Care of The New Mother 2022 latest
Study Guide
1. Which action would most make the nurse believe that a postpartum woman is accepting a child well?
A) She states she has named the child after a well-loved friend.
B) She turns her face to meet the infant's eyes when she holds her.
C) She comments that her baby has the most hair of any in the nursery.
D) She asks the nurse to use her camera to take a photo of the child.
Ans: B
Client Needs: Psychosocial Integrity
Cognitive Level: Apply
Page: 400
Feedback: An "enface" position is a mark of a woman who is interacting warmly with a newborn.
2. The nurse assesses a postpartum woman's perineum and notices that her lochial discharge is
moderate in amount and red. The nurse would record this as what type of lochia?
A) lochia rubra
B) lochia serosa
C) lochia normalia
D) lochia alba
Ans: A
Client Needs: Physiological Integrity: Physiological Adaptation
Cognitive Level: Remember
Page: 404
Feedback: Lochia rubra is red; it lasts for the first few days of the postpartal period.
3. A nurse helps a postpartum woman out of bed for the first time postpartally and notices that she has
a very heavy lochia flow. Which assessment finding would best help the nurse decide that the flow is
within normal limits?
A) The flow contains large clots.
B) The flow is over 500 mL.
C) Her uterus is soft to your touch.
D) The color of the flow is red.
Ans: D
Client Needs: Physiological Integrity: Physiological Adaptation
, Nursing Care of a Postpartal Family/
Care of The New Mother 2022 latest
Study Guide
Cognitive Level: Apply
Page: 404
Feedback: A typical lochia flow on the first day postpartally is red; it contains no large clots; the uterus is
firm, indicating that it is well contracted.
4. Which information would the nurse emphasize in the teaching plan for a postpartal woman who is
reluctant to begin taking warm sitz baths?
A) Sitz baths cause perineal vasoconstriction and decreased bleeding.
B) The longer a sitz bath is continued, the more therapeutic it becomes.
C) Sitz baths increase the blood supply to the perineal area.
D) Sitz baths may lead to increased postpartal infection.
Ans: C
Client Needs: Physiological Integrity: Basic Care and Comfort
Cognitive Level: Apply
Page: 412
Feedback: Sitz baths decrease pain and aid healing by increasing blood flow to the perineum.
5. A postpartal woman with an episiotomy asks the nurse about perineal care. Which recommendation
would the nurse give?
A) Avoid using soap for any perineal care.
B) Wash her perineum with her daily shower.
C) Use an alcohol wipe to wash her episiotomy line.
D) Refrain from washing lochia from the suture line.
Ans: B
Client Needs: Health Promotion and Maintenance
Cognitive Level: Apply
Page: 413
Feedback: A suture line should be kept free of lochia to discourage infection. Washing with soap and
water at the time of a shower will help to do this.
6. Which finding would lead the nurse to suspect that a woman is developing a postpartum
complication?
A) an absence of lochia
B) red-colored lochia for the first 24 hours