Test Bank Complete For Foundations of Maternal-Newborn
and Womens Health Nursing 7th Edition 9780323398947 | All
Chapters with Answers and Rationals
1. Immediately after birth, the nurse can anticipate the fundus to be located
A. at the umbilicus
B. 2cm above the umbilicus
C. 1cm below the umbilicus
D. midway between the symphysis pubis and umbilicus - ANSWER: D. midway between the symphysis
pubis and umbilicus
2. When reading the postpartum chart the nurse notices that the patient's fundus is recorded as
"u+1." The nurse understands that this means the fundus is
A. 1cm above the umbilicus
B. 1cm below the umbilicus
C. 1in. above the umbilicus
D. 1in. below the umbilicus - ANSWER: A. 1cm above the umbilicus
3. During the second postpartum day, a woman asks the nurse, "Why are my afterpains so much
worse this time than after the birth of my other child?" The best answer by the nurse would be:
A. "Most women forget how strong the afterpains can be."
B."They should not be strong with you because you are breastfeeding."
C."You should not be feeling the pains now; I will notify the physician for you."
D. "Afterpains are more severe for women who have already given birth." - ANSWER: D. "Afterpains
are more severe for women who have already given birth."
4. The nurse is assessing the patient's vaginal discharge. It is red and has about a 2-inch stain on the
peripad. The nurse will record this finding as a
A. light amount of lochia rubra
B. scant amount of lochia alba.
C. moderate amount of lochia rubra.
D. heavy amount of lochia alba. - ANSWER: A. light amount of lochia rubra
Lochia rubra is red in color and occurs the first 3 or 4 days after birth. A light amount of discharge is
classified as a 1- to 4-inch stain on the peripad.
5. The new mother is complaining of pain at the episiotomy site; however, because she is
breastfeeding, she does not want any medication. What other alternatives can the nurse offer this
mother to help relieve the pain?
A. Ambulation
B. Topical Anesthetics
C. hot fluids to drink
D. stool softeners - ANSWER: B. Topical Anesthetics
6. A mother who is 3 days postpartum calls the clinic and complains of "night sweats." She is afraid
that she is going into early menopause. The nurse should base her answer on the fact that
A. Birth may put some women into early menopause; an appointment is needed to have this checked
out.
,B. night sweats may be an indication of many other problems; an appointment is needed to assess the
problem.
C. diaphoresis is normal during the postpartum period, and comfort measures can be suggested to
the mother.
D. diaphoresis is normal only if the mother is breastfeeding. - ANSWER: C. diaphoresis is normal
during the postpartum period, and comfort measures can be suggested to the mother.
7. On the first postpartum day a patient's white blood cell count is 25,000/mm3. The nurse's next
action should be to
A. notify the physician for an antibiotic order.
B. assess the patient's temperature and blood pressure.
C. request the count be repeated.
D. note the results in the chart. - ANSWER: D. note the results in the chart.
8. One nursing measure that can help prevent postpartum hemorrhage and urinary tract infections is
A. forcing fluids.
B. perineal care.
C. encouraging voiding every 2 to 3 hours.
D. encouraging the use of stool softeners. - ANSWER: C. encouraging voiding every 2 to 3 hours.
9. While doing patient teaching, the woman tells the nurse, "I don't have to worry about
contraception because I am breastfeeding." The nurse should base her answer on the fact that
A. breastfeeding can be considered a reliable system of birth control.
B. breastfeeding can be used as a contraceptive method if strict guidelines are followed through
C.breastfeeding is not a reliable contraceptive method. - ANSWER: C.breastfeeding is not a reliable
contraceptive method.
10. A woman was admitted to the ED with her newborn baby. The baby was born 4 days ago at home.
The woman had no prenatal care. The nurse is assessing the lab work and sees that the mother has an
O-negative blood type, the baby is O-positive, and the Coombs test shows that the mother is not
sensitized to the positive blood. The nurse's next action should be
A. order Rho(D) immune globulin to be given to the mother.
B. order Rho(D) immune globulin to be given to the baby.
C. record the findings of the lab work and not plan on any further action at this time. - ANSWER: C.
record the findings of the lab work and not plan on any further action at this time.
11. The first time a woman ambulates after the birth of the newborn, she has a nursing diagnosis of
Risk for injury because of the
A. risk for developing orthostatic hypotension.
B. development of bradycardia.
C. increase in cardiac output.
D. increase in circulatory volume - ANSWER: A. risk for developing orthostatic hypotension.
13. During the early post-cesarean section phase, it is important for the woman to turn, cough, and
deep breathe. The rationale for this is to prevent
A. pooling of secretions in the airway.
B. thrombus formation in the lower legs.
C. gas formation in the intestinal tract.
D. urinary retention. - ANSWER: A. pooling of secretions in the airway.
, 14. As part of the postpartum assessment, the nurse examines the breasts of a primiparous
breastfeeding woman who is 1 day postpartum. An expected finding would be
A. Soft, nontender; colostrum is present.
B. Leakage of milk at let-down.
C. Swollen, warm, and tender on palpation.
D. A few blisters and a bruise on each areola. - ANSWER: A. Soft, nontender; colostrum is present.
16. The new mother comments that the newborn "has his father's eyes." The nurse recognizes this as
A. part of the bonding process termed claiming.
B. the mother trying to find signs of the baby's paternity.
C. the mother trying to include the father in the bonding process.
D. part of the letting-go phase of maternal adaptation. - ANSWER: A. part of the bonding process
termed claiming
Claiming or binding-in begins when the mother begins to identify specific features of the newborn.
She then begins to relate features to family members.
17. A new father of 1 day expresses concern to the nurse that his wife, who is normally very
independent, is asking him to make all the decisions. The nurse can best explain this as a(n)
A. normal occurrence because the mother is in pain.
B. abnormal occurrence that needs to be assessed further.
C. normal occurrence because the mother is in the taking-in phase.
D. normal occurrence because the mother is frustrated with the care of the newborn. - ANSWER: C.
normal occurrence because the mother is in the taking-in phase.
19. A nurse is asked to do a home visit on a woman who delivered 2 weeks ago. When assessing the
woman, the nurse was not able to locate the fundus. The next action would be
A. massage the fundus until firm.
B. monitor for bleeding.
C. arrange transportation for the woman to the nearest hospital.
D. document this normal finding. - ANSWER: D. document this normal finding.
The uterus descends at the rate of about 1 cm/day. By 10 to 14 days, it is no longer palpable above
the symphysis pubis. This is a normal finding.
20. The home care nurse is visiting a new mother who delivered 1 week ago. The mother complains
about not being able to sleep and that she is tired and cries easily. The best response by the nurse
would be:
A. "Having a baby is difficult; it will be a long time before you get a good night's sleep."
B. "Maybe your mother can come in and help you out."
C. "It is normal for this to happen and should go away in 2 weeks. It must be very difficult for you to
feel this way with a new baby."
D. "The hospital nurses must not have taught you enough information about the changes you will
experience during these first 6 weeks." - ANSWER: C. "It is normal for this to happen and should go
away in 2 weeks. It must be very difficult for you to feel this way with a new baby."
21. The new parents express concern that their 4-year-old son is jealous of the new baby. They are
planning on going home tomorrow and are not sure how the preschooler will react when they bring
the baby home. Which one of the following suggestions by the nurse will be most helpful?
A. Be aware that the child may regress to an earlier stage.
B. Have the mother spend time with the child while the father cares for the baby.
and Womens Health Nursing 7th Edition 9780323398947 | All
Chapters with Answers and Rationals
1. Immediately after birth, the nurse can anticipate the fundus to be located
A. at the umbilicus
B. 2cm above the umbilicus
C. 1cm below the umbilicus
D. midway between the symphysis pubis and umbilicus - ANSWER: D. midway between the symphysis
pubis and umbilicus
2. When reading the postpartum chart the nurse notices that the patient's fundus is recorded as
"u+1." The nurse understands that this means the fundus is
A. 1cm above the umbilicus
B. 1cm below the umbilicus
C. 1in. above the umbilicus
D. 1in. below the umbilicus - ANSWER: A. 1cm above the umbilicus
3. During the second postpartum day, a woman asks the nurse, "Why are my afterpains so much
worse this time than after the birth of my other child?" The best answer by the nurse would be:
A. "Most women forget how strong the afterpains can be."
B."They should not be strong with you because you are breastfeeding."
C."You should not be feeling the pains now; I will notify the physician for you."
D. "Afterpains are more severe for women who have already given birth." - ANSWER: D. "Afterpains
are more severe for women who have already given birth."
4. The nurse is assessing the patient's vaginal discharge. It is red and has about a 2-inch stain on the
peripad. The nurse will record this finding as a
A. light amount of lochia rubra
B. scant amount of lochia alba.
C. moderate amount of lochia rubra.
D. heavy amount of lochia alba. - ANSWER: A. light amount of lochia rubra
Lochia rubra is red in color and occurs the first 3 or 4 days after birth. A light amount of discharge is
classified as a 1- to 4-inch stain on the peripad.
5. The new mother is complaining of pain at the episiotomy site; however, because she is
breastfeeding, she does not want any medication. What other alternatives can the nurse offer this
mother to help relieve the pain?
A. Ambulation
B. Topical Anesthetics
C. hot fluids to drink
D. stool softeners - ANSWER: B. Topical Anesthetics
6. A mother who is 3 days postpartum calls the clinic and complains of "night sweats." She is afraid
that she is going into early menopause. The nurse should base her answer on the fact that
A. Birth may put some women into early menopause; an appointment is needed to have this checked
out.
,B. night sweats may be an indication of many other problems; an appointment is needed to assess the
problem.
C. diaphoresis is normal during the postpartum period, and comfort measures can be suggested to
the mother.
D. diaphoresis is normal only if the mother is breastfeeding. - ANSWER: C. diaphoresis is normal
during the postpartum period, and comfort measures can be suggested to the mother.
7. On the first postpartum day a patient's white blood cell count is 25,000/mm3. The nurse's next
action should be to
A. notify the physician for an antibiotic order.
B. assess the patient's temperature and blood pressure.
C. request the count be repeated.
D. note the results in the chart. - ANSWER: D. note the results in the chart.
8. One nursing measure that can help prevent postpartum hemorrhage and urinary tract infections is
A. forcing fluids.
B. perineal care.
C. encouraging voiding every 2 to 3 hours.
D. encouraging the use of stool softeners. - ANSWER: C. encouraging voiding every 2 to 3 hours.
9. While doing patient teaching, the woman tells the nurse, "I don't have to worry about
contraception because I am breastfeeding." The nurse should base her answer on the fact that
A. breastfeeding can be considered a reliable system of birth control.
B. breastfeeding can be used as a contraceptive method if strict guidelines are followed through
C.breastfeeding is not a reliable contraceptive method. - ANSWER: C.breastfeeding is not a reliable
contraceptive method.
10. A woman was admitted to the ED with her newborn baby. The baby was born 4 days ago at home.
The woman had no prenatal care. The nurse is assessing the lab work and sees that the mother has an
O-negative blood type, the baby is O-positive, and the Coombs test shows that the mother is not
sensitized to the positive blood. The nurse's next action should be
A. order Rho(D) immune globulin to be given to the mother.
B. order Rho(D) immune globulin to be given to the baby.
C. record the findings of the lab work and not plan on any further action at this time. - ANSWER: C.
record the findings of the lab work and not plan on any further action at this time.
11. The first time a woman ambulates after the birth of the newborn, she has a nursing diagnosis of
Risk for injury because of the
A. risk for developing orthostatic hypotension.
B. development of bradycardia.
C. increase in cardiac output.
D. increase in circulatory volume - ANSWER: A. risk for developing orthostatic hypotension.
13. During the early post-cesarean section phase, it is important for the woman to turn, cough, and
deep breathe. The rationale for this is to prevent
A. pooling of secretions in the airway.
B. thrombus formation in the lower legs.
C. gas formation in the intestinal tract.
D. urinary retention. - ANSWER: A. pooling of secretions in the airway.
, 14. As part of the postpartum assessment, the nurse examines the breasts of a primiparous
breastfeeding woman who is 1 day postpartum. An expected finding would be
A. Soft, nontender; colostrum is present.
B. Leakage of milk at let-down.
C. Swollen, warm, and tender on palpation.
D. A few blisters and a bruise on each areola. - ANSWER: A. Soft, nontender; colostrum is present.
16. The new mother comments that the newborn "has his father's eyes." The nurse recognizes this as
A. part of the bonding process termed claiming.
B. the mother trying to find signs of the baby's paternity.
C. the mother trying to include the father in the bonding process.
D. part of the letting-go phase of maternal adaptation. - ANSWER: A. part of the bonding process
termed claiming
Claiming or binding-in begins when the mother begins to identify specific features of the newborn.
She then begins to relate features to family members.
17. A new father of 1 day expresses concern to the nurse that his wife, who is normally very
independent, is asking him to make all the decisions. The nurse can best explain this as a(n)
A. normal occurrence because the mother is in pain.
B. abnormal occurrence that needs to be assessed further.
C. normal occurrence because the mother is in the taking-in phase.
D. normal occurrence because the mother is frustrated with the care of the newborn. - ANSWER: C.
normal occurrence because the mother is in the taking-in phase.
19. A nurse is asked to do a home visit on a woman who delivered 2 weeks ago. When assessing the
woman, the nurse was not able to locate the fundus. The next action would be
A. massage the fundus until firm.
B. monitor for bleeding.
C. arrange transportation for the woman to the nearest hospital.
D. document this normal finding. - ANSWER: D. document this normal finding.
The uterus descends at the rate of about 1 cm/day. By 10 to 14 days, it is no longer palpable above
the symphysis pubis. This is a normal finding.
20. The home care nurse is visiting a new mother who delivered 1 week ago. The mother complains
about not being able to sleep and that she is tired and cries easily. The best response by the nurse
would be:
A. "Having a baby is difficult; it will be a long time before you get a good night's sleep."
B. "Maybe your mother can come in and help you out."
C. "It is normal for this to happen and should go away in 2 weeks. It must be very difficult for you to
feel this way with a new baby."
D. "The hospital nurses must not have taught you enough information about the changes you will
experience during these first 6 weeks." - ANSWER: C. "It is normal for this to happen and should go
away in 2 weeks. It must be very difficult for you to feel this way with a new baby."
21. The new parents express concern that their 4-year-old son is jealous of the new baby. They are
planning on going home tomorrow and are not sure how the preschooler will react when they bring
the baby home. Which one of the following suggestions by the nurse will be most helpful?
A. Be aware that the child may regress to an earlier stage.
B. Have the mother spend time with the child while the father cares for the baby.
