after injection
D)   Explaining the risks of becoming pregnant within 1 month after injection

Question 15

A 25-year-old multiparous woman gave birth to an infant boy 1 day ago.Today her husband brings a large container of brown seaweed soup to the hospital.When the nurse enters the room,the husband asks for help with warming the soup so that his wife can eat it.The nurse's most appropriate response is to ask the woman

Accepted Answer

A)   "Didn't you like your lunch?"
B)   "Does your doctor know that you are planning to eat that?"
C)   "What is that anyway?"
D)   "I'll warm the soup in the microwave for you."

Question 16

Rho immune globulin will be ordered postpartum if which situation occurs?

Accepted Answer

A)   Mother Rh-, baby Rh+
B)   Mother Rh-, baby Rh-
C)   Mother Rh+, baby Rh+
D)   Mother Rh+, baby Rh-

Question 17

When caring for a newly delivered woman,the nurse is aware that the best measure to prevent abdominal distention after a cesarean birth is

Accepted Answer

A)   Rectal suppositories
B)   Early and frequent ambulation
C)   Tightening and relaxing abdominal muscles
D)   Carbonated beverages

Question 18

Postpartal overdistention of the bladder and urinary retention can lead to which complication?

Accepted Answer

A)   Postpartum hemorrhage and eclampsia
B)   Fever and increased blood pressure
C)   Postpartum hemorrhage and urinary tract infection
D)   Urinary tract infection and uterine rupture

Question 19

The nurse caring for the postpartum woman understands that breast engorgement is caused by

Accepted Answer

A)   Overproduction of colostrum
B)   Accumulation of milk in the lactiferous ducts and glands
C)   Hyperplasia of mammary tissue
D)   Congestion of veins and lymphatics D

Question 20

To assess fundal contraction 6 hours after cesarean delivery,the nurse should

Accepted Answer

A)   Palpate forcefully through the abdominal dressing.
B)   Gently palpate, applying the same technique used for vaginal deliveries.
C)   Place hands on both sides of the abdomen and press downward.
D)   Rely on assessment of lochial flow rather than palpating the fundus.

Exam 20: Postpartum Adaptations

A woman gave birth vaginally to a 9-pound,12-ounce girl yesterday.Her primary health care provider has written orders for perineal ice packs,use of a sitz bath tid,and a stool softener.What information is most closely correlated with these orders?

Correct Answer
verified
D

A postpartum patient asks,"Will these stretch marks go away?" The nurse's best response is

Correct Answer
verified

In providing support to a new mother who must return to full-time employment 6 weeks after a vaginal delivery,the nurse should

Correct Answer
verified

Two days ago,a woman gave birth to a full-term infant.Last night,she awakened several times to urinate and noted that her gown and bedding were wet from profuse diaphoresis.One mechanism for the diaphoresis and diuresis that this woman is experiencing during the early postpartum period is

Correct Answer
verified

Which maternal event is abnormal in the early postpartum period?

Correct Answer
verified

Because a full bladder prevents the uterus from contracting normally,nurses intervene to help the woman empty her bladder spontaneously as soon as possible.If all else fails,the last thing the nurse might try is

Correct Answer
verified

Which finding 12 hours after birth requires further assessment?

Correct Answer
verified

The acronym ________ is used as a reminder that the site of an episiotomy or perineal laceration should be assessed for five physical signs.

Correct Answer
verified
REEDA
The acronym REEDA indicates rednes...
View Answer

Clotting factors and fibrinogen levels normally are decreased during pregnancy and remain low in the immediate puerperium.This hypocoagulable state increases the risk of thromboembolism,especially after cesarean birth.Is this statement true or false?

Correct Answer
verified

A new father states,"I know nothing about babies," but he seems to be interested in learning.The nurse should

Correct Answer
verified

On observing a woman on her first postpartum day sitting in bed while her newborn lies awake in the bassinet,the nurse should

Correct Answer
verified

Which hormone remains elevated in the immediate postpartum period of the breastfeeding woman?

Correct Answer
verified
C

A 25-year-old gravida 1 para 1 who had an emergency cesarean birth 3 days ago is scheduled for discharge.As you prepare her for discharge,she begins to cry.Your initial action should be to

Correct Answer
verified

If rubella vaccine is indicated for a postpartum patient,instructions to the patient should include

Correct Answer
verified

Correct Answer
verified

Rh_o immune globulin will be ordered postpartum if which situation occurs?

Correct Answer
verified

When caring for a newly delivered woman,the nurse is aware that the best measure to prevent abdominal distention after a cesarean birth is

Correct Answer
verified

Postpartal overdistention of the bladder and urinary retention can lead to which complication?

Correct Answer
verified

The nurse caring for the postpartum woman understands that breast engorgement is caused by

Correct Answer
verified
D

To assess fundal contraction 6 hours after cesarean delivery,the nurse should

Correct Answer
verified

Exam 20: Postpartum Adaptations

A woman gave birth vaginally to a 9-pound,12-ounce girl yesterday.Her primary health care provider has written orders for perineal ice packs,use of a sitz bath tid,and a stool softener.What information is most closely correlated with these orders?

Correct AnswerverifiedD

A postpartum patient asks,"Will these stretch marks go away?" The nurse's best response is

Correct AnswerverifiedShow Answer

In providing support to a new mother who must return to full-time employment 6 weeks after a vaginal delivery,the nurse should

Correct AnswerverifiedShow Answer

Two days ago,a woman gave birth to a full-term infant.Last night,she awakened several times to urinate and noted that her gown and bedding were wet from profuse diaphoresis.One mechanism for the diaphoresis and diuresis that this woman is experiencing during the early postpartum period is

Correct AnswerverifiedShow Answer

Which maternal event is abnormal in the early postpartum period?

Correct AnswerverifiedShow Answer

Because a full bladder prevents the uterus from contracting normally,nurses intervene to help the woman empty her bladder spontaneously as soon as possible.If all else fails,the last thing the nurse might try is

Correct AnswerverifiedShow Answer

Which finding 12 hours after birth requires further assessment?

Correct AnswerverifiedShow Answer

The acronym ________ is used as a reminder that the site of an episiotomy or perineal laceration should be assessed for five physical signs.

Correct AnswerverifiedREEDAThe acronym REEDA indicates rednes...View AnswerShow Answer

Clotting factors and fibrinogen levels normally are decreased during pregnancy and remain low in the immediate puerperium.This hypocoagulable state increases the risk of thromboembolism,especially after cesarean birth.Is this statement true or false?

Correct AnswerverifiedShow Answer

A new father states,"I know nothing about babies," but he seems to be interested in learning.The nurse should

Correct AnswerverifiedShow Answer

On observing a woman on her first postpartum day sitting in bed while her newborn lies awake in the bassinet,the nurse should

Correct AnswerverifiedShow Answer

Which hormone remains elevated in the immediate postpartum period of the breastfeeding woman?

Correct AnswerverifiedC

A 25-year-old gravida 1 para 1 who had an emergency cesarean birth 3 days ago is scheduled for discharge.As you prepare her for discharge,she begins to cry.Your initial action should be to

Correct AnswerverifiedShow Answer

If rubella vaccine is indicated for a postpartum patient,instructions to the patient should include

Correct AnswerverifiedShow Answer

Correct AnswerverifiedShow Answer

Rho immune globulin will be ordered postpartum if which situation occurs?

Correct AnswerverifiedShow Answer

When caring for a newly delivered woman,the nurse is aware that the best measure to prevent abdominal distention after a cesarean birth is

Correct AnswerverifiedShow Answer

Postpartal overdistention of the bladder and urinary retention can lead to which complication?

Correct AnswerverifiedShow Answer

The nurse caring for the postpartum woman understands that breast engorgement is caused by

Correct AnswerverifiedD

To assess fundal contraction 6 hours after cesarean delivery,the nurse should

Correct AnswerverifiedShow Answer

Correct Answer
verified
D

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified
REEDA
The acronym REEDA indicates rednes...
View Answer

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified
C

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Rh_o immune globulin will be ordered postpartum if which situation occurs?

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified
D

Correct Answer
verified