NSG 3500 - Exam 3 Testbank
A 1-day postpartum woman states, "I think I have a urinary tract infection. I need to visit the rest
room all the time." Which of the subsequent actions ought to the nurse take?
1. Assure the female that frequent urination is regular after shipping.
2. Obtain an order for a urine culture.
3. Assess the urine for cloudiness.
Four. Ask the girl if she is susceptible to urinary tract infections. - ANS-1
A 2-day postpartum mother, G2 P2002, states that her 2-12 months-antique daughter at
domestic may be very excited about taking "my child sister" home. Which of the subsequent is
the precise reaction through the nurse?
1. "It's continually exceptional while siblings are excited to have the infants go domestic."
2. "Your daughter is very advanced for her age. She have to communicate thoroughly."
3. "Your daughter is probably to turn out to be very jealous of the brand new toddler."
four. "Older sisters can be very useful. They love to play mom." - ANS-three
A 2-day-postpartum breastfeeding lady states, "I am sick of being fat. When can I move on a
diet?" Which of the following responses is appropriate?
1. "It is fine in order to begin weight-reduction plan proper now as long as you drink masses of
milk."
2. "Your breast milk may be low in vitamins if you begin to weight loss program while
breastfeeding."
3. "You must devour at least 3,000 energy per day that allows you to produce enough milk for
your child."
4. "Many mothers lose weight once they breastfeed due to the fact the child consumes
about six hundred calories a day." - ANS-4
It is not advocated that breastfeeding mothers go on weight-reduction diets. In addition, it is not
essential for moms to drink milk to make breast milk.
When a breastfeeding woman has a negative weight loss plan, the first-class of her breast milk
modifications little or no. In reality, if a mom consumes a poor weight loss plan, it's far her own
frame with a purpose to suffer. Mothers do not need to consume 3,000 calories an afternoon at
the same time as breastfeeding.
Many mothers who eat about the identical range of energy at the same time as breastfeeding as
they did when they were pregnant do shed pounds even as breastfeeding.
A 3-day-breastfeeding patron who is not immune to rubella is to receive the rubella vaccine at
discharge. Which of the following have to the nurse consist of in her discharge teaching
concerning the vaccine?
1. The woman ought to no longer end up pregnant for at least four weeks.
2. The woman must pump and sell off her breast milk for 1 week.
Three. Surgical mask ought to be worn via the mother when she holds the infant.
,Four. Antibodies transported thru the breast milk will shield the baby. - ANS-1
1. This statement is correct.
2. The rubella vaccine is a live attenuated vaccine. Severe start defects can increase if the girl
becomes pregnant within 4 weeks of receiving the injection.
Three. This is unnecessary. There isn't any hazard to the baby whether the mother is bottle
feeding or breastfeeding.This assertion is inaccurate. There isn't any risk to the baby.
Four. This announcement is inaccurate.
A three-day-postpartum breastfeeding female is being assessed. Her breasts are organization
and heat to touch. When requested whilst she final fed the toddler her respond is, "I fed the
toddler last night. I permit the nurses feed him within the nursery closing night. I needed to
relaxation." Which of the subsequent moves must the nurse take presently?
1. Encourage the woman solely to breastfeed her toddler.
2. Have the woman massage her breasts hourly.
3. Obtain an order to tradition her expressed breast milk.
4. Take the temperature and pulse price of the woman. - ANS-1
Clients must be strongly endorsed solely to breastfeed their infants to prevent
engorgement.Massaging of the breast will stimulate more milk production. That is not the best
movement to take.
It is senseless to way of life the breast. This consumer is engorged; she does now not have an
contamination.It is unnecessary to assess this customer's temperature and pulse fee. This
customer is engorged; she isn't inflamed.
A 3-day-postpartum client questions why she is to get hold of the rubella vaccine before leaving
the health center. Which of the following rationales should guide the nurse's reaction?
1.The patron's obstetric fame is most advantageous for receiving the vaccine.
2. The client's immune device is notably responsive throughout the postpartum duration.
3. The customer's toddler may be excessive threat for obtaining rubella if the female does now
not
acquire the vaccine.
Four. The patron's insurance agency pays for the shot if it's far given throughout the
on the spot postpartum length. - ANS-1
1 This announcement is correct. Because the vaccine is teratogenic, the first-class time to
administer it's miles while the client isn't pregnant.
This declaration is incorrect. The immune systems of ladies all through their pregnancies and
right away postpartum are barely depressed.
This assertion is incorrect. The child could be prone to rubella whether or not or now not the
lady receives the vaccine.In popular, insurance businesses can pay for vaccinations each time
they're wished.
A bottle-feeding female, 11⁄2 weeks postpartum from a vaginal shipping, calls the obstetric office
to nation that she has saturated two pads within the beyond 1 hour. Which of the subsequent
responses by using the nurse is appropriate?
,1."You must be doing an excessive amount of. Lie down for some hours and phone returned if
the
bleeding has no longer subsided."
2. "You are probably getting your period returned. You will bleed like that for an afternoon or
two and then it'll lighten up."
three. "It isn't unusual to bleed closely each now and again after a baby is born. It
must subside rapidly."
four. "It is critical so that you can be tested via the medical doctor these days. Let me check to
peer
whilst you may come in." - ANS-4
A breastfeeding consumer calls her obstetrician mentioning that her toddler became identified
with thrush and that her breasts have become infected as well. Which of the subsequent
organisms has triggered the infant's and mother's contamination?
1. Staphylococcus aureus.
2. Streptococcus pneumoniae.
3. Escherichia coli.
4. Candida albicans. - ANS-4
A breastfeeding consumer is being seen in the emergency branch with a tough, purple, warm
nodule within the top outer quadrant of her left breast. Her important signs and symptoms are: T
104.6°F, P a hundred, R 20, and BP one hundred ten/60. She has a latest records of mastitis
and is crying in ache. Which of the following nursing diagnoses is highest priority?
1. Ineffective breastfeeding.
2. Infection.
3. Ineffective person coping.
4. Pain. - ANS-2
A breastfeeding patron, 7 weeks postpartum, complains to an obstetrician's triage nurse that
once she and her husband had intercourse for the primary time after the transport, "I couldn't
stand it. It changed into so painful. The physician have to have executed some thing terrible to
my vagina." Which of the following responses via the nurse is appropriate?
1. "After a delivery the vagina is constantly very gentle. It must feel higher the next time you
have intercourse."
2. "Does your toddler have thrush? If so, you have to be assessed for a yeast contamination to
your vagina."
three. "Women who breastfeed frequently have vaginal dryness. A vaginal lubricant may
additionally remedy your discomfort."
4. "Sometimes the stitches of episiotomies heal too tight. Why do not you are available to be
checked?" - ANS-3
A breastfeeding patron, G10 P6408, added 10 mins ago. Which of the subsequent assessments
is maximum essential for the nurse to perform at this time?
1. Pulse.
, 2. Fundus.
Three. Bladder.
Four. Breast. - ANS-2
A breastfeeding mom calls the obstetrician's office with a grievance of ache in one breast. Upon
inspection, a diagnosis of mastitis is made. Which of the following nursing interventions is
suitable?
1. Advise the lady to use ice packs to her breasts.
2. Encourage the lady to breastfeed frequently.
3. Inform the girl that she need to wean immediately.
Four. Direct the girl to notify her pediatrician as soon as possible. - ANS-2
A breastfeeding mother states that she has sore nipples. In response to the criticism, the nurse
assists with "latch on" and recommends that the mother do which of the following?
1. Use a nipple guard at every breastfeeding.
2. Cleanse the nipples with cleaning soap three times a day.
Three. Rotate the child's positions at every feed.
Four. Bottle feed for two days then resume breastfeeding. - ANS-three
A breastfeeding girl calls the pediatric nurse with the subsequent criticism: "I wakened this
morning with a horrible bloodless. I do not want my infant to get unwell. Which kind of formula
should I have my husband feed the child until I get higher?" Which of the subsequent replies by
means of the nurse is suitable at the moment?
1. "Any components logo is great, but it is important that it be combined with water that has
been boiled for at the least 5 minutes."
2. "Don't forget to pump your breasts each three hours even as the child is being fed the
prescribed method."
three. "The excellent manner to hold your toddler from getting ill is so that you can maintain
breastfeeding him rather than switching him to method."
4. "In addition to giving the toddler system, you have to put on a surgical face mask when you
are round him." - ANS-3
A breastfeeding lady has been suggested on the way to prevent engorgement. Which of the
subsequent actions by the mom shows that the teaching turned into effective?
1. She pumps her breasts after every feeding.
2. She feeds her child each 2 to 3 hours.
3. She feeds her infant 10 mins on each side.
Four. She dietary supplements each feeding with system. - ANS-2
Clients aren't encouraged to pump their breasts after feedings except there is a particular
reason to achieve this.This declaration is true. The first-rate manner to prevent engorgement is
to feed the baby every 2 to a few hours.
Clients must no longer limit toddlers' feeding times. Babies feed at different quotes. Babies
themselves, therefore, must alter the quantity of time they want to complete their feeds.
A 1-day postpartum woman states, "I think I have a urinary tract infection. I need to visit the rest
room all the time." Which of the subsequent actions ought to the nurse take?
1. Assure the female that frequent urination is regular after shipping.
2. Obtain an order for a urine culture.
3. Assess the urine for cloudiness.
Four. Ask the girl if she is susceptible to urinary tract infections. - ANS-1
A 2-day postpartum mother, G2 P2002, states that her 2-12 months-antique daughter at
domestic may be very excited about taking "my child sister" home. Which of the subsequent is
the precise reaction through the nurse?
1. "It's continually exceptional while siblings are excited to have the infants go domestic."
2. "Your daughter is very advanced for her age. She have to communicate thoroughly."
3. "Your daughter is probably to turn out to be very jealous of the brand new toddler."
four. "Older sisters can be very useful. They love to play mom." - ANS-three
A 2-day-postpartum breastfeeding lady states, "I am sick of being fat. When can I move on a
diet?" Which of the following responses is appropriate?
1. "It is fine in order to begin weight-reduction plan proper now as long as you drink masses of
milk."
2. "Your breast milk may be low in vitamins if you begin to weight loss program while
breastfeeding."
3. "You must devour at least 3,000 energy per day that allows you to produce enough milk for
your child."
4. "Many mothers lose weight once they breastfeed due to the fact the child consumes
about six hundred calories a day." - ANS-4
It is not advocated that breastfeeding mothers go on weight-reduction diets. In addition, it is not
essential for moms to drink milk to make breast milk.
When a breastfeeding woman has a negative weight loss plan, the first-class of her breast milk
modifications little or no. In reality, if a mom consumes a poor weight loss plan, it's far her own
frame with a purpose to suffer. Mothers do not need to consume 3,000 calories an afternoon at
the same time as breastfeeding.
Many mothers who eat about the identical range of energy at the same time as breastfeeding as
they did when they were pregnant do shed pounds even as breastfeeding.
A 3-day-breastfeeding patron who is not immune to rubella is to receive the rubella vaccine at
discharge. Which of the following have to the nurse consist of in her discharge teaching
concerning the vaccine?
1. The woman ought to no longer end up pregnant for at least four weeks.
2. The woman must pump and sell off her breast milk for 1 week.
Three. Surgical mask ought to be worn via the mother when she holds the infant.
,Four. Antibodies transported thru the breast milk will shield the baby. - ANS-1
1. This statement is correct.
2. The rubella vaccine is a live attenuated vaccine. Severe start defects can increase if the girl
becomes pregnant within 4 weeks of receiving the injection.
Three. This is unnecessary. There isn't any hazard to the baby whether the mother is bottle
feeding or breastfeeding.This assertion is inaccurate. There isn't any risk to the baby.
Four. This announcement is inaccurate.
A three-day-postpartum breastfeeding female is being assessed. Her breasts are organization
and heat to touch. When requested whilst she final fed the toddler her respond is, "I fed the
toddler last night. I permit the nurses feed him within the nursery closing night. I needed to
relaxation." Which of the subsequent moves must the nurse take presently?
1. Encourage the woman solely to breastfeed her toddler.
2. Have the woman massage her breasts hourly.
3. Obtain an order to tradition her expressed breast milk.
4. Take the temperature and pulse price of the woman. - ANS-1
Clients must be strongly endorsed solely to breastfeed their infants to prevent
engorgement.Massaging of the breast will stimulate more milk production. That is not the best
movement to take.
It is senseless to way of life the breast. This consumer is engorged; she does now not have an
contamination.It is unnecessary to assess this customer's temperature and pulse fee. This
customer is engorged; she isn't inflamed.
A 3-day-postpartum client questions why she is to get hold of the rubella vaccine before leaving
the health center. Which of the following rationales should guide the nurse's reaction?
1.The patron's obstetric fame is most advantageous for receiving the vaccine.
2. The client's immune device is notably responsive throughout the postpartum duration.
3. The customer's toddler may be excessive threat for obtaining rubella if the female does now
not
acquire the vaccine.
Four. The patron's insurance agency pays for the shot if it's far given throughout the
on the spot postpartum length. - ANS-1
1 This announcement is correct. Because the vaccine is teratogenic, the first-class time to
administer it's miles while the client isn't pregnant.
This declaration is incorrect. The immune systems of ladies all through their pregnancies and
right away postpartum are barely depressed.
This assertion is incorrect. The child could be prone to rubella whether or not or now not the
lady receives the vaccine.In popular, insurance businesses can pay for vaccinations each time
they're wished.
A bottle-feeding female, 11⁄2 weeks postpartum from a vaginal shipping, calls the obstetric office
to nation that she has saturated two pads within the beyond 1 hour. Which of the subsequent
responses by using the nurse is appropriate?
,1."You must be doing an excessive amount of. Lie down for some hours and phone returned if
the
bleeding has no longer subsided."
2. "You are probably getting your period returned. You will bleed like that for an afternoon or
two and then it'll lighten up."
three. "It isn't unusual to bleed closely each now and again after a baby is born. It
must subside rapidly."
four. "It is critical so that you can be tested via the medical doctor these days. Let me check to
peer
whilst you may come in." - ANS-4
A breastfeeding consumer calls her obstetrician mentioning that her toddler became identified
with thrush and that her breasts have become infected as well. Which of the subsequent
organisms has triggered the infant's and mother's contamination?
1. Staphylococcus aureus.
2. Streptococcus pneumoniae.
3. Escherichia coli.
4. Candida albicans. - ANS-4
A breastfeeding consumer is being seen in the emergency branch with a tough, purple, warm
nodule within the top outer quadrant of her left breast. Her important signs and symptoms are: T
104.6°F, P a hundred, R 20, and BP one hundred ten/60. She has a latest records of mastitis
and is crying in ache. Which of the following nursing diagnoses is highest priority?
1. Ineffective breastfeeding.
2. Infection.
3. Ineffective person coping.
4. Pain. - ANS-2
A breastfeeding patron, 7 weeks postpartum, complains to an obstetrician's triage nurse that
once she and her husband had intercourse for the primary time after the transport, "I couldn't
stand it. It changed into so painful. The physician have to have executed some thing terrible to
my vagina." Which of the following responses via the nurse is appropriate?
1. "After a delivery the vagina is constantly very gentle. It must feel higher the next time you
have intercourse."
2. "Does your toddler have thrush? If so, you have to be assessed for a yeast contamination to
your vagina."
three. "Women who breastfeed frequently have vaginal dryness. A vaginal lubricant may
additionally remedy your discomfort."
4. "Sometimes the stitches of episiotomies heal too tight. Why do not you are available to be
checked?" - ANS-3
A breastfeeding patron, G10 P6408, added 10 mins ago. Which of the subsequent assessments
is maximum essential for the nurse to perform at this time?
1. Pulse.
, 2. Fundus.
Three. Bladder.
Four. Breast. - ANS-2
A breastfeeding mom calls the obstetrician's office with a grievance of ache in one breast. Upon
inspection, a diagnosis of mastitis is made. Which of the following nursing interventions is
suitable?
1. Advise the lady to use ice packs to her breasts.
2. Encourage the lady to breastfeed frequently.
3. Inform the girl that she need to wean immediately.
Four. Direct the girl to notify her pediatrician as soon as possible. - ANS-2
A breastfeeding mother states that she has sore nipples. In response to the criticism, the nurse
assists with "latch on" and recommends that the mother do which of the following?
1. Use a nipple guard at every breastfeeding.
2. Cleanse the nipples with cleaning soap three times a day.
Three. Rotate the child's positions at every feed.
Four. Bottle feed for two days then resume breastfeeding. - ANS-three
A breastfeeding girl calls the pediatric nurse with the subsequent criticism: "I wakened this
morning with a horrible bloodless. I do not want my infant to get unwell. Which kind of formula
should I have my husband feed the child until I get higher?" Which of the subsequent replies by
means of the nurse is suitable at the moment?
1. "Any components logo is great, but it is important that it be combined with water that has
been boiled for at the least 5 minutes."
2. "Don't forget to pump your breasts each three hours even as the child is being fed the
prescribed method."
three. "The excellent manner to hold your toddler from getting ill is so that you can maintain
breastfeeding him rather than switching him to method."
4. "In addition to giving the toddler system, you have to put on a surgical face mask when you
are round him." - ANS-3
A breastfeeding lady has been suggested on the way to prevent engorgement. Which of the
subsequent actions by the mom shows that the teaching turned into effective?
1. She pumps her breasts after every feeding.
2. She feeds her child each 2 to 3 hours.
3. She feeds her infant 10 mins on each side.
Four. She dietary supplements each feeding with system. - ANS-2
Clients aren't encouraged to pump their breasts after feedings except there is a particular
reason to achieve this.This declaration is true. The first-rate manner to prevent engorgement is
to feed the baby every 2 to a few hours.
Clients must no longer limit toddlers' feeding times. Babies feed at different quotes. Babies
themselves, therefore, must alter the quantity of time they want to complete their feeds.
