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1. A patient who is 2 weeks postpartum is admitted to the emergency room.
Which of the ff evaluations would be indicative of late postpartum
hemorrhage?
Foul-smelling vaginal drainage, uterus hard to the touch.
Intermittent abdominal cramping, elevated BP
Boggy uterus, shock like symptoms
Elevated respirations, back pain
2. Kernicterus is a condition when:
a person does not have any Rh antigens
keratin is removed from the body
when the eyes look yellow
when bilirubin is deposited in the brain
3. Describe the significance of monitoring lochia in postpartum care.
Lochia only indicates the baby's health.
Lochia is only monitored for the first week after delivery.
Monitoring lochia helps assess the mother's recovery and detect
potential complications.
Lochia is not important in postpartum care.
4. Describe the significance of preventing evaporation heat loss in newborns
immediately after birth.
, It allows for better bonding between the mother and the newborn.
It helps the newborn to adapt to the cold environment.
It is not important as newborns can regulate their temperature
independently.
Preventing evaporation heat loss is crucial to maintain the
newborn's body temperature and prevent hypothermia.
5. The newborn goes through several behavioral states as it neurologically
adapts to extrauterine life. The nurse observes the newborn awake and alert
in its crib and reacting to auditory stimuli. Which behavioral state is the
newborn experiencing?
active alert
quiet alert
crying state
drowsy and dozing
6. Kernicterus is caused by:
Deposits of ferric iron in brain tissue
Deposits of conjugated bilirubin in brain cells
Deposits of unconjugated bilirubin in brain cells
Elevation of bilirubin in serum
7. Describe the significance of observing visible labia minora in a full-term
female newborn during an assessment.
Visible labia minora suggests potential hormonal issues.
Visible labia minora is a sign of prematurity in newborns.
, Visible labia minora is unrelated to newborn assessments.
Visible labia minora indicates normal female genitalia development
in a full-term newborn.
8. A nurse is educating a postpartum patient about the types of lochia. She
explains that lochia rubra is:
The white, creamy discharge that appears late in the postpartum
period.
The clear, odorless discharge seen immediately after delivery.
The bright red discharge that occurs initially postpartum.
The brownish discharge that indicates an infection.
9. Describe the rationale behind using ice packs for perineal discomfort in
postpartum care.
Ice packs are used to prevent infection in the perineal area.
Ice packs are primarily for aesthetic purposes after childbirth.
Ice packs promote blood flow to the area, enhancing healing.
Ice packs help reduce swelling and numb the area, providing relief
from discomfort.
10. If a nurse fails to prevent evaporation heat loss in a newborn, what potential
complication could arise?
Improved breastfeeding success.
Increased risk of jaundice.
Enhanced maternal-infant bonding.
Hypothermia in the newborn.
, 11. If a newborn is diagnosed with a cleft palate, what nursing intervention
would be most appropriate to support feeding?
Encouraging the infant to breastfeed without any modifications.
Administering formula through a syringe directly into the mouth.
Using a specialized bottle and nipple designed for infants with cleft
palate.
Using a regular bottle with a standard nipple.
12. Describe the significance of urination in the postpartum period for a new
mother.
Urination has no significant impact on postpartum recovery.
Urination is necessary for the production of breast milk.
Urination aids in the healing of the perineum.
Urination helps to prevent urinary retention and promotes bladder
health after childbirth.
13. If a newborn is diagnosed with cephalohematoma, what nursing intervention
should be prioritized?
Administering antibiotics to prevent infection.
Monitoring for signs of jaundice and assessing the head for
changes.
Encouraging immediate breastfeeding to promote healing.
Performing a CT scan to assess brain damage.
14. Describe the significance of monitoring lochia in postpartum care.
Monitoring lochia is primarily for tracking the baby's health.