Chapter 21: Nursing Care of the Family During the Postpartum
Period (Lodermilk) Study Guide Test.
1. 1. A woman gave birth vaginally c. Rh immune
to a 9-pound, 12-ounce girl globulin is necessary
yesterday. Her primary health within 72 hours of
care provider has writ- ten orders childbirth.
for perineal ice packs, use of a d. Kleihauer-Betke test
sitz bath three times daily, and a should be per- formed.
stool softener. Which information
re- garding the clients condition
is most closely correlated with
these orders?
a. Woman is a gravida 2, para 2.
b. Woman had a vacuum-
assisted birth.
c. Woman received epidural
anesthe- sia.
d. Woman has an episiotomy.
2. 2. The laboratory results for a
post- partum woman are as
follows: blood type, A; Rh status,
positive; rubella titer, 1:8
(enzyme immunoassay [EIA]
0.8); hematocrit, 30%. How
should the nurse best interpret
these data?
a. Rubella vaccine should be
adminis- tered.
b. Blood transfusion is
necessary.
, Chapter 21: Nursing Care of the Family During the Postpartum
Period (Lodermilk) Study Guide Test.
ANS: D
These orders are typical interventions for a woman who
has had an episiotomy, lacerations, and hem- orrhoids.
A multiparous classification is not an in- dication for these
orders. A vacuum-assisted birth may be used in
conjunction with an episiotomy, which would indicate
these interventions. The use of an epidural anesthesia
has no correlation with these orders.
ANS: A
This clients rubella titer indicates that she is not
immune and needs to receive a vaccine. These data
do not indicate that the client needs a blood transfusion.
Rh immune globulin is indicated only if the client has
an Rh-negative status and the infant has an Rh-positive
status. A Kleihauer-Betke test should be performed if a
large fetomaternal transfusion is suspected, especially
if the mother is Rh negative. However, the data provided
do not indicate a need for performing this test.
, Chapter 21: Nursing Care of the Family During the Postpartum
Period (Lodermilk) Study Guide Test.
3. 3. A woman gave birth 48 hours ago to ANS: B
a healthy infant girl. She has decided
to bottle feed. During the Applying ice packs and cabbage leaves to the
assessment,
the nurse notices that both breasts are breasts for comfort is an appropriate
interven-
swollen, warm, and tender on tion for treating engorgement in a mother
palpa- who is
tion. Which guidance should the nurse bottle feeding. The ice packs should be
applied
provide to the client at this for 15 minutes on and 45 minutes ott to
time? avoid rebound engorgement. A bottle-
feeding moth-
a. Run warm water on her breasts dur- er should avoid any breast stimulation,
includ-
ing a shower. help with warming the
b. Apply ice to the breasts for soup so that his wife can
comfort. eat it. What is the nurses
c. Express small amounts of milk most appro- priate
from the breasts to relieve the response?
pressure.
d. Wearing a loose-fitting bra a. Didnt you like your
to pre- vent nipple irritation. lunch?
b. Does your physician
know that you are
4. 4. A 25-year-old multiparous planning to eat that?
woman gave birth to an infant c. What is that anyway?
boy 1 day ago. Today her
husband brings a large con- tainer
of brown seaweed soup to the
hospital. When the nurse enters
the room, the husband asks for
Period (Lodermilk) Study Guide Test.
1. 1. A woman gave birth vaginally c. Rh immune
to a 9-pound, 12-ounce girl globulin is necessary
yesterday. Her primary health within 72 hours of
care provider has writ- ten orders childbirth.
for perineal ice packs, use of a d. Kleihauer-Betke test
sitz bath three times daily, and a should be per- formed.
stool softener. Which information
re- garding the clients condition
is most closely correlated with
these orders?
a. Woman is a gravida 2, para 2.
b. Woman had a vacuum-
assisted birth.
c. Woman received epidural
anesthe- sia.
d. Woman has an episiotomy.
2. 2. The laboratory results for a
post- partum woman are as
follows: blood type, A; Rh status,
positive; rubella titer, 1:8
(enzyme immunoassay [EIA]
0.8); hematocrit, 30%. How
should the nurse best interpret
these data?
a. Rubella vaccine should be
adminis- tered.
b. Blood transfusion is
necessary.
, Chapter 21: Nursing Care of the Family During the Postpartum
Period (Lodermilk) Study Guide Test.
ANS: D
These orders are typical interventions for a woman who
has had an episiotomy, lacerations, and hem- orrhoids.
A multiparous classification is not an in- dication for these
orders. A vacuum-assisted birth may be used in
conjunction with an episiotomy, which would indicate
these interventions. The use of an epidural anesthesia
has no correlation with these orders.
ANS: A
This clients rubella titer indicates that she is not
immune and needs to receive a vaccine. These data
do not indicate that the client needs a blood transfusion.
Rh immune globulin is indicated only if the client has
an Rh-negative status and the infant has an Rh-positive
status. A Kleihauer-Betke test should be performed if a
large fetomaternal transfusion is suspected, especially
if the mother is Rh negative. However, the data provided
do not indicate a need for performing this test.
, Chapter 21: Nursing Care of the Family During the Postpartum
Period (Lodermilk) Study Guide Test.
3. 3. A woman gave birth 48 hours ago to ANS: B
a healthy infant girl. She has decided
to bottle feed. During the Applying ice packs and cabbage leaves to the
assessment,
the nurse notices that both breasts are breasts for comfort is an appropriate
interven-
swollen, warm, and tender on tion for treating engorgement in a mother
palpa- who is
tion. Which guidance should the nurse bottle feeding. The ice packs should be
applied
provide to the client at this for 15 minutes on and 45 minutes ott to
time? avoid rebound engorgement. A bottle-
feeding moth-
a. Run warm water on her breasts dur- er should avoid any breast stimulation,
includ-
ing a shower. help with warming the
b. Apply ice to the breasts for soup so that his wife can
comfort. eat it. What is the nurses
c. Express small amounts of milk most appro- priate
from the breasts to relieve the response?
pressure.
d. Wearing a loose-fitting bra a. Didnt you like your
to pre- vent nipple irritation. lunch?
b. Does your physician
know that you are
4. 4. A 25-year-old multiparous planning to eat that?
woman gave birth to an infant c. What is that anyway?
boy 1 day ago. Today her
husband brings a large con- tainer
of brown seaweed soup to the
hospital. When the nurse enters
the room, the husband asks for
