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ACCURATE ANSWERS
Eve is 2 days postpartum. During palpation, where would you normally
expect to find her fundus?
a. at the level of the umbilicus
b. 2 fingers below umbilicus
c. 5 fingers below umbilicus
d. non-palpable at this time - ACCURATE ANSWERS✔✔ b. 2 fingers below
umbilicus
Keisha delivered her third child about 24 hours ago. She begins to c/o
severe uterine cramping while breastfeeding. She is experiencing:
a. exfoliation of dead tissue
b. involution of uterus
c. shedding of the endometrium
d. after pains - ACCURATE ANSWERS✔✔ d. after pains
Three days after delivering her child, Gretchen calls the 24 hour hotline.
She is crying and states that her breasts suddenly became "bigger" and
"really hurt." She is experiencing:
,a. colostrum production
b. a breast tumor
c. engorgement
d. overproduction of milk - ACCURATE ANSWERS✔✔ c. engorgement
Tiffany delivered via cesarean 2 days ago. She is frustrated by constant
perspiration and urination. This is likely the result of:
a. changes in urine pH and a possible UTI
b. drinking too much fluid in the early postpartum period
c. the body's removal of fluids accumulated during pregnancy
d. receiving excessive amounts of IV fluids during labor - ACCURATE
ANSWERS✔✔ c. the body's removal of fluids accumulated during
pregnancy
While assessing Sierra, a 32yo mother of 3, you notice uterine bleeding
and find that her uterus is displayed upward and to the right. This is
probably cause by:
a. retained placental fragments
b. rupture of the uterus
c. distention of the bladder
,d. cervical bruising - ACCURATE ANSWERS✔✔ c. distention of the bladder
Olga, a 38yo patient whom you administered the rubella vaccine, states
that at her age she plans to get pregnant right away. You tell her she
should:
a. avoid pregnancy for at least 8 weeks after receiving the MMR vaccine
b. get pregnant ASAP because of her age
c. avoid getting pregnant for at least a year after receiving the MMR
vaccine
d. abstain from sex for 2 weeks after delivery - ACCURATE ANSWERS✔✔ a.
avoid pregnancy for at least 8 weeks after receiving the MMR vaccine
Joan is a 17yo and just delivered a healthy baby boy 6 hours ago. She
talks on her cell phone whenever you are in the room and refuses to
touch or hold her baby, even when he cries. You overhear Joan tell
someone that the baby is "ugly like his father." Joan is most likely
experiencing:
a. exhaustion
b. mal-attachment
c. normal attachment
d. postpartum depression - ACCURATE ANSWERS✔✔ b. mal-attachment
, Recommended advice for breastfeeding mothers include:
a. avoid the use of a sports bra
b. wash the nipples with soap and water after each feeding
c. apply a warm compress to ease nipple pain
d. "conditioning" the nipples by gently rubbing them with moist tea bags
- ACCURATE ANSWERS✔✔ c. apply a warm compress to ease nipple pain
Samantha read in the discharge booklet that postpartum patients are at
risk for thrombophlebitis, and she asks you how she can prevent this
from happening. You instruct her to:
a. remain on strict bedrest
b. ambulate frequently
c. cross her legs while sitting
d. avoid elevating her legs - ACCURATE ANSWERS✔✔ b. ambulate
frequently
Suzanne delivered vaginally 8 hours ago. She has uterine cramping and
rates her pain a "9" but refuses pain medication. What is your best
response regarding her pain?
a. tell her she should take the ibuprofen as prescribed by her MD
b. encourage her to fight the pain because it will make her stronger