Maternal Child Health: Chapter 9 & 10
Exam Questions and Answers 100%
Verified
d. high-pitched cry.
There are many signs of hypoglycemia in the newborn. One is a high-pitched cry. -
ANSWER-The nurse assessing a newborn recognizes a sign of hypoglycemia, which is:
a. increased nasal mucus.
b. increased temperature.
c. active muscle movements.
d. high-pitched cry.
a. well-contracted with its upper border at or just below the umbilicus.
Immediately after the placenta is expelled, the uterine fundus can be felt as a firm mass,
about the size of a grapefruit, at the level of the umbilicus. - ANSWER-The nurse
assessing the fundus of the uterus immediately after delivery would expect to find the
uterus:
a. well-contracted with its upper border at or just below the umbilicus.
b. well-contracted with its upper border three or four fingerbreadths above the umbilicus.
c. relaxed with its upper border level with the umbilicus.
d. relaxed with its upper border two or three fingerbreadths below the umbilicus.
d. "If the baby gets fussy between feedings, I give her a bottle of water."
,Supplemental feedings of formula or water should not be offered to a healthy newborn
who is breastfeeding. - ANSWER-The statement made by a new mother that indicates
she needs additional information about breastfeeding is:
a. "I let the baby nurse 10 to 15 minutes on the first breast and then switch to the other
breast."
b. "The baby needs to nurse at least 5 minutes on the breast to get the hindmilk."
c. "The baby has been nursing every 2 to 3 hours."
d. "If the baby gets fussy between feedings, I give her a bottle of water."
b. massage the fundus.
A poorly contracted uterus should be massaged until firm to prevent hemorrhage. -
ANSWER-Following delivery, the nurse's assessment reveals a soft, boggy uterus
located above the level of the umbilicus. The appropriate intervention is to:
a. notify the physician.
b. massage the fundus.
c. initiate measures that encourage voiding.
d. position the patient flat.
b. rubra.
The initial vaginal discharge after delivery is called lochia rubra. It is red and moderately
heavy. Lochia rubra lasts for up to 3 days postpartum. - ANSWER-The nurse assesses
the initial lochia post delivery, which is known as:
a. serosa.
b. rubra.
c. alba.
d. vaginalis.
, c. a change in lochia from pink to bright red should be reported.
A return to bright red lochia rubra may indicate a late postpartum hemorrhage and must
be reported. - ANSWER-A woman will be discharged 48 hours after a vaginal delivery.
When planning discharge teaching, the information the nurse would include about lochia
is that:
a. lochia should disappear 2 to 4 weeks postpartum.
b. it is normal for the lochia to have a slightly foul odor.
c. a change in lochia from pink to bright red should be reported.
d. a decrease in flow will be noticed with ambulation and activity.
b. cleanse with warm water in a squeeze bottle from front to back.
Cleansing from front to back prevents contamination from the rectal area. - ANSWER-
The nurse should teach the postpartum woman about perineal self-care by instructing
her to:
a. perform perineal self-care at least twice a day.
b. cleanse with warm water in a squeeze bottle from front to back.
c. remove perineal pads from the rectal area toward the vagina.
d. use cool water to decrease edema of the perineum.
a. The rubella virus vaccine should be administered before discharge.
The woman who is not immune to rubella is immunized in the immediate postpartum
period because there is no danger of her being pregnant. - ANSWER-The nurse can
expect which intervention to be ordered if the postpartum woman is not immune to
rubella?
a. The rubella virus vaccine should be administered before discharge.
Exam Questions and Answers 100%
Verified
d. high-pitched cry.
There are many signs of hypoglycemia in the newborn. One is a high-pitched cry. -
ANSWER-The nurse assessing a newborn recognizes a sign of hypoglycemia, which is:
a. increased nasal mucus.
b. increased temperature.
c. active muscle movements.
d. high-pitched cry.
a. well-contracted with its upper border at or just below the umbilicus.
Immediately after the placenta is expelled, the uterine fundus can be felt as a firm mass,
about the size of a grapefruit, at the level of the umbilicus. - ANSWER-The nurse
assessing the fundus of the uterus immediately after delivery would expect to find the
uterus:
a. well-contracted with its upper border at or just below the umbilicus.
b. well-contracted with its upper border three or four fingerbreadths above the umbilicus.
c. relaxed with its upper border level with the umbilicus.
d. relaxed with its upper border two or three fingerbreadths below the umbilicus.
d. "If the baby gets fussy between feedings, I give her a bottle of water."
,Supplemental feedings of formula or water should not be offered to a healthy newborn
who is breastfeeding. - ANSWER-The statement made by a new mother that indicates
she needs additional information about breastfeeding is:
a. "I let the baby nurse 10 to 15 minutes on the first breast and then switch to the other
breast."
b. "The baby needs to nurse at least 5 minutes on the breast to get the hindmilk."
c. "The baby has been nursing every 2 to 3 hours."
d. "If the baby gets fussy between feedings, I give her a bottle of water."
b. massage the fundus.
A poorly contracted uterus should be massaged until firm to prevent hemorrhage. -
ANSWER-Following delivery, the nurse's assessment reveals a soft, boggy uterus
located above the level of the umbilicus. The appropriate intervention is to:
a. notify the physician.
b. massage the fundus.
c. initiate measures that encourage voiding.
d. position the patient flat.
b. rubra.
The initial vaginal discharge after delivery is called lochia rubra. It is red and moderately
heavy. Lochia rubra lasts for up to 3 days postpartum. - ANSWER-The nurse assesses
the initial lochia post delivery, which is known as:
a. serosa.
b. rubra.
c. alba.
d. vaginalis.
, c. a change in lochia from pink to bright red should be reported.
A return to bright red lochia rubra may indicate a late postpartum hemorrhage and must
be reported. - ANSWER-A woman will be discharged 48 hours after a vaginal delivery.
When planning discharge teaching, the information the nurse would include about lochia
is that:
a. lochia should disappear 2 to 4 weeks postpartum.
b. it is normal for the lochia to have a slightly foul odor.
c. a change in lochia from pink to bright red should be reported.
d. a decrease in flow will be noticed with ambulation and activity.
b. cleanse with warm water in a squeeze bottle from front to back.
Cleansing from front to back prevents contamination from the rectal area. - ANSWER-
The nurse should teach the postpartum woman about perineal self-care by instructing
her to:
a. perform perineal self-care at least twice a day.
b. cleanse with warm water in a squeeze bottle from front to back.
c. remove perineal pads from the rectal area toward the vagina.
d. use cool water to decrease edema of the perineum.
a. The rubella virus vaccine should be administered before discharge.
The woman who is not immune to rubella is immunized in the immediate postpartum
period because there is no danger of her being pregnant. - ANSWER-The nurse can
expect which intervention to be ordered if the postpartum woman is not immune to
rubella?
a. The rubella virus vaccine should be administered before discharge.
