TEST BANK FOR MATERNITY AND PEDIATRIC NURSING
4TH EDITION 100% VERIFIED AND APPROVED QUESTION
AND ANSWERS BY CHERRY GRACIOUS 2024-2025
COMPLETE SET
QUESTION: When caring for a mother who has had a cesarean birth, the nurse would expect the client's
lochia to be:
A) Greater than after a vaginal delivery
B) About the same as after a vaginal delivery
C) Less than after a vaginal delivery
D) Saturated with clots and mucus - ANSWER-C
Women who have had cesarean births tend to have less flow because the uterine debris is removed
manually along with delivery of the placenta.
A primipara client gave birth vaginally to a healthy newborn girl 48 hours ago. The nurse palpates the
client's fundus, expecting it to be at which location?
A) Two fingerbreadths above the umbilicus
B) At the level of the umbilicus
C) Two fingerbreadths below the umbilicus
D) Four fingerbreadths below the umbilicus - ANSWER-C
,QUESTION: A client who is breastfeeding her newborn tells the nurse, I notice that when I feed him, I
feel fairly strong contraction-like pain. Labor is over. Why am I having contractions now? Which response
by the nurse would be most appropriate?
A) Your uterus is still shrinking in size; that's why you're feeling this pain.
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 - ANSWER-D
The woman is describing afterpains, which are usually stronger during breast-feeding because oxytocin
released by the sucking reflex strengthens uterine contractions. Afterpains are associated with uterine
involution, but the woman's description strongly correlates with the hormonal events of breast-feeding.
All women experience afterpains, but they are more acute in multiparous women secondary to repeated
stretching of the uterine muscles.
QUESTION: The nurse interprets which of the following as evidence that a client is in the
taking-in phase?
A) Client states, He has my eyes and nose.
B) Client shows interest in caring for the newborn.
C) Client performs self-care independently.
D) Client confidently cares for the newborn - ANSWER-A
During the taking-in phase, new mothers when interacting with their newborns spend time claiming the
newborn and touching him or her, commonly identifying specific features in the newborn such as "he
has my nose" or "his fingers are long like his father's." Independence in self-care and interest in caring
for the newborn are typical of the taking-hold phase. Confidence in caring for the newborn is
demonstrated during the letting-go phase.
,QUESTION: A postpartum client is experiencing subinvolution. When reviewing the woman's labor and
birth history, which of the following would the nurse identify as being least significant to this condition?
A) Early ambulation
B) Prolonged labor
C) Large fetus
D) Pulse rate of 60 beats/minute - ANSWER-A
Factors that inhibit involution include prolonged labor and difficult birth, incomplete expulsion of
amniotic membranes and placenta, uterine infection, overdistention of uterine muscles (such as by
multiple gestation, hydramnios, or large singleton fetus), full bladder (which displaces the uterus and
interferes with contractions), anesthesia(which relaxes uterine muscles), and close childbirth spacing.
Factors that facilitate uterine involution include complete expulsion of amniotic membranes and
placenta at birth, complication-free labor and birth process, breast-feeding, and early ambulation.
QUESTION: A woman who gave birth 24 hours ago tells the nurse, I've been urinating so much over the
past several hours. Which response by the nurse would be most appropriate?
A) You must have an infection, so let me get a urine specimen.
B) Your body is undergoing many changes that cause your bladder to fill quickly.
C) Your uterus is not contracting as quickly as it should.
D) The anesthesia that you received is wearing off and your bladder is working
again. - ANSWER-B
Postpartum diuresis occurs as a result of several mechanisms: the large amounts of IV fluids given during
labor, a decreasing antidiuretic effect of oxytocin as its level declines, the buildup and retention of extra
fluids during pregnancy, and a decreasing production of aldosterone—the hormone that decreases
, sodium retention and increases urine production. All these factors contribute to rapid filling of the
bladder within 12 hours of birth. Diuresis begins within 12 hours after childbirth and continues
throughout the first week postpartum. Rapid bladder filling, possible infection, or effects of anesthesia
are not involved.
QUESTION: A group of students are reviewing the process of breast milk production. The
students demonstrate understanding when they identify which hormone as
responsible for milk let-down?
A) Prolactin
B) Estrogen
C) Progesterone
D) Oxytocin - ANSWER-D
Don't let this confuse you! Milk let-down/stimulation vs milk production (prolactin)
Oxytocin is released from the posterior pituitary to promote milk let-down. Prolactin levels increase at
term with a decrease in estrogen and progesterone; estrogen and progesterone levels decrease after the
placenta is delivered. Prolactin is released from the anterior pituitary gland and initiates milk production.
QUESTION: A nursing student is preparing a class presentation about changes in the various body
systems during the postpartum period and their effects. Which of the following would the student
include as influencing a postpartum woman's ability to void? (Select all that apply.)
A) Use of an opioid anesthetic during labor
B) Generalized swelling of the perineum
C) Decreased bladder tone from regional anesthesia
4TH EDITION 100% VERIFIED AND APPROVED QUESTION
AND ANSWERS BY CHERRY GRACIOUS 2024-2025
COMPLETE SET
QUESTION: When caring for a mother who has had a cesarean birth, the nurse would expect the client's
lochia to be:
A) Greater than after a vaginal delivery
B) About the same as after a vaginal delivery
C) Less than after a vaginal delivery
D) Saturated with clots and mucus - ANSWER-C
Women who have had cesarean births tend to have less flow because the uterine debris is removed
manually along with delivery of the placenta.
A primipara client gave birth vaginally to a healthy newborn girl 48 hours ago. The nurse palpates the
client's fundus, expecting it to be at which location?
A) Two fingerbreadths above the umbilicus
B) At the level of the umbilicus
C) Two fingerbreadths below the umbilicus
D) Four fingerbreadths below the umbilicus - ANSWER-C
,QUESTION: A client who is breastfeeding her newborn tells the nurse, I notice that when I feed him, I
feel fairly strong contraction-like pain. Labor is over. Why am I having contractions now? Which response
by the nurse would be most appropriate?
A) Your uterus is still shrinking in size; that's why you're feeling this pain.
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 - ANSWER-D
The woman is describing afterpains, which are usually stronger during breast-feeding because oxytocin
released by the sucking reflex strengthens uterine contractions. Afterpains are associated with uterine
involution, but the woman's description strongly correlates with the hormonal events of breast-feeding.
All women experience afterpains, but they are more acute in multiparous women secondary to repeated
stretching of the uterine muscles.
QUESTION: The nurse interprets which of the following as evidence that a client is in the
taking-in phase?
A) Client states, He has my eyes and nose.
B) Client shows interest in caring for the newborn.
C) Client performs self-care independently.
D) Client confidently cares for the newborn - ANSWER-A
During the taking-in phase, new mothers when interacting with their newborns spend time claiming the
newborn and touching him or her, commonly identifying specific features in the newborn such as "he
has my nose" or "his fingers are long like his father's." Independence in self-care and interest in caring
for the newborn are typical of the taking-hold phase. Confidence in caring for the newborn is
demonstrated during the letting-go phase.
,QUESTION: A postpartum client is experiencing subinvolution. When reviewing the woman's labor and
birth history, which of the following would the nurse identify as being least significant to this condition?
A) Early ambulation
B) Prolonged labor
C) Large fetus
D) Pulse rate of 60 beats/minute - ANSWER-A
Factors that inhibit involution include prolonged labor and difficult birth, incomplete expulsion of
amniotic membranes and placenta, uterine infection, overdistention of uterine muscles (such as by
multiple gestation, hydramnios, or large singleton fetus), full bladder (which displaces the uterus and
interferes with contractions), anesthesia(which relaxes uterine muscles), and close childbirth spacing.
Factors that facilitate uterine involution include complete expulsion of amniotic membranes and
placenta at birth, complication-free labor and birth process, breast-feeding, and early ambulation.
QUESTION: A woman who gave birth 24 hours ago tells the nurse, I've been urinating so much over the
past several hours. Which response by the nurse would be most appropriate?
A) You must have an infection, so let me get a urine specimen.
B) Your body is undergoing many changes that cause your bladder to fill quickly.
C) Your uterus is not contracting as quickly as it should.
D) The anesthesia that you received is wearing off and your bladder is working
again. - ANSWER-B
Postpartum diuresis occurs as a result of several mechanisms: the large amounts of IV fluids given during
labor, a decreasing antidiuretic effect of oxytocin as its level declines, the buildup and retention of extra
fluids during pregnancy, and a decreasing production of aldosterone—the hormone that decreases
, sodium retention and increases urine production. All these factors contribute to rapid filling of the
bladder within 12 hours of birth. Diuresis begins within 12 hours after childbirth and continues
throughout the first week postpartum. Rapid bladder filling, possible infection, or effects of anesthesia
are not involved.
QUESTION: A group of students are reviewing the process of breast milk production. The
students demonstrate understanding when they identify which hormone as
responsible for milk let-down?
A) Prolactin
B) Estrogen
C) Progesterone
D) Oxytocin - ANSWER-D
Don't let this confuse you! Milk let-down/stimulation vs milk production (prolactin)
Oxytocin is released from the posterior pituitary to promote milk let-down. Prolactin levels increase at
term with a decrease in estrogen and progesterone; estrogen and progesterone levels decrease after the
placenta is delivered. Prolactin is released from the anterior pituitary gland and initiates milk production.
QUESTION: A nursing student is preparing a class presentation about changes in the various body
systems during the postpartum period and their effects. Which of the following would the student
include as influencing a postpartum woman's ability to void? (Select all that apply.)
A) Use of an opioid anesthetic during labor
B) Generalized swelling of the perineum
C) Decreased bladder tone from regional anesthesia
