Maternity and Pediatric Nursing 4th Edition EXAM
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Terms in this set (45)
A primipara client gave birth vaginally to a healthy C
newborn girl 48 hours ago. The nurse palpates the client's During the first few days after birth, the uterus typically descends downward from
fundus, expecting it to be at which location? the level of the umbilicus at a rate of 1 cm (1 fingerbreadth) per day so that by day
A) Two fingerbreadths above the umbilicus 2, it is about 2 fingerbreadths below the umbilicus.
B) At the level of the umbilicus
C) Two fingerbreadths below the umbilicus
D) Four fingerbreadths below the umbilicus
When caring for a mother who has had a cesarean birth, C
the nurse would expect the client's lochia to be: Women who have had cesarean births tend to have less flow because the uterine
A) Greater than after a vaginal delivery debris is removed manually along with delivery of the placenta.
B) About the same as after a vaginal delivery
C) Less than after a vaginal delivery
D) Saturated with clots and mucus
, A client who is breastfeeding her newborn tells the nurse, D
I notice that when I feed him, I feel fairly strong The woman is describing afterpains, which are usually stronger during breast-
contraction-like pain. Labor is over. Why am I having feeding because oxytocin released by the sucking reflex strengthens uterine
contractions now? Which response by the nurse would contractions. Afterpains are associated with uterine involution, but the woman's
be most appropriate? description strongly correlates with the hormonal events of breast-feeding. All
A) Your uterus is still shrinking in size; that's why you're women experience afterpains, but they are more acute in multiparous women
feeling this pain. secondary to repeated stretching of the uterine muscles.
B) Let me check your vaginal discharge just to make sure
everything is fine.
C) Your body is responding to the events of labor, just
like after a tough workout.
D) The baby's sucking releases a hormone that causes the
uterus to contract
The nurse interprets which of the following as evidence A
that a client is in the During the taking-in phase, new mothers when interacting with their newborns
taking-in phase? spend time claiming the newborn and touching him or her, commonly identifying
A) Client states, He has my eyes and nose. specific features in the newborn such as "he has my nose" or "his fingers are long
B) Client shows interest in caring for the newborn. like his father's." Independence in self-care and interest in caring for the newborn
C) Client performs self-care independently. are typical of the taking-hold phase. Confidence in caring for the newborn is
D) Client confidently cares for the newborn demonstrated during the letting-go phase.
A postpartum client is experiencing subinvolution. When A
reviewing the woman's labor and birth history, which of Factors that inhibit involution include prolonged labor and difficult birth,
the following would the nurse identify as being least incomplete expulsion of amniotic membranes and placenta, uterine infection,
significant to this condition? overdistention of uterine muscles (such as by multiple gestation, hydramnios, or
A) Early ambulation large singleton fetus), full bladder (which displaces the uterus and interferes with
B) Prolonged labor contractions), anesthesia(which relaxes uterine muscles), and close childbirth
C) Large fetus spacing. Factors that facilitate uterine involution include complete expulsion of
D) Pulse rate of 60 beats/minute amniotic membranes and placenta at birth, complication-free labor and birth
process, breast-feeding, and early ambulation.
A woman who gave birth 24 hours ago tells the nurse, B
I've been urinating so much over the past several hours. Postpartum diuresis occurs as a result of several mechanisms: the large amounts
Which response by the nurse would be most of IV fluids given during labor, a decreasing antidiuretic effect of oxytocin as its
appropriate? level declines, the buildup and retention of extra fluids during pregnancy, and a
A) You must have an infection, so let me get a urine decreasing production of aldosterone—the hormone that decreases sodium
specimen. retention and increases urine production. All these factors contribute to rapid
B) Your body is undergoing many changes that cause filling of the bladder within 12 hours of birth. Diuresis begins within 12 hours after
your bladder to fill quickly. childbirth and continues throughout the first week postpartum. Rapid bladder
C) Your uterus is not contracting as quickly as it should. filling, possible infection, or effects of anesthesia are not involved.
D) The anesthesia that you received is wearing off and
your bladder is working
again.
A group of students are reviewing the process of breast D
milk production. The Don't let this confuse you! Milk let-down/stimulation vs milk production (prolactin)
students demonstrate understanding when they identify Oxytocin is released from the posterior pituitary to promote milk let-down.
which hormone as Prolactin levels increase at term with a decrease in estrogen and progesterone;
responsible for milk let-down? estrogen and progesterone levels decrease after the placenta is delivered.
A) Prolactin Prolactin is released from the anterior pituitary gland and initiates milk production.
B) Estrogen
C) Progesterone
D) Oxytocin
(updated 2026) Questions & Answers | Latest Already
Graded A+ UPDATE 2025|2026 (complete solutions)
ASSURED SUCCESS/GRADED A+!!!
Save
Students also studied
Mechanics Exam MN POST Test Indiana RCA Jurisprudence Exam 2025 P
165 terms 249 terms 199 terms 174 term
ninocalabro Preview Christian_Kelling9 Preview jimgepp_b Preview Kyl
Terms in this set (45)
A primipara client gave birth vaginally to a healthy C
newborn girl 48 hours ago. The nurse palpates the client's During the first few days after birth, the uterus typically descends downward from
fundus, expecting it to be at which location? the level of the umbilicus at a rate of 1 cm (1 fingerbreadth) per day so that by day
A) Two fingerbreadths above the umbilicus 2, it is about 2 fingerbreadths below the umbilicus.
B) At the level of the umbilicus
C) Two fingerbreadths below the umbilicus
D) Four fingerbreadths below the umbilicus
When caring for a mother who has had a cesarean birth, C
the nurse would expect the client's lochia to be: Women who have had cesarean births tend to have less flow because the uterine
A) Greater than after a vaginal delivery debris is removed manually along with delivery of the placenta.
B) About the same as after a vaginal delivery
C) Less than after a vaginal delivery
D) Saturated with clots and mucus
, A client who is breastfeeding her newborn tells the nurse, D
I notice that when I feed him, I feel fairly strong The woman is describing afterpains, which are usually stronger during breast-
contraction-like pain. Labor is over. Why am I having feeding because oxytocin released by the sucking reflex strengthens uterine
contractions now? Which response by the nurse would contractions. Afterpains are associated with uterine involution, but the woman's
be most appropriate? description strongly correlates with the hormonal events of breast-feeding. All
A) Your uterus is still shrinking in size; that's why you're women experience afterpains, but they are more acute in multiparous women
feeling this pain. secondary to repeated stretching of the uterine muscles.
B) Let me check your vaginal discharge just to make sure
everything is fine.
C) Your body is responding to the events of labor, just
like after a tough workout.
D) The baby's sucking releases a hormone that causes the
uterus to contract
The nurse interprets which of the following as evidence A
that a client is in the During the taking-in phase, new mothers when interacting with their newborns
taking-in phase? spend time claiming the newborn and touching him or her, commonly identifying
A) Client states, He has my eyes and nose. specific features in the newborn such as "he has my nose" or "his fingers are long
B) Client shows interest in caring for the newborn. like his father's." Independence in self-care and interest in caring for the newborn
C) Client performs self-care independently. are typical of the taking-hold phase. Confidence in caring for the newborn is
D) Client confidently cares for the newborn demonstrated during the letting-go phase.
A postpartum client is experiencing subinvolution. When A
reviewing the woman's labor and birth history, which of Factors that inhibit involution include prolonged labor and difficult birth,
the following would the nurse identify as being least incomplete expulsion of amniotic membranes and placenta, uterine infection,
significant to this condition? overdistention of uterine muscles (such as by multiple gestation, hydramnios, or
A) Early ambulation large singleton fetus), full bladder (which displaces the uterus and interferes with
B) Prolonged labor contractions), anesthesia(which relaxes uterine muscles), and close childbirth
C) Large fetus spacing. Factors that facilitate uterine involution include complete expulsion of
D) Pulse rate of 60 beats/minute amniotic membranes and placenta at birth, complication-free labor and birth
process, breast-feeding, and early ambulation.
A woman who gave birth 24 hours ago tells the nurse, B
I've been urinating so much over the past several hours. Postpartum diuresis occurs as a result of several mechanisms: the large amounts
Which response by the nurse would be most of IV fluids given during labor, a decreasing antidiuretic effect of oxytocin as its
appropriate? level declines, the buildup and retention of extra fluids during pregnancy, and a
A) You must have an infection, so let me get a urine decreasing production of aldosterone—the hormone that decreases sodium
specimen. retention and increases urine production. All these factors contribute to rapid
B) Your body is undergoing many changes that cause filling of the bladder within 12 hours of birth. Diuresis begins within 12 hours after
your bladder to fill quickly. childbirth and continues throughout the first week postpartum. Rapid bladder
C) Your uterus is not contracting as quickly as it should. filling, possible infection, or effects of anesthesia are not involved.
D) The anesthesia that you received is wearing off and
your bladder is working
again.
A group of students are reviewing the process of breast D
milk production. The Don't let this confuse you! Milk let-down/stimulation vs milk production (prolactin)
students demonstrate understanding when they identify Oxytocin is released from the posterior pituitary to promote milk let-down.
which hormone as Prolactin levels increase at term with a decrease in estrogen and progesterone;
responsible for milk let-down? estrogen and progesterone levels decrease after the placenta is delivered.
A) Prolactin Prolactin is released from the anterior pituitary gland and initiates milk production.
B) Estrogen
C) Progesterone
D) Oxytocin
