Leifer: Maternity and Pediatric Nursing - Chapter 9 (Postpartum & Newborn Care)

CH 9 - OB INTRODUCTION TO MATERNITY AND
PEDIATRIC NURSING, 2025/2026 WITH ACTUAL
QUESTIONS & VERIFIED ANSWERS
HowAlongAdoesAtheAPuerperiumAlast?A-ACORRECTAANSWER--KnownAasApostpartumAperiod.

-SixAweeksAfollowingAchildAbirth

-ASometimesAreferredAtoAasAtheAfourthAtrimesterAofApregnancy.

HowAdoesAnursingAadaptAforAdifferentAculturesAandAOBAnursing?A-ACORRECTAANSWER-
TheAnursingAcareAprovidedAmustAbeAadaptedAtoAtheAcircumstancesAofAtheAmotherAandAinfant.

WhatAareAsomeAnursingAconsiderationsAfroAspecificAgroupsAofApatients?A-ACORRECTAANSWER--
Adolescents,ASingleAwomen,AFamiliesAatAorAbelowAtheApovertyAlevel,AFamiliesAwhoAhaveAtwinsA(orA
more)

-
Education,ASupport,AResources,TwinsAwouldAbeAhighAstress,AgettingAaAgoodAsystem/AroutineAdown
AtoAstayAsaneAorAorAbothAmaybeAinAtheANICU.



WhatAareAsomeAculturalAinfluencesAonApostpartumAcare?A-ACORRECTAANSWER--
TheAnurseAmustAadaptAcareAtoAfit:AHealthAbeliefs,AValues,AandAPractices.

-UseAanAinterpreterAwhereAappropriate.

-ShouldAnotAuseAaAfamilyAmemberAorAinAcultural/religiousAconflictAwithAtheApatient/family.

-UseAaA"LanguageALine"A(InterpreterAphone)

-ThinkAofADietaryApractices—
ASomeAcultures,AifAtheyAbelieveAbloodAlossAisAhotAtheyAonlyAreplaceAwithAhotAliquids/foods.AAndAno


thingAcoldA(iceAwater).

WhyAisAitAbetterAtoAuseAinterpretersAandAneverAfamilyAmembers?A-ACORRECTAANSWER--
ItAisAaAlegalApurpose

-AidsAinAtheAwomanAbeingAableAtoAunderstandAandAprovideAoptimalAcareAtoAherAinfant.

-InterpreterAshouldAnotAbeAaAfamilyAmemberAorAfromAaAgroupAthatAisAinAsocialAorAreligiousAconflict.

WhatAshouldAyouAexpectAwithApostpartumAchangesAinAtheAmother?A-ACORRECTAANSWER--
MajorAshiftsAinAhormonesAinAtheAfirstA3Adays.

, -ImmediatelyAafterAdelivery,AtheAmotherAexperiencesAmultipleAphysiologicalAchanges.

-
ItAisAimportantAforAtheAnurseAtoAassessAallAbodyAsystemsAandAnotAjustAfocusAonAtheAreproductiveAsy
stemAchanges.

PartsAofAtheAReproductiveASystem?A-ACORRECTAANSWER--
UterusA(Involution,AUterineAlining,ADescentAofAuterineAfundAus,AAfterpains.)

-LochiaA(Rubra,ASerosa,AAlba)

-Cervix

-
VaginaA(StressAimportanceAofAdiscussingAwithAhealthAcareAproviderAwhenAtoAresumeAvaginalAinter
courseApostpartum)

-BreastsA(Engorgement,ANursingACare)

-Perineum

-EpisiotomyA(REEDAAAssessment)A(NursingAcareAandApatientAteaching-
AcoldApacksA,AIceAdiaper,ATopicalAandAsystemicAmedications,ANonApharmacologicalApainAreliefAmeth


ods)

-ReturnAofAovulationAandAmenstruationA(MenstrualAcycleAtypicallyAresumesAinA6-
8AweeksAifAnotAbreastfeeding,AReturnAofAovulationAisAdelayedAifAbreastfeeding;Ahowever,AitAcanAocc
urAatAanyAtimeAafterAbirthA(pregnancyAisApossible)AMomAmaybeAovulationAevenAwithAnoAperiod.

WhatAhappensAwithAtheAbreastsApostpartum?A-ACORRECTAANSWER--FirstA2-
3AdaysApostpartum,AbreastsAareAfullAbutAsoft.

-DayA3,AbreastsAbecomeAfirm,AlumpyAdueAtoAincreasedAbloodAflowAandAmilkAproduction

-EngorgedAbreastsAoccurAinAbothAnursingAandAnonAnursingAmothers

-NipplesAshouldAbeAassessedAforArednessAandAcrackingAandAwashedAwithAplainAwater

-SupportAbraAshouldAbeAworn

(Don'tAwantAcracks,ANursingAneedsAtoAdoAmakeAsureAtoAdoAgoodAbreastAcare,ASupplyAandAdemand-
AmaybeAoralAgratificationAifAtheyAareAstayingAlatchedAonAlongerAthanA10-15Amins)



ChangesAwithACardiovascularASystem?A-ACORRECTAANSWER--CardiacAoutputAandAbloodAvolume

-Coagulation