N2207 Maternal TB – Questions & Accurate Answers
The nurse assesses the postpartum client to have moderate lochia rubra with
clots. Which nursing intervention would be appropriate? Right Ans - 1.
Assess fundus and bladder status.
RATIONALE: 1. The amount, consistency, color, and odor of the lochia are
monitored on an ongoing basis. Increased bleeding is most often related to
uterine atony and responds to fundal massage, expression of any clots, and
emptying the bladder.
The nurse is providing education to the new family. Which question by the
nurse is best? Right Ans - 3. "How have your breastfeedings been going?"
RATIONALE: 3. This is an open-ended question about an important
physiologic issue. A discussion that includes both partners can facilitate an
open dialog between them and can provide an opportunity for questions and
answers.
The postpartum nurse provides anticipatory guidance for the new mother as
well as teaching on self-care and infant care before discharge. Which topics
should be included?
Select all that apply. Right Ans - 1, 2, 3, 4
1. Role changes brought on by the addition to the family unit
2. The realities of having a new baby, and how it affects previous lifestyle
3. Potential complications such as infant colic and postpartum issues
4. Sexuality and contraception
RATIONALE:
1. It is helpful for the nurse to advise parents that they may experience
feelings of uncertainty as they grow into the parental role and alter their
family processes to accommodate the new family member.
2. Guidance is essential in assisting the family to cope with role changes and
the realities of a new baby.
3. Guidance is essential in assisting the family to cope with potential
complications such as infant colic and postpartum health issues.
4. It is important for the nurse to present information about changes that may
affect sexual activity and to discuss the importance of contraception during
the early postpartum period.
, A client is preparing to take a sitz bath for the first time. What will the nurse
do? Right Ans - 2. Place a call bell well within reach and check on the client
frequently.
RATIONALE: 2. The nurse should explain the purpose and use of the sitz bath,
anticipated effects, benefits, possible problems, and safety measures to
prevent slipping or an injury from hot water. A call bell would be a safety
measure.
A postpartum client has just received a rubella vaccination. The client
demonstrates understanding of the teaching associated with administration of
this vaccine when she states which of the following? Right Ans - 2. "I must
avoid getting pregnant for 1 month."
RATIONALE: 2. The client must avoid pregnancy for at least 1 month after
receiving the rubella vaccine.
The incidence of complications and discomforts in the first year postpartum is
common and women may experience which of the following?
Select all that apply. Right Ans - 1, 3, 4, 5
1. Pain
3. Urinary incontinence
4. Changes in mental health status
5. Sleep deprivation
RATIONALE: 1. Pain can be a discomfort in the first year postpartum.
3. Urinary incontinence can be a complication in the first year postpartum.
4. Changes in mental health status can be a complication in the first year
postpartum.
5. Sleep deprivation can be a complication in the first year postpartum.
A variety of drugs are used either alone or in combination to provide relief of
postpartum pain. Which of the following would be an option for pain relief?
Right Ans - 1. Nonsteroidal anti-inflammatory agents
RATIONALE: 1. A variety of drugs are used alone or in combination to provide
relief of postpartum pain. An option would include nonsteroidal anti-
inflammatory agents such as ibuprofen and ketorolac.
The nurse assesses the postpartum client to have moderate lochia rubra with
clots. Which nursing intervention would be appropriate? Right Ans - 1.
Assess fundus and bladder status.
RATIONALE: 1. The amount, consistency, color, and odor of the lochia are
monitored on an ongoing basis. Increased bleeding is most often related to
uterine atony and responds to fundal massage, expression of any clots, and
emptying the bladder.
The nurse is providing education to the new family. Which question by the
nurse is best? Right Ans - 3. "How have your breastfeedings been going?"
RATIONALE: 3. This is an open-ended question about an important
physiologic issue. A discussion that includes both partners can facilitate an
open dialog between them and can provide an opportunity for questions and
answers.
The postpartum nurse provides anticipatory guidance for the new mother as
well as teaching on self-care and infant care before discharge. Which topics
should be included?
Select all that apply. Right Ans - 1, 2, 3, 4
1. Role changes brought on by the addition to the family unit
2. The realities of having a new baby, and how it affects previous lifestyle
3. Potential complications such as infant colic and postpartum issues
4. Sexuality and contraception
RATIONALE:
1. It is helpful for the nurse to advise parents that they may experience
feelings of uncertainty as they grow into the parental role and alter their
family processes to accommodate the new family member.
2. Guidance is essential in assisting the family to cope with role changes and
the realities of a new baby.
3. Guidance is essential in assisting the family to cope with potential
complications such as infant colic and postpartum health issues.
4. It is important for the nurse to present information about changes that may
affect sexual activity and to discuss the importance of contraception during
the early postpartum period.
, A client is preparing to take a sitz bath for the first time. What will the nurse
do? Right Ans - 2. Place a call bell well within reach and check on the client
frequently.
RATIONALE: 2. The nurse should explain the purpose and use of the sitz bath,
anticipated effects, benefits, possible problems, and safety measures to
prevent slipping or an injury from hot water. A call bell would be a safety
measure.
A postpartum client has just received a rubella vaccination. The client
demonstrates understanding of the teaching associated with administration of
this vaccine when she states which of the following? Right Ans - 2. "I must
avoid getting pregnant for 1 month."
RATIONALE: 2. The client must avoid pregnancy for at least 1 month after
receiving the rubella vaccine.
The incidence of complications and discomforts in the first year postpartum is
common and women may experience which of the following?
Select all that apply. Right Ans - 1, 3, 4, 5
1. Pain
3. Urinary incontinence
4. Changes in mental health status
5. Sleep deprivation
RATIONALE: 1. Pain can be a discomfort in the first year postpartum.
3. Urinary incontinence can be a complication in the first year postpartum.
4. Changes in mental health status can be a complication in the first year
postpartum.
5. Sleep deprivation can be a complication in the first year postpartum.
A variety of drugs are used either alone or in combination to provide relief of
postpartum pain. Which of the following would be an option for pain relief?
Right Ans - 1. Nonsteroidal anti-inflammatory agents
RATIONALE: 1. A variety of drugs are used alone or in combination to provide
relief of postpartum pain. An option would include nonsteroidal anti-
inflammatory agents such as ibuprofen and ketorolac.
