Chapter 17: Postpartum Adaptations and
Nursing Care Foundations of Maternal-
Newborn & Women's Health Nursing, 7th
Edition exam with correct answers 2024
Which patient would be most likely to have severe afterbirth pains and request a
narcotic analgesic?
a.
Gravida 5, para 5
b.
Primipara who delivered a 7-lb boy
c.
Patient who is bottle feeding her first child
d.
Patient who is breastfeeding her second child - ANSWER-a.
Gravida 5, para 5
Which maternal event is abnormal in the early postpartal period?
a.
Diuresis and diaphoresis
b.
Flatulence and constipation
c.
Extreme hunger and thirst
d.
Lochial color changes from rubra to alba - ANSWER-d.
Lochial color changes from rubra to alba
,Which fundal assessment finding at 12 hours after birth requires further assessment?
a.
The fundus is palpable at the level of the umbilicus.
b.
The fundus is palpable two fingerbreadths above the umbilicus.
c.
The fundus is palpable one fingerbreadth below the umbilicus.
d.
The fundus is palpable two fingerbreadths below the umbilicus. - ANSWER-b.
The fundus is palpable two fingerbreadths above the umbilicus.
If the patient's white blood cell (WBC) count is 25,000/mm3 on her second postpartum
day, which action should the nurse take?
a.
Document the finding.
b.
Inform the health care provider.
c.
Begin antibiotic therapy immediately.
d.
Have the laboratory draw blood for reanalysis. - ANSWER-a.
Document the finding.
Postpartal overdistention of the bladder and urinary retention can lead to which
complication?
a.
Fever and increased blood pressure
b.
Postpartum hemorrhage and eclampsia
c.
Urinary tract infection and uterine rupture
d.
Postpartum hemorrhage and urinary tract infection - ANSWER-d.
Postpartum hemorrhage and urinary tract infection
A postpartum patient asks, "Will these stretch marks ever go away?" Which is the
nurse's best response?
, a.
"No, never."
b.
"Yes, eventually."
c.
"They will fade to silvery lines but won't disappear completely."
d.
"They will continue to fade and should be gone by your 6-week checkup." - ANSWER-c.
"They will fade to silvery lines but won't disappear completely."
A pregnant patient asks when the dark line on her abdomen (linea nigra) will go away.
The nurse knows the pigmentation will fade after birth due to
a.
increased estrogen.
b.
increased progesterone.
c.
decreased human placental lactogen.
d.
decreased melanocyte-stimulating hormone. - ANSWER-d.
decreased melanocyte-stimulating hormone.
Which clinical finding should the nurse suspect if the fundus is palpated on the right side
of the abdomen above the expected level?
a.
Distended bladder
b.
Normal involution
c.
Been lying on her right side too long
d.
Stretched ligaments that are unable to support the uterus - ANSWER-a.
Distended bladder
Which situation would require the administration of Rho(D) immune globulin?
a.
Mother Rh-negative, baby Rh-positive
Nursing Care Foundations of Maternal-
Newborn & Women's Health Nursing, 7th
Edition exam with correct answers 2024
Which patient would be most likely to have severe afterbirth pains and request a
narcotic analgesic?
a.
Gravida 5, para 5
b.
Primipara who delivered a 7-lb boy
c.
Patient who is bottle feeding her first child
d.
Patient who is breastfeeding her second child - ANSWER-a.
Gravida 5, para 5
Which maternal event is abnormal in the early postpartal period?
a.
Diuresis and diaphoresis
b.
Flatulence and constipation
c.
Extreme hunger and thirst
d.
Lochial color changes from rubra to alba - ANSWER-d.
Lochial color changes from rubra to alba
,Which fundal assessment finding at 12 hours after birth requires further assessment?
a.
The fundus is palpable at the level of the umbilicus.
b.
The fundus is palpable two fingerbreadths above the umbilicus.
c.
The fundus is palpable one fingerbreadth below the umbilicus.
d.
The fundus is palpable two fingerbreadths below the umbilicus. - ANSWER-b.
The fundus is palpable two fingerbreadths above the umbilicus.
If the patient's white blood cell (WBC) count is 25,000/mm3 on her second postpartum
day, which action should the nurse take?
a.
Document the finding.
b.
Inform the health care provider.
c.
Begin antibiotic therapy immediately.
d.
Have the laboratory draw blood for reanalysis. - ANSWER-a.
Document the finding.
Postpartal overdistention of the bladder and urinary retention can lead to which
complication?
a.
Fever and increased blood pressure
b.
Postpartum hemorrhage and eclampsia
c.
Urinary tract infection and uterine rupture
d.
Postpartum hemorrhage and urinary tract infection - ANSWER-d.
Postpartum hemorrhage and urinary tract infection
A postpartum patient asks, "Will these stretch marks ever go away?" Which is the
nurse's best response?
, a.
"No, never."
b.
"Yes, eventually."
c.
"They will fade to silvery lines but won't disappear completely."
d.
"They will continue to fade and should be gone by your 6-week checkup." - ANSWER-c.
"They will fade to silvery lines but won't disappear completely."
A pregnant patient asks when the dark line on her abdomen (linea nigra) will go away.
The nurse knows the pigmentation will fade after birth due to
a.
increased estrogen.
b.
increased progesterone.
c.
decreased human placental lactogen.
d.
decreased melanocyte-stimulating hormone. - ANSWER-d.
decreased melanocyte-stimulating hormone.
Which clinical finding should the nurse suspect if the fundus is palpated on the right side
of the abdomen above the expected level?
a.
Distended bladder
b.
Normal involution
c.
Been lying on her right side too long
d.
Stretched ligaments that are unable to support the uterus - ANSWER-a.
Distended bladder
Which situation would require the administration of Rho(D) immune globulin?
a.
Mother Rh-negative, baby Rh-positive
