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Exam 4: NU170/ NU 170 (Latest 2025/ 2026 Update) Maternal-Child Nursing Guide| Questions & Answers| Grade A| 100% Correct (Verified Solutions)- Galen

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Exam 4: NU170/ NU 170 (Latest 2025/ 2026 Update) Maternal-Child Nursing Guide| Questions & Answers| Grade A| 100% Correct (Verified Solutions)- Galen QUESTION a full bladder can Answer: displace the uterus and lead to postpartum hemorrhage QUESTION diuresis postpartum Answer: excessive urination +300 ml/day (up to 3,000 ml loss) d/t decrease aldosterone and less sodium retention (side effect of progesterone) QUESTION Postpartum: Constipation Interventions Answer: • 2000 ml/day • High-Fiber diet • Ambulate Stool softners per order QUESTION skin changes postpartum Answer: - pigmentation fades - stretch marks fade to silvery lines - diaphoresis (sweating) for a week after delivery QUESTION diastasis recti Answer: the longitudal abdominal musles seperate, hypermobility of the joints due to relaxin exersizes: • Abdominal muscle tightening • Head lift • Pelvic tilt • Kegel exercises QUESTION RhoGAM if Answer: woman is rh negative and baby is RH positive rubella if not immune QUESTION Leukocytosis in postpartum Answer: Normal finding High WBC QUESTION after cesarean birth assessment points Answer: Same as with normal vaginal delivery except • Monitoring of abdominal dressing: watch for drainage • Urinary catheter: usually removed at 24 hours • Respiratory care: incentive spirometer & splinting incision • Prevention of thrombophlebitis: heparin, SCDs, exercises • Interventions for pain: duramorph or PCA QUESTION elements of family teaching postpartum Answer: ▪ Routine care ▪ Bulb syringe ▪ Bathing infant ▪ Back to sleep ▪ Car seat QUESTION nursing care of the mother immediate PP Answer: ▪ Fundal checks ▪ Lochia assessment ▪ Pain relief ▪ Perineal care ▪ Bladder assessment ▪ Breast care QUESTION Fundal height postpartum Answer: Immediate: 3 fingers below umbilicus. Day of delivery and Day 1: just under umbilicus. About 1 finger every day. Returned to below pelvis: 4-6 wks QUESTION Advantages of breastfeeding Answer: fewer food allergies and intolerances, reduced likelihood of overfeeding, less cost than commerical infant formulas, increased mother infant interation time QUESTION Contrainidications to breastfeeding Answer: HIV, HSV lesion on breast, Galactosemia QUESTION prolactin and oxytocin Answer: milk production milk ejection from the breast (IV or nipple stimulation) QUESTION Galactagogues Answer: a category of herbs known to induce lactation or stimulate the production of breast milk in postpartal women. rice, tea, garlic, oatmeal, QUESTION foremilk vs hindmilk Answer: foremilk- watery and low in fat hindmilk- high in fat QUESTION Phases of milk production Answer: COLOSTRUM...for the first few days after birth; yellowish, fatty liquid TRANSITIONAL MILK....approximately 7-10 days after birth MATURE MILK.... is secreted by 14 days after birth....bluish in color, thinniess is normal QUESTION hunger in the newborn Answer: • Hand-to-mouth movements • Mouth and tongue movement • Sucking motions • Rooting movements • Clenched fists • Kicking of legs • Crying (a late sign QUESTION infant nurses _______ per breast Answer: 15 mins

Content preview

Examl 4:l NU170/l NUl 170l (Latestl 2025/l
2026l Update)l Maternal-Childl Nursingl
Guide|l Questionsl &l Answers|l Gradel A|l
100%l Correctl (Verifiedl Solutions)-l Galen

Q:l al fulll bladderl can
Answer:
displacel thel uterusl andl leadl tol postpartuml hemorrhage

Q:l diuresisl postpartum
Answer:
excessivel urinationl +300l ml/dayl (upl tol 3,000l mll loss)l
d/tl decreasel aldosteronel andl lessl sodiuml retentionl (sidel effectl ofl progesterone)

Q:l Postpartum:l Constipationl Interventions
Answer:
•l 2000l ml/day
•l High-Fiberl diet
•l Ambulate
Stooll softnersl perl order

Q:l skinl changesl postpartum
Answer:
-l pigmentationl fades
-l stretchl marksl fadel tol silveryl lines
-l diaphoresisl (sweating)l forl al weekl afterl delivery

Q:l diastasisl recti
Answer:
thel longitudall abdominall muslesl seperate,l hypermobilityl ofl thel jointsl duel tol relaxinl
exersizes:l •l Abdominall musclel tightening

,•l Headl lift
•l Pelvicl tiltl
•l Kegell exercises

Q:l RhoGAMl if
Answer:
womanl isl rhl negativel andl babyl isl RHl positivel
rubellal ifl notl immune

Q:l Leukocytosisl inl postpartum
Answer:
Normall findingl Highl WBCl 12000-25000

Q:l afterl cesareanl birthl assessmentl points
Answer:
Samel asl withl normall vaginall deliveryl except
•l Monitoringl ofl abdominall dressing:l watchl forl drainage
•l Urinaryl catheter:l usuallyl removedl atl 24l hours
•l Respiratoryl care:l incentivel spirometerl &l splintingl incision
•l Preventionl ofl thrombophlebitis:l heparin,l SCDs,l exercises
•l Interventionsl forl pain:l duramorphl orl PCA

Q:l elementsl ofl familyl teachingl postpartum
Answer:
▪l Routinel care
▪l Bulbl syringe
▪l Bathingl infant
▪l Backl tol sleep
▪l Carl seat

Q:l nursingl carel ofl thel motherl immediatel PP
Answer:
▪l Fundall checks
▪l Lochial assessment
▪l Painl relief
▪l Perineall care

,▪l Bladderl assessment
▪l Breastl care

Q:l Fundall heightl postpartum
Answer:
Immediate:l 3l fingersl belowl umbilicus.
Dayl ofl deliveryl andl Dayl 1:l justl underl umbilicus.
Aboutl 1l fingerl everyl day.l
Returnedl tol belowl pelvis:l 4-6l wks

Q:l Advantagesl ofl breastfeeding
Answer:
fewerl foodl allergiesl andl intolerances,l reducedl likelihoodl ofl overfeeding,l lessl costl thanl
commericall infantl formulas,l increasedl motherl infantl interationl time

Q:l Contrainidicationsl tol breastfeeding
Answer:
HIV,l HSVl lesionl onl breast,l Galactosemia

Q:l prolactinl andl oxytocin
Answer:
milkl production
milkl ejectionl froml thel breastl (IVl orl nipplel stimulation)

Q:l Galactagogues
Answer:
al categoryl ofl herbsl knownl tol inducel lactationl orl stimulatel thel productionl ofl breastl
milkl inl postpartall women.l rice,l tea,l garlic,l oatmeal,

Q:l foremilkl vsl hindmilk
Answer:
foremilk-l wateryl andl lowl inl fat
hindmilk-l highl inl fat

, Q:l Phasesl ofl milkl production
Answer:
COLOSTRUM...forl thel firstl fewl daysl afterl birth;l yellowish,l fattyl liquid
TRANSITIONALl MILK....approximatelyl 7-10l daysl afterl birth
MATUREl MILK....l isl secretedl byl 14l daysl afterl birth....bluishl inl color,l thinniessl isl
normal

Q:l hungerl inl thel newborn
Answer:
•l Hand-to-mouthl movements
•l Mouthl andl tonguel movement
•l Suckingl motions
•l Rootingl movements
•l Clenchedl fists
•l Kickingl ofl legs
•l Cryingl (al latel sign

Q:l infantl nursesl _______l perl breast
Answer:
15l mins

Q:l feedings
Answer:
8-10l perl dayl orl everyl 2-3hrs

Q:l anl audiblel ____l canl bel heardl whilel feedingl tol indicatel properl intake
Answer:
swallow

Q:l infantsl shouldl havel _____l wetl diapersl perl day
Answer:
6-8

Q:l breastsl shouldl feell ______l afterl feedings

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