NSG3500 Exam 3 Questions with Answers
Question 1
A mom is complaining that right breast is red, warm to touch, and flu like symptoms. What is she experiencing and what
would RN recommend?
Correct Answer
Mastitis
Continue breastfeeding
Rest
Drink lots of water, TAKE AND FINISH antibiotic
Question 2
What is let-down? How can mom know if she is having let-down?
Correct Answer
Reflex that is a result of secretion of oxytocin in response to baby sucking
Most moms report tingling before let down occurs
Page 1 of 33
,Question 3
Mom comes into office for 6 wk FU. When RN asks how sister is adjusting to the new baby, mom says "She has wet the bed
several times and started talking in babbles. I'm not sure what to do with her." What is the RNs best advice for mom @ this
time?
1. Don't criticize her behavior. Give her small jobs to help w/ baby like getting diapers or clothes & give her positive
feedback when she helps w/ baby.
2. You are not spending enough time with her, you should stop focusing all your attention on the baby and spend some
time with the older sibling.
3. Don't criticize her behavior. Ask if there is anyone who can take her for a few weeks while she gets over this behavior.
4. This is a normal part of sibling rivalry, she will get over it soon.
Correct Answer
1
Question 4
What is the treatment for thrombophlebitis?
Correct Answer
Rest
Elevation
SCDs
Warm compress
Increase fluids
Heparin
Check leg circumference daily
Page 2 of 33
,Question 5
How can RN help families w/ older sibling adjust to new baby?
Correct Answer
Talk w/ children about their feelings
Teach older sibling how to play w/ new baby
Give them special jobs
Praise age-appropriate behaviors & do not criticize regression
Set aside special time for other sibling
Question 6
Signs of endometritis
Correct Answer
Temp of 100.4 for 2 days or temp of 101.6 in first 24 hrs
102+ = SEPSIS
Pain in uterus
Page 3 of 33
, Question 7
A primipara mom tells you she is concerned she won't be able to breastfeed because her breasts are very small. What is the
best therapeutic response?
1. Don't worry, you'll be fine.
2. It sounds like you're worried about being able to breastfeed. Breast size does not indicate whether you can breastfeed.
3. If you are worried about being able to breastfeed, you should just give your baby a bottle.
4. It sounds like you're worried about being able to breastfeed. If the other women in your family breastfed fine, you will be
fine as well.
Correct Answer
2
Question 8
What type of nourishment should RNs encourage for PP moms?
Correct Answer
Fluids, high fiber, overall healthy eating
Question 9
How do you treat hematomas?
Correct Answer
Apply ice to the area to help w/ pain and slow bleeding
Tell MD & keep pt NPO in case pt needs to go to OR
Assess v/s Q15 mins
Expect to give pain meds
Page 4 of 33
Question 1
A mom is complaining that right breast is red, warm to touch, and flu like symptoms. What is she experiencing and what
would RN recommend?
Correct Answer
Mastitis
Continue breastfeeding
Rest
Drink lots of water, TAKE AND FINISH antibiotic
Question 2
What is let-down? How can mom know if she is having let-down?
Correct Answer
Reflex that is a result of secretion of oxytocin in response to baby sucking
Most moms report tingling before let down occurs
Page 1 of 33
,Question 3
Mom comes into office for 6 wk FU. When RN asks how sister is adjusting to the new baby, mom says "She has wet the bed
several times and started talking in babbles. I'm not sure what to do with her." What is the RNs best advice for mom @ this
time?
1. Don't criticize her behavior. Give her small jobs to help w/ baby like getting diapers or clothes & give her positive
feedback when she helps w/ baby.
2. You are not spending enough time with her, you should stop focusing all your attention on the baby and spend some
time with the older sibling.
3. Don't criticize her behavior. Ask if there is anyone who can take her for a few weeks while she gets over this behavior.
4. This is a normal part of sibling rivalry, she will get over it soon.
Correct Answer
1
Question 4
What is the treatment for thrombophlebitis?
Correct Answer
Rest
Elevation
SCDs
Warm compress
Increase fluids
Heparin
Check leg circumference daily
Page 2 of 33
,Question 5
How can RN help families w/ older sibling adjust to new baby?
Correct Answer
Talk w/ children about their feelings
Teach older sibling how to play w/ new baby
Give them special jobs
Praise age-appropriate behaviors & do not criticize regression
Set aside special time for other sibling
Question 6
Signs of endometritis
Correct Answer
Temp of 100.4 for 2 days or temp of 101.6 in first 24 hrs
102+ = SEPSIS
Pain in uterus
Page 3 of 33
, Question 7
A primipara mom tells you she is concerned she won't be able to breastfeed because her breasts are very small. What is the
best therapeutic response?
1. Don't worry, you'll be fine.
2. It sounds like you're worried about being able to breastfeed. Breast size does not indicate whether you can breastfeed.
3. If you are worried about being able to breastfeed, you should just give your baby a bottle.
4. It sounds like you're worried about being able to breastfeed. If the other women in your family breastfed fine, you will be
fine as well.
Correct Answer
2
Question 8
What type of nourishment should RNs encourage for PP moms?
Correct Answer
Fluids, high fiber, overall healthy eating
Question 9
How do you treat hematomas?
Correct Answer
Apply ice to the area to help w/ pain and slow bleeding
Tell MD & keep pt NPO in case pt needs to go to OR
Assess v/s Q15 mins
Expect to give pain meds
Page 4 of 33
