Unit 4 Practice Questions
Maternal Child Health Nursing (Northampton Community College)
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Unit 4 Practice Questions
1. During pregnancy a woman’s cardiovascular system expands to care for the growing fetus. After birth, during the
early postpartum period, the woman eliminates the additional fluid volume she has been carrying. What is one
way she does this?
a. Urinary elimination
b. Elimination of solid wastes
c. Being too tired to eat
d. Breathing off fluid vapor
2. Based on the nurse’s knowledge about the postpartum period and an increase in blood coagulability during the
first 48 hours, the nurse closely assesses the client for which condition?
a. Hyperglycemia
b. Varicose veins
c. Thromboembolism
d. Calcium depletion
3. Healthy bonding behaviors are important to note when the nurse is assessing the new family. What statement
or action would the nurse consider a warning sign that the mother and infant were not attaching as they should?
a. Mother states she wanted a boy this time, not another girl
b. Mother cries and says “I have no family nearby and my mother-in-law doesn’t like me”
c. Mother wants you in the room while she breastfeeds as she is afraid she is not doing it right.
d. Mother states she is concerned about one of her other children not liking the new baby
4. A postpartum client reports urinary frequency and burning. What cause would the nurse suspect?
a. Uterine atony
b. Urinary tract infection
c. Subinvolution
d. Stress incontinence
5. The nurse is preparing discharge teaching for a client who is 2 days postpartum. Which action should the nurse
prioritize to encourage prevention of constipation?
a. Use a stimulant laxative
b. Encourage fiber-rich foods
c. Increase coffee intake
d. Get plenty of rest
6. Which action would most make the nurse believe that a postpartum woman is accepting a child well?
a. She states she named the child after a well-loved friend
b. She turns her face to meet the infant’s eyes when she holds her
c. She comments that her baby has the most hair of any in the nursery
d. She asks the nurse to use her camera to take a photo of the child
7. A woman who delivered her infant 2 days ago asks the nurse why she wakes up at night drenched in sweat. She
is concerned that this is a problem. The nurse’s best reply would be:
a. “Many women sweat after delivery but you seem to be perspiring far more than normal, I will call the
doctor.”
b. “Often, when a postpartum woman perspires like you are reporting, it means that they have an
infection.”
c. “I need to get you vital signs and check your fundus to be sure you are not going into shock.”
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