Postpartum- ch. 17,18,28(with solved solutions)
catabolism correct answers conversion of living cellular substances to simpler compounds
dyspareunia correct answers painful intercourse
homans' sign correct answers calf pain that occurs when the foot is dorsiflexed
involution correct answers retrogressive changes that return the reproductive organs to their non
pregnancy state
kegel exercises correct answers method to increase tone of muscles around the vagina and
urinary meatus
puerperium correct answers period from childbirth until the return of the reproductive organs to
their non pregnancy state
Subinvolution correct answers delayed return of the uterus to the non pregnant state
attachment correct answers longer-term development of affection between the infant and
significant other
bonding correct answers development of an emotional tie to the infant
en face correct answers position that facilitates eye-to-eye contact between parent and newborn
engrossment correct answers intense fascination between father and newborn
entrainment correct answers movement of the newborn in rhythm with adult speech
fingertipping correct answers initial touch characteristic between mother and newborn
REEDA correct answers Acronym that helps assess wound healing (redness, edema, ecchymosis,
discharge, and approximation)
atony correct answers less than normal muscle tone
embolism correct answers a clot or amniotic fluid material that may obstruct smaller vessels
petechiae correct answers tiny purplish-red spots on the skin caused by intradermal or
submucosal hemorrhage
placenta accreta correct answers placenta that adheres abnormally to the uterine wall
pulse pressure correct answers difference between systolic and diastolic blood pressure
,subinvolution correct answers failure of the uterus to return to its prepregnant state in the time
expected
thrombophlebitis correct answers thrombus formation with inflammation
thrombus correct answers a blood clot within a vessel
She is still in the taking-in phase of maternal adaption. correct answers Twelve hours after birth,
a mother lies in bed resting. Although she has only one more day in the hospital, she does not ask
about her baby or provide any care. What is the probably reason for her behavior?
a. She is still in the taking-in phase of maternal adaption.
b. She shows behaviors that may lead to postpartum depression.
c. She is still affected by the medications given during the labor.
d. She may be dissatisfied with some aspect of the newborn.
Formal correct answers Which stage of maternal role attainment is focused on getting acquainted
with the infant's individual personality?
a. Anticipatory
b. Formal
c. Informal
d. Personal
In her culture, new mothers should rest and have others care for the infant correct answers A
recent immigrant to this country seems reluctant to care for her infant. She keeps the infant in the
crib most of the time and asks the nurse to feed the baby. She stays in bed and seems not to want
to get up to ambulate. What is a likely interpretation of this behavior?
a. This was an unwanted pregnancy and the mother is not bonding with the infant
b. The woman has severe postpartum depression and needs psychiatric care.
c. In her culture, new mothers should rest and have others care for the infant
d. The woman comes from an abusive home situation.
Tell the father that the baby cries to communicate a need correct answers A new father is
reluctant to spoil his newborn by picking her up when she cries. The best nursing response is to:
a. Teach him that she will eventually stop crying if he waits
b. Take the baby to the nursery to allow the parents to rest
c. Pick the baby up and rocker her until she sleeps again
d. Tell the father that the baby cries to communicate a need
Pick the baby up and point out his alert behavior to the mother. correct answers A newborn is in
the crib in his mother's room. The teenage mother is watching TV. When the nurse notes that the
baby is awake and quiet, the best nursing action is to:
a. Pick the baby up and point out his alert behavior to the mother.
b. Tell the mother to pick up her baby and talk to him while he is awake.
c. Focus care on the mother, rather than the infant, so the mother can recuperate.
d. Encourage the mother to feed the infant before he begins crying.
, Giving positive feedback when they provide care correct answers The nurse can encourage the
parents to care for their infant by:
a. Staying out of the room for as long as possible
b. Having the grandmother nearby as backup
c. Giving positive feedback when they provide care
d. Correcting their performance whenever they make a mistake
Document the normal assessment correct answers When checking a woman's fundus 24 hours
after the c-section birth of her first baby, the nurse finds her fundus at the level of her umbillicus,
firm, and in the midline. The appropriate nursing action related to this assessment is to:
a. Document the normal assessment
b. Determine when she last urinated
c. Limit her intake of oral fluids
d. Massage her fundus vigorously
Tell her that her body is getting rid of unneeded fluid correct answers A woman who is 18 hours
postpartum says she is having "hot flashes" and "sweats all the time". The appropriate nursing
response is to:
a. Report her signs and symptoms of hypovolemic shock
b. Tell her that her body is getting rid of unneeded fluid
c. Notify her nurse-midwife that she may have an infection
d. Limit her intake of caffeine-containing fluids
Assess the height of her fundus correct answers A woman who is 3 hours postpartum has had
difficulty in urinating. She finally urinates 100 mL. The initial nursing action is to:
a. Insert an indwelling catheter
b. Have her drink additional fluids
c. Assess the height of her fundus
d. Chart the urination amount
The pads should be applied and removed in a front to back direction correct answers When
teaching the postpartum woman about peripads, the nurse should tell her that:
a. She can change to tampons when the initial perineal soreness goes away
b. Pads having cold packs within them usually hold more lochia than regular pads
c. Blood-soaked pads must be returned in a plastic bag to the hospital after discharge
d. The pads should be applied and removed in a front to back direction
Plan to sleep or rest any time the infant sleeps correct answers A young mother is excited about
her first baby. Choose the best teaching to help her obtain adequate rest after discharge.
a. Plan to sleep or rest any time the infant sleeps
b. Do all housecleaning while the infant sleeps
c. Cook several meals at once and freeze for later use
d. Tell family and friends not to visit for the first month
Squirt warm water over the perineum after voiding or stooling correct answers Choose the best
independent nursing action to aid episiotomy healing in the woman who is 24 hours postpartum.
catabolism correct answers conversion of living cellular substances to simpler compounds
dyspareunia correct answers painful intercourse
homans' sign correct answers calf pain that occurs when the foot is dorsiflexed
involution correct answers retrogressive changes that return the reproductive organs to their non
pregnancy state
kegel exercises correct answers method to increase tone of muscles around the vagina and
urinary meatus
puerperium correct answers period from childbirth until the return of the reproductive organs to
their non pregnancy state
Subinvolution correct answers delayed return of the uterus to the non pregnant state
attachment correct answers longer-term development of affection between the infant and
significant other
bonding correct answers development of an emotional tie to the infant
en face correct answers position that facilitates eye-to-eye contact between parent and newborn
engrossment correct answers intense fascination between father and newborn
entrainment correct answers movement of the newborn in rhythm with adult speech
fingertipping correct answers initial touch characteristic between mother and newborn
REEDA correct answers Acronym that helps assess wound healing (redness, edema, ecchymosis,
discharge, and approximation)
atony correct answers less than normal muscle tone
embolism correct answers a clot or amniotic fluid material that may obstruct smaller vessels
petechiae correct answers tiny purplish-red spots on the skin caused by intradermal or
submucosal hemorrhage
placenta accreta correct answers placenta that adheres abnormally to the uterine wall
pulse pressure correct answers difference between systolic and diastolic blood pressure
,subinvolution correct answers failure of the uterus to return to its prepregnant state in the time
expected
thrombophlebitis correct answers thrombus formation with inflammation
thrombus correct answers a blood clot within a vessel
She is still in the taking-in phase of maternal adaption. correct answers Twelve hours after birth,
a mother lies in bed resting. Although she has only one more day in the hospital, she does not ask
about her baby or provide any care. What is the probably reason for her behavior?
a. She is still in the taking-in phase of maternal adaption.
b. She shows behaviors that may lead to postpartum depression.
c. She is still affected by the medications given during the labor.
d. She may be dissatisfied with some aspect of the newborn.
Formal correct answers Which stage of maternal role attainment is focused on getting acquainted
with the infant's individual personality?
a. Anticipatory
b. Formal
c. Informal
d. Personal
In her culture, new mothers should rest and have others care for the infant correct answers A
recent immigrant to this country seems reluctant to care for her infant. She keeps the infant in the
crib most of the time and asks the nurse to feed the baby. She stays in bed and seems not to want
to get up to ambulate. What is a likely interpretation of this behavior?
a. This was an unwanted pregnancy and the mother is not bonding with the infant
b. The woman has severe postpartum depression and needs psychiatric care.
c. In her culture, new mothers should rest and have others care for the infant
d. The woman comes from an abusive home situation.
Tell the father that the baby cries to communicate a need correct answers A new father is
reluctant to spoil his newborn by picking her up when she cries. The best nursing response is to:
a. Teach him that she will eventually stop crying if he waits
b. Take the baby to the nursery to allow the parents to rest
c. Pick the baby up and rocker her until she sleeps again
d. Tell the father that the baby cries to communicate a need
Pick the baby up and point out his alert behavior to the mother. correct answers A newborn is in
the crib in his mother's room. The teenage mother is watching TV. When the nurse notes that the
baby is awake and quiet, the best nursing action is to:
a. Pick the baby up and point out his alert behavior to the mother.
b. Tell the mother to pick up her baby and talk to him while he is awake.
c. Focus care on the mother, rather than the infant, so the mother can recuperate.
d. Encourage the mother to feed the infant before he begins crying.
, Giving positive feedback when they provide care correct answers The nurse can encourage the
parents to care for their infant by:
a. Staying out of the room for as long as possible
b. Having the grandmother nearby as backup
c. Giving positive feedback when they provide care
d. Correcting their performance whenever they make a mistake
Document the normal assessment correct answers When checking a woman's fundus 24 hours
after the c-section birth of her first baby, the nurse finds her fundus at the level of her umbillicus,
firm, and in the midline. The appropriate nursing action related to this assessment is to:
a. Document the normal assessment
b. Determine when she last urinated
c. Limit her intake of oral fluids
d. Massage her fundus vigorously
Tell her that her body is getting rid of unneeded fluid correct answers A woman who is 18 hours
postpartum says she is having "hot flashes" and "sweats all the time". The appropriate nursing
response is to:
a. Report her signs and symptoms of hypovolemic shock
b. Tell her that her body is getting rid of unneeded fluid
c. Notify her nurse-midwife that she may have an infection
d. Limit her intake of caffeine-containing fluids
Assess the height of her fundus correct answers A woman who is 3 hours postpartum has had
difficulty in urinating. She finally urinates 100 mL. The initial nursing action is to:
a. Insert an indwelling catheter
b. Have her drink additional fluids
c. Assess the height of her fundus
d. Chart the urination amount
The pads should be applied and removed in a front to back direction correct answers When
teaching the postpartum woman about peripads, the nurse should tell her that:
a. She can change to tampons when the initial perineal soreness goes away
b. Pads having cold packs within them usually hold more lochia than regular pads
c. Blood-soaked pads must be returned in a plastic bag to the hospital after discharge
d. The pads should be applied and removed in a front to back direction
Plan to sleep or rest any time the infant sleeps correct answers A young mother is excited about
her first baby. Choose the best teaching to help her obtain adequate rest after discharge.
a. Plan to sleep or rest any time the infant sleeps
b. Do all housecleaning while the infant sleeps
c. Cook several meals at once and freeze for later use
d. Tell family and friends not to visit for the first month
Squirt warm water over the perineum after voiding or stooling correct answers Choose the best
independent nursing action to aid episiotomy healing in the woman who is 24 hours postpartum.
