Learning system 3.0 Maternal newborn 2
A nurse is providing teaching to a client who is postpartum and does not plan to BF her NB. Which of the
following instructions should the nurse include in the teaching?
1. stand under a hot shower with breasts exposed
2. place ice packs on your breasts
3. wear a loose-fitting comfortable bra
4. limit fluid intake to 1L per day
The nurse should instruct the client to place ice packs on her breasts using a 15-minute and 45 min off
schedule, to decrease swelling of the breast tissue as the body produces milk.
a nurse is providing teaching to the parents of an NB about how to care for his circumcision at home.
Which of the following instructions should the nurse include in the teaching?
1. Apply the diaper tightly over the circumcision area.
2. Remove the yellow exudate with each diaper change.
3. Use prepackaged commercial wipes to clean the circumcision site.
4. Encourage nonnutritive sucking for pain relief.
Allowing the newborn to suck on a pacifier is an effective form of nonpharmacological pain
management.
a nurse is administering a rubella immunization to a client who is 2 days PP. Which of the following
statements indicates to the nurse the client needs further instuctions?
1. "I can continue to breastfeed."
2. "I will still need to have my provider perform a rubella titer check with my next pregnancy."
3. "I cannot receive the rubella immunization during my pregnancy."
4. "I can conceive any time I want after 10 days."
A client who receives a rubella immunization should not conceive for at least 1 month after receiving the
rubella immunization to prevent injury to the fetus.
, a nurse is providing teaching to a client who is planning to BF her NB. Which of the following statements
by the client indicates and understanding of the teaching?
1. "I must drink milk every day in order to assure good quality breast milk."
2."Drinking lots of fluids will increase my breast milk production."
3. "After the first few weeks, my nipples will toughen up and breastfeeding won't hurt anymore."
4."It is normal for my baby to sometimes feed every hour for several hours in a row."
Cluster feeding is an expected finding for newborns who are breastfeeding. The mother should follow
her newborn's cues and feed her 8 to 12 times per day.
A nurse is assessing a client who is PP following a vacuum assisted birth. For which of the following
findings should the nurse monitor to identify cervical laceration?
1. Continuous lochia flow and a flaccid uterus
2. Report of increasing pain and pressure in the perineal area
3. A slow trickle of bright vaginal bleeding and a firm fundus
4. A gush of rubra lochia when the nurse massages the uterus
The nurse should monitor for bright red bleeding as a slow trickle, oozing or outright bleeding,and a firm
fundus to identify a cervical laceration.
a nurse is caring for a NB immediately following delivery. Which of the following actions should the nurse
take first?
1. Perform a detailed physical assessment.
2.Place the newborn directly on the client's chest.
3.Give the newborn vitamin K IM.
4.Administer erythromycin ophthalmic ointment.
The nurse should apply the safety and risk reduction priority-setting framework when caring for this
client. This framework assigns priority to the factor or situation posing the greatest safety risk to the
client. When there are several risks to client safety, the one posing the greatest threat is the highest
priority. The nurse should use Maslow's Hierarchy of Needs, the ABC priority-setting framework, or
nursing knowledge to identify which risk poses the greatest threat to the client. Therefore, the greatest
A nurse is providing teaching to a client who is postpartum and does not plan to BF her NB. Which of the
following instructions should the nurse include in the teaching?
1. stand under a hot shower with breasts exposed
2. place ice packs on your breasts
3. wear a loose-fitting comfortable bra
4. limit fluid intake to 1L per day
The nurse should instruct the client to place ice packs on her breasts using a 15-minute and 45 min off
schedule, to decrease swelling of the breast tissue as the body produces milk.
a nurse is providing teaching to the parents of an NB about how to care for his circumcision at home.
Which of the following instructions should the nurse include in the teaching?
1. Apply the diaper tightly over the circumcision area.
2. Remove the yellow exudate with each diaper change.
3. Use prepackaged commercial wipes to clean the circumcision site.
4. Encourage nonnutritive sucking for pain relief.
Allowing the newborn to suck on a pacifier is an effective form of nonpharmacological pain
management.
a nurse is administering a rubella immunization to a client who is 2 days PP. Which of the following
statements indicates to the nurse the client needs further instuctions?
1. "I can continue to breastfeed."
2. "I will still need to have my provider perform a rubella titer check with my next pregnancy."
3. "I cannot receive the rubella immunization during my pregnancy."
4. "I can conceive any time I want after 10 days."
A client who receives a rubella immunization should not conceive for at least 1 month after receiving the
rubella immunization to prevent injury to the fetus.
, a nurse is providing teaching to a client who is planning to BF her NB. Which of the following statements
by the client indicates and understanding of the teaching?
1. "I must drink milk every day in order to assure good quality breast milk."
2."Drinking lots of fluids will increase my breast milk production."
3. "After the first few weeks, my nipples will toughen up and breastfeeding won't hurt anymore."
4."It is normal for my baby to sometimes feed every hour for several hours in a row."
Cluster feeding is an expected finding for newborns who are breastfeeding. The mother should follow
her newborn's cues and feed her 8 to 12 times per day.
A nurse is assessing a client who is PP following a vacuum assisted birth. For which of the following
findings should the nurse monitor to identify cervical laceration?
1. Continuous lochia flow and a flaccid uterus
2. Report of increasing pain and pressure in the perineal area
3. A slow trickle of bright vaginal bleeding and a firm fundus
4. A gush of rubra lochia when the nurse massages the uterus
The nurse should monitor for bright red bleeding as a slow trickle, oozing or outright bleeding,and a firm
fundus to identify a cervical laceration.
a nurse is caring for a NB immediately following delivery. Which of the following actions should the nurse
take first?
1. Perform a detailed physical assessment.
2.Place the newborn directly on the client's chest.
3.Give the newborn vitamin K IM.
4.Administer erythromycin ophthalmic ointment.
The nurse should apply the safety and risk reduction priority-setting framework when caring for this
client. This framework assigns priority to the factor or situation posing the greatest safety risk to the
client. When there are several risks to client safety, the one posing the greatest threat is the highest
priority. The nurse should use Maslow's Hierarchy of Needs, the ABC priority-setting framework, or
nursing knowledge to identify which risk poses the greatest threat to the client. Therefore, the greatest
