NSG 3500 - Exam 3 Test bank (Latest
Update ) Questions & Answers
{Grade A} 100% Correct – Galen
The nurse in the obstetric clinic received a telephone call from a bottle-feeding mother
of a 3-day-old. The client states that her breasts are firm, red, and warm to the touch.
Which of the following is the best action for the nurse to advise the client to perform?
1. Intermittently apply ice packs to her axillae and breasts.
2. Apply lanolin to her breasts and nipples every 3 hours.
3. Express milk from the breasts every 3 hours.
4. Ask the primary healthcare provider to order a milk suppressant. - correct answer 1
A multigravid, postpartum woman reports severe abdominal cramping whenever she
nurses her baby. Which of the following responses by the nurse is appropriate?
1. Suggest that the woman bottle feed for a few days.
2. Instruct the patient on how to massage her fundus.
3. Instruct the patient to feed using an alternate position.
4. Discuss the action of breastfeeding hormones. - correct answer 4
,The nurse is caring for a breastfeeding mother who asks advice on foods that will
provide both vitamin A and iron. Which of the following should the nurse recommend?
1. 1⁄2 cup raw celery dipped in 1 ounce cream cheese.
2. 8 ounces yogurt mixed with 1 medium banana.
3. 12 ounces strawberry milk shake.
4. 11⁄2 cups raw broccoli. - correct answer 4
A breastfeeding mother states that she has sore nipples. In response to the complaint,
the nurse assists with "latch on" and recommends that the mother do which of the
following?
1. Use a nipple shield at each breastfeeding.
2. Cleanse the nipples with soap 3 times a day.
3. Rotate the baby's positions at each feed.
4. Bottle feed for 2 days then resume breastfeeding. - correct answer 3
Which of the following statements is true about breastfeeding mothers as compared to
bottle-feeding mothers?
1. Breastfeeding mothers usually involute completely by 3 weeks postpartum.
,2. Breastfeeding mothers have decreased incidence of diabetes mellitus later in life.
3. Breastfeeding mothers show higher levels of bone density after menopause.
4. Breastfeeding mothers are prone to fewer bouts of infection immediately
postpartum. - correct answer 2
A breastfeeding woman, 11⁄2 months postdelivery, calls the nurse in the obstetrician's
office and states, "I am very embarrassed but I need help. Last night I had an orgasm
when my husband and I were making love. You should have seen the milk. We were
both soaking wet. What is wrong with me?" The nurse should base the response to the
client on which of the following?
1. The woman is exhibiting signs of pathological galactorrhea.
2. The same hormone stimulates orgasms and the milk ejection reflex.
3. The woman should have a serum galactosemia assessment done.
4. The baby is stimulating the woman to produce too much milk. - correct answer 2
A client who is 3 days postpartum asks the nurse, "When may my husband and I begin
having sexual relations again?" The nurse should encourage the couple to wait until
after which of the following has occurred?
, 1. The client has had her six-week postpartum checkup.
2. The episiotomy has healed and the lochia has stopped.
3. The lochia has turned to pink and the vagina is no longer tender.
4. The client has had her first postpartum menstrual period. - correct answer 1
A breastfeeding client, 7 weeks postpartum, complains to an obstetrician's triage
nurse that when she and her husband had intercourse for the first time after the
delivery, "I couldn't stand it. It was so painful. The doctor must have done something
terrible to my vagina." Which of the following responses by the nurse is appropriate?
1. "After a delivery the vagina is always very tender. It should feel better the next time
you have intercourse."
2. "Does your baby have thrush? If so, you should be assessed for a yeast infection in
your vagina."
3. "Women who breastfeed often have vaginal dryness. A vaginal lubricant may remedy
your discomfort."
4. "Sometimes the stitches of episiotomies heal too tight. Why don't you come in to be
checked?" - correct answer 3
Update ) Questions & Answers
{Grade A} 100% Correct – Galen
The nurse in the obstetric clinic received a telephone call from a bottle-feeding mother
of a 3-day-old. The client states that her breasts are firm, red, and warm to the touch.
Which of the following is the best action for the nurse to advise the client to perform?
1. Intermittently apply ice packs to her axillae and breasts.
2. Apply lanolin to her breasts and nipples every 3 hours.
3. Express milk from the breasts every 3 hours.
4. Ask the primary healthcare provider to order a milk suppressant. - correct answer 1
A multigravid, postpartum woman reports severe abdominal cramping whenever she
nurses her baby. Which of the following responses by the nurse is appropriate?
1. Suggest that the woman bottle feed for a few days.
2. Instruct the patient on how to massage her fundus.
3. Instruct the patient to feed using an alternate position.
4. Discuss the action of breastfeeding hormones. - correct answer 4
,The nurse is caring for a breastfeeding mother who asks advice on foods that will
provide both vitamin A and iron. Which of the following should the nurse recommend?
1. 1⁄2 cup raw celery dipped in 1 ounce cream cheese.
2. 8 ounces yogurt mixed with 1 medium banana.
3. 12 ounces strawberry milk shake.
4. 11⁄2 cups raw broccoli. - correct answer 4
A breastfeeding mother states that she has sore nipples. In response to the complaint,
the nurse assists with "latch on" and recommends that the mother do which of the
following?
1. Use a nipple shield at each breastfeeding.
2. Cleanse the nipples with soap 3 times a day.
3. Rotate the baby's positions at each feed.
4. Bottle feed for 2 days then resume breastfeeding. - correct answer 3
Which of the following statements is true about breastfeeding mothers as compared to
bottle-feeding mothers?
1. Breastfeeding mothers usually involute completely by 3 weeks postpartum.
,2. Breastfeeding mothers have decreased incidence of diabetes mellitus later in life.
3. Breastfeeding mothers show higher levels of bone density after menopause.
4. Breastfeeding mothers are prone to fewer bouts of infection immediately
postpartum. - correct answer 2
A breastfeeding woman, 11⁄2 months postdelivery, calls the nurse in the obstetrician's
office and states, "I am very embarrassed but I need help. Last night I had an orgasm
when my husband and I were making love. You should have seen the milk. We were
both soaking wet. What is wrong with me?" The nurse should base the response to the
client on which of the following?
1. The woman is exhibiting signs of pathological galactorrhea.
2. The same hormone stimulates orgasms and the milk ejection reflex.
3. The woman should have a serum galactosemia assessment done.
4. The baby is stimulating the woman to produce too much milk. - correct answer 2
A client who is 3 days postpartum asks the nurse, "When may my husband and I begin
having sexual relations again?" The nurse should encourage the couple to wait until
after which of the following has occurred?
, 1. The client has had her six-week postpartum checkup.
2. The episiotomy has healed and the lochia has stopped.
3. The lochia has turned to pink and the vagina is no longer tender.
4. The client has had her first postpartum menstrual period. - correct answer 1
A breastfeeding client, 7 weeks postpartum, complains to an obstetrician's triage
nurse that when she and her husband had intercourse for the first time after the
delivery, "I couldn't stand it. It was so painful. The doctor must have done something
terrible to my vagina." Which of the following responses by the nurse is appropriate?
1. "After a delivery the vagina is always very tender. It should feel better the next time
you have intercourse."
2. "Does your baby have thrush? If so, you should be assessed for a yeast infection in
your vagina."
3. "Women who breastfeed often have vaginal dryness. A vaginal lubricant may remedy
your discomfort."
4. "Sometimes the stitches of episiotomies heal too tight. Why don't you come in to be
checked?" - correct answer 3
