OB NURS 306 Week 4 practice questions.

OB NURS 306 Week 4 practice questions. Week 4 practice questions 1. The nurse is providing discharge counseling to a woman who is breastfeeding her baby. The nurse advises the woman that if she experiences unilateral breast inflammation, she should do which of the following? a. Apply warm soaks to the reddened area. b. Consume an herbal galactagogue. c. Bottle feed the baby during the next day. d. Take expressed breast milk to the laboratory for analysis. 2. Primary breast engorgement is an increase in the and systems that precedes the initiation of milk production. ANS: vascular; lymphatic 3. a nurse is providing teaching to the parents of a newborn about how to care for his circumcision at home. Which of the following instructions should the nurse include in the teaching? A. Apply the diaper tightly over the circumcision area B. Remove the yellow exudate with each diaper change C. Use prepacked commercial wipes to clean the circumcision site D. Encourage non-nutritive sucking for pain relief 4. a nurse is providing teaching for a postpartum client who is breastfeeding. Which of the following statements indicates an understanding of the teaching? A. “I should feed my baby 8-12 times a day, based on feeding cues.” B. “My baby should have 6 or 7 wet diapers a day during the first week.” C. “I should switch my baby to the other breast after 15 minutes of feeding.” D. “My nipple pain should go away after a few weeks of breastfeeding.” 5. A nurse is providing d/c instructions to a client who is breastfeeding her newborn. Which of the following statements should the nurse include? A. “Notify your provider if you notice cracking on your nipples.” B. “Notify your provider if you have not “ 6. a nurse is performing a physical assessment of a full term newborn and eliciting the Moro reflex. which of the following movements are expected responses to this reflex (SATA)? A. Thumb and forefinger forming a “C” B. Legs extending before pulling upward C. Arms and legs adducting D. Arms falling backward after startling E. Head turning to the right Ch 13 7. Your postpartum patient is 10 hours post-birth. She experienced an uncomplicated labor and birth and her newborn is full term with Apgar scores of 9 at 1 minute and 9 at 5 minutes. During your assessment, you note that she was hungry and very interested in telling you about her birth experience. You had to remind her to change her baby’s diaper and to feed her baby. Based on this assessment you determine that she is: A. Having difficulty bonding with her baby B. Not concerned about her baby’s needs C. In the taking-in phase D. In the taking-hold phase 8. Your postpartum patient is a 25-year-old, white, single woman who gave birth to a healthy infant. She is 36 hours post-birth. You note that she holds her infant at a distance and refers to her infant as “it.” Based on this assessment, your initial nursing actions include: A. Obtain referral for a social worker. B. Ask the woman to tell you about her pregnancy and childbirth experience. C. Teach her the importance of holding her baby close to her body. D. Take her baby to the nursery so she can have some uninterrupted sleep. 9. Which 2-day postpartum woman has an abnormal finding that requires intervention? A. A 23-year-old Arabic woman who plans to breastfeed but wants to bottle feed her newborn until her milk comes in B. A 28-year-old Chinese woman who refuses to take a shower C. A 20-year-old Japanese woman who has her mother care for her baby D. A 19-year-old Caucasian woman who requests that her baby stay in the nursery so she can sleep 10. You are providing discharge teaching to your patient. In addition to her newborn son, she has a 2-year-old daughter. Which of the following will you include in your teaching? Select all that apply. A. Stressing the importance of quality time with her 2-year-old daughter B. Instructing the woman to include the 2-year-old in the care of her baby brother C. Explaining that all children experience some degree of sibling rivalry D. Instructing the woman to explain to her daughter the reasons babies cry 11. Factors that can hamper a couple’s transition to parenthood include which of the following? Select all that apply A. First experience with newborns B. Change of employment C. Adolescent father 12. Factors that influence a man’s transition to fatherhood include which of the following? Select all that apply. A. Educational level B. Cultural expectations C. Socioeconomic status D. Support from partner 13. Your postpartum assignment includes a 15-year-old firsttime mother who gave birth to a healthy baby girl 6 hours ago. The 16-year-old father of the baby was present for the birth and is present while you are caring for the new mother. Which of the following nursing actions are appropriate for this couple? Select all that apply. A. Include the new father in infant care teaching sessions. B. Ask the new father to tell you about his labor and birth experience. C. Include the new father in teaching session on contraception. D. Include the new father in teaching session on postpartum blues. 14. You are assigned a hearing impaired first-time mother. When you enter the room, your patient is looking away from you. Which of the following is the most appropriate way to get the woman’s attention? A. Flick the overhead lights on and off. B. Make a loud noise as you enter the room. C. Tap the woman on her shoulder. D. Walk to her bed and wave your hand. 15. You observe a new father gently touching his newborn son and spending time gazing at his son. These behaviors are characteristics of . A. Entrainment B. Attachment C. Engrossment D. Bonding 16. Which statements are true regarding coparenting? Select all that apply. A. Implies that the parenting roles are equal in the amount of child care responsibilities B. Consists of parental figures supporting each other in the rearing of their child C. Can be affected by the infant’s temperament.