Maternity and Pediatric Nursing 4th
Edition Ricci Kyle Carman Test Bank
A primipara client gave birth vaginally to a healthy newborn girl
48 hours ago. The nurse palpates the client's fundus, expecting it
to be at which location?
A) Two fingerbreadths above the umbilicus
B) At the level of the umbilicus
C) Two fingerbreadths below the umbilicus
D) Four fingerbreadths below the umbilicus -
<<<ANSWER>>>C
During the first few days after birth, the uterus typically
descends downward from the level of the umbilicus at a rate of 1
cm (1 fingerbreadth) per day so that by day 2, it is about 2
fingerbreadths below the umbilicus.
,When caring for a mother who has had a cesarean birth, the
nurse would expect the client's lochia to be:
A) Greater than after a vaginal delivery
B) About the same as after a vaginal delivery
C) Less than after a vaginal delivery
D) Saturated with clots and mucus - <<<ANSWER>>>C
Women who have had cesarean births tend to have less flow
because the uterine debris is removed manually along with
delivery of the placenta.
A client who is breastfeeding her newborn tells the nurse, I
notice that when I feed him, I feel fairly strong contraction-like
pain. Labor is over. Why am I having contractions now? Which
response by the nurse would be most appropriate?
A) Your uterus is still shrinking in size; that's why you're feeling
this pain.
B) Let me check your vaginal discharge just to make sure
everything is fine.
C) Your body is responding to the events of labor, just like after
a tough workout.
D) The baby's sucking releases a hormone that causes the uterus
to contract - <<<ANSWER>>>D
The woman is describing afterpains, which are usually stronger
during breast-feeding because oxytocin released by the sucking
, reflex strengthens uterine contractions. Afterpains are associated
with uterine involution, but the woman's description strongly
correlates with the hormonal events of breast-feeding. All
women experience afterpains, but they are more acute in
multiparous women secondary to repeated stretching of the
uterine muscles.
The nurse interprets which of the following as evidence that a
client is in the
taking-in phase?
A) Client states, He has my eyes and nose.
B) Client shows interest in caring for the newborn.
C) Client performs self-care independently.
D) Client confidently cares for the newborn -
<<<ANSWER>>>A
During the taking-in phase, new mothers when interacting with
their newborns spend time claiming the newborn and touching
him or her, commonly identifying specific features in the
newborn such as "he has my nose" or "his fingers are long like
his father's." Independence in self-care and interest in caring for
the newborn are typical of the taking-hold phase. Confidence in
caring for the newborn is demonstrated during the letting-go
phase.
Edition Ricci Kyle Carman Test Bank
A primipara client gave birth vaginally to a healthy newborn girl
48 hours ago. The nurse palpates the client's fundus, expecting it
to be at which location?
A) Two fingerbreadths above the umbilicus
B) At the level of the umbilicus
C) Two fingerbreadths below the umbilicus
D) Four fingerbreadths below the umbilicus -
<<<ANSWER>>>C
During the first few days after birth, the uterus typically
descends downward from the level of the umbilicus at a rate of 1
cm (1 fingerbreadth) per day so that by day 2, it is about 2
fingerbreadths below the umbilicus.
,When caring for a mother who has had a cesarean birth, the
nurse would expect the client's lochia to be:
A) Greater than after a vaginal delivery
B) About the same as after a vaginal delivery
C) Less than after a vaginal delivery
D) Saturated with clots and mucus - <<<ANSWER>>>C
Women who have had cesarean births tend to have less flow
because the uterine debris is removed manually along with
delivery of the placenta.
A client who is breastfeeding her newborn tells the nurse, I
notice that when I feed him, I feel fairly strong contraction-like
pain. Labor is over. Why am I having contractions now? Which
response by the nurse would be most appropriate?
A) Your uterus is still shrinking in size; that's why you're feeling
this pain.
B) Let me check your vaginal discharge just to make sure
everything is fine.
C) Your body is responding to the events of labor, just like after
a tough workout.
D) The baby's sucking releases a hormone that causes the uterus
to contract - <<<ANSWER>>>D
The woman is describing afterpains, which are usually stronger
during breast-feeding because oxytocin released by the sucking
, reflex strengthens uterine contractions. Afterpains are associated
with uterine involution, but the woman's description strongly
correlates with the hormonal events of breast-feeding. All
women experience afterpains, but they are more acute in
multiparous women secondary to repeated stretching of the
uterine muscles.
The nurse interprets which of the following as evidence that a
client is in the
taking-in phase?
A) Client states, He has my eyes and nose.
B) Client shows interest in caring for the newborn.
C) Client performs self-care independently.
D) Client confidently cares for the newborn -
<<<ANSWER>>>A
During the taking-in phase, new mothers when interacting with
their newborns spend time claiming the newborn and touching
him or her, commonly identifying specific features in the
newborn such as "he has my nose" or "his fingers are long like
his father's." Independence in self-care and interest in caring for
the newborn are typical of the taking-hold phase. Confidence in
caring for the newborn is demonstrated during the letting-go
phase.
