Maternal Child Nursing 5th Edition by McKinney- ISBN- 978-0323401708 TEST BANK Chapter 20: Postpartum Adaptations Verified 2024 Practice Questions and 100% Correct Answers with Explanations for Exam Preparation, Graded A+

Maternal Child Nursing 5th Edition by McKinney- ISBN- 978-0323401708 TEST BANK Chapter 20: Postpartum Adaptations Verified 2024 Practice Questions and 100% Correct Answers with Explanations for Exam Preparation, Graded A+ A postpartum woman overhears the nurse tell the obstetrics clinician that she has a positive Homans sign and asks what it means. The nurse’s best response is a. “You have pitting edema in your ankles.” b. “You have deep tendon reflexes rated 2+.” c. “You have calf pain when I flexed your foot.” d. “You have a ‘fleshy’ odor to your vaginal drainage.” ANS: C Discomfort in the calf with sharp dorsiflexion of the foot may indicate a deep vein thrombosis. It does not indicate edema, rate deep tendon reflexes, or describe the odor of lochia. PTS: 1 DIF: Cognitive Level: Comprehension/Understanding REF: p. 404 OBJ: Nursing Process: Implementation MSC: Client Needs: Physiologic Integrity 2. Which woman is most likely to have severe afterbirth pains and request a narcotic analgesic? a. Gravida 5, para 5 b. Woman who is bottle-feeding her first child c. Primipara who delivered a 7-lb boy d. Woman who has started to breastfeed ANS: A The discomfort of after pains is more acute for multiparas because repeated stretching of muscle fibers leads to loss of uterine muscle tone. After pains are particularly severe during breastfeeding, not bottle-feeding. The uterus of a primipara tends to remain contracted. The breastfeeding woman may have increased pain due to engorgement, but the multipara probably will have the most severe afterbirth pains. PTS: 1 DIF: Cognitive Level: Comprehension/Understanding REF: p. 396 OBJ: Nursing Process: Assessment MSC: Client Needs: Physiologic Integrity