Antepartum, Intrapartum, and Postpartum(Complete
solutions)
The nurse is assessing the uterine fundus of a client who delivered a healthy neonate 10 hours
ago. Identify the area where the nurse would expect to feel the fundus. correct answers The
uterus should be felt at the level of the umbilicus from about 1-24 hours after birth.
A nurse in the labor and delivery unit is caring for several clients. For which of these mother-
baby pairs should the nurse review the results of the Coombs test to decide whether to administer
Rho(D) immune globulin within 72 hours of birth?
1. Rh negative mother with Rh positive baby
2. Rh positive mother with Rh negative baby
3. Rh positive mother with Rh positive baby
4. Rh negative mother with Rh negative baby correct answers 1. Rh negative mother with Rh
positive baby
A Rh negative mother who delivers a Rh positive baby may develop antibodies to the fetal red
cells to which the mother may have been exposed during pregnancy or at placental separation. If
the Coombs test is negative, no sensitization has occurred.
A school nurse is advising a class of unwed pregnant high school students. What is the most
important action the teenagers can perform to deliver a healthy child?
1. maintain good nutrition
2. stay in school throughout the pregnancy
3. keep in contact with the child's father
4. get adequate sleep every night correct answers 1. maintain good nutrition
Nurses can serve a pivotal role in the provision of nutritional education and case management
interventions. Weight gain during pregnancy is one of the strongest predictors of infant birth
weight. Specifically, teens need to increase their intake of protein, vitamins and minerals
including iron. Pregnant teens who gain between 26-35 pounds (11.79-15.87 kg) have the lowest
incidence of low-birth-weight babies.
The nurse is assessing a client in the labor and delivery unit. Which of the following actions is
correct when using palpation to assess the characteristics and pattern of uterine contractions?
1. place a hand on abdomen below the umbilicus and palpate uterine tone with fingertips
2. evaluate intensity by pressing fingertips into the uterine fundus
3. determine frequency by timing the end of one contraction until the end of the next contraction
4. assess uterine contraction every 30 minutes throughout the first stage of labor correct answers
2. evaluate intensity by pressing fingertips into the uterine fundus
To assess contractions for frequency, duration and intensity, the nurse will place one hand on the
uterine fundus and use his or her fingers to feel the changes in the uterus as it contracts. The
nurse can determine the frequency of the contractions by noting the time from the beginning of
one contraction to the beginning of the next one. To determine the duration of the contraction,
, the nurse will note the time when tensing of the fundus is first felt (the beginning of one
contraction) and again as relaxation occurs (end of contraction). It's best to time several
consecutive contractions before charting frequency or duration.
The client is in her first trimester of pregnancy. What major developmental task should the client
accomplish during this stage of pregnancy?
1. viewing the fetus as a separate and unique being
2. accepting the loss of physical intimacy
3. accepting physical changes related to pregnancy
4. resolving any fears related to giving birth correct answers 3. accepting physical changes
related to pregnancy
During the first trimester, the developmental focus is directed toward accepting the pregnancy
and adjusting to pregnancy-related physical changes and discomforts. It is expected that the
client will have some ambivalence during the first trimester, but the client can maintain physical
intimacy with her partner if she wishes, including sexual intercourse. Looking at the fetus as a
separate being and overcoming fears related to giving birth will occur in the third trimester,
closer to the due date.
Fertility Awareness Methods correct answers calendar method: estimates the date of ovulation
based on length of cycle
basal body temperature charting: take temperature in the morning every day before getting out of
bed; a rise in temperature indicates ovulation
cervical mucous method: increase in "stretchability" of mucous
symptothermial method: combination of the three
Chemical Contraception Agents correct answers spermicides (creams, foams, jellies,
suppositories) prevent pregnancy by keeping sperm from joining with an egg. inserted deep into
the vagina shortly before intercourse
Mechanical Contraception Barriers correct answers Diaphragm - a shallow latex cup is inserted
into the vagina; it should be used with spermicide cream or jelly to be as effective as possible
Cervical cap - a silicone cup inserted into the vagina to cover the cervix; it should be used with
spermicide cream or jelly to be as effective as possible
Birth Control Sponge - a foam sponge is inserted into the vagina, which covers the cervix and
blocks sperm from entering the uterus, while continuously releasing a spermicide
Condoms for females - a plastic pouch with flexible rings at each end covers the inside of the
vagina and collects semen, preventing sperm from joining with an egg
Condoms for males - a thin latex or plastic sheath worn on the penis during intercourse to collect
semen, which prevents sperm from joining with an egg
Hormonal Contraception correct answers Emergency contraception (also called the "morning
after pill") - this medication provides the body with a brief high dose of synthetic hormones
similar to the traditional birth control pill to prevent pregnancy by stopping either fertilization or
ovulation
solutions)
The nurse is assessing the uterine fundus of a client who delivered a healthy neonate 10 hours
ago. Identify the area where the nurse would expect to feel the fundus. correct answers The
uterus should be felt at the level of the umbilicus from about 1-24 hours after birth.
A nurse in the labor and delivery unit is caring for several clients. For which of these mother-
baby pairs should the nurse review the results of the Coombs test to decide whether to administer
Rho(D) immune globulin within 72 hours of birth?
1. Rh negative mother with Rh positive baby
2. Rh positive mother with Rh negative baby
3. Rh positive mother with Rh positive baby
4. Rh negative mother with Rh negative baby correct answers 1. Rh negative mother with Rh
positive baby
A Rh negative mother who delivers a Rh positive baby may develop antibodies to the fetal red
cells to which the mother may have been exposed during pregnancy or at placental separation. If
the Coombs test is negative, no sensitization has occurred.
A school nurse is advising a class of unwed pregnant high school students. What is the most
important action the teenagers can perform to deliver a healthy child?
1. maintain good nutrition
2. stay in school throughout the pregnancy
3. keep in contact with the child's father
4. get adequate sleep every night correct answers 1. maintain good nutrition
Nurses can serve a pivotal role in the provision of nutritional education and case management
interventions. Weight gain during pregnancy is one of the strongest predictors of infant birth
weight. Specifically, teens need to increase their intake of protein, vitamins and minerals
including iron. Pregnant teens who gain between 26-35 pounds (11.79-15.87 kg) have the lowest
incidence of low-birth-weight babies.
The nurse is assessing a client in the labor and delivery unit. Which of the following actions is
correct when using palpation to assess the characteristics and pattern of uterine contractions?
1. place a hand on abdomen below the umbilicus and palpate uterine tone with fingertips
2. evaluate intensity by pressing fingertips into the uterine fundus
3. determine frequency by timing the end of one contraction until the end of the next contraction
4. assess uterine contraction every 30 minutes throughout the first stage of labor correct answers
2. evaluate intensity by pressing fingertips into the uterine fundus
To assess contractions for frequency, duration and intensity, the nurse will place one hand on the
uterine fundus and use his or her fingers to feel the changes in the uterus as it contracts. The
nurse can determine the frequency of the contractions by noting the time from the beginning of
one contraction to the beginning of the next one. To determine the duration of the contraction,
, the nurse will note the time when tensing of the fundus is first felt (the beginning of one
contraction) and again as relaxation occurs (end of contraction). It's best to time several
consecutive contractions before charting frequency or duration.
The client is in her first trimester of pregnancy. What major developmental task should the client
accomplish during this stage of pregnancy?
1. viewing the fetus as a separate and unique being
2. accepting the loss of physical intimacy
3. accepting physical changes related to pregnancy
4. resolving any fears related to giving birth correct answers 3. accepting physical changes
related to pregnancy
During the first trimester, the developmental focus is directed toward accepting the pregnancy
and adjusting to pregnancy-related physical changes and discomforts. It is expected that the
client will have some ambivalence during the first trimester, but the client can maintain physical
intimacy with her partner if she wishes, including sexual intercourse. Looking at the fetus as a
separate being and overcoming fears related to giving birth will occur in the third trimester,
closer to the due date.
Fertility Awareness Methods correct answers calendar method: estimates the date of ovulation
based on length of cycle
basal body temperature charting: take temperature in the morning every day before getting out of
bed; a rise in temperature indicates ovulation
cervical mucous method: increase in "stretchability" of mucous
symptothermial method: combination of the three
Chemical Contraception Agents correct answers spermicides (creams, foams, jellies,
suppositories) prevent pregnancy by keeping sperm from joining with an egg. inserted deep into
the vagina shortly before intercourse
Mechanical Contraception Barriers correct answers Diaphragm - a shallow latex cup is inserted
into the vagina; it should be used with spermicide cream or jelly to be as effective as possible
Cervical cap - a silicone cup inserted into the vagina to cover the cervix; it should be used with
spermicide cream or jelly to be as effective as possible
Birth Control Sponge - a foam sponge is inserted into the vagina, which covers the cervix and
blocks sperm from entering the uterus, while continuously releasing a spermicide
Condoms for females - a plastic pouch with flexible rings at each end covers the inside of the
vagina and collects semen, preventing sperm from joining with an egg
Condoms for males - a thin latex or plastic sheath worn on the penis during intercourse to collect
semen, which prevents sperm from joining with an egg
Hormonal Contraception correct answers Emergency contraception (also called the "morning
after pill") - this medication provides the body with a brief high dose of synthetic hormones
similar to the traditional birth control pill to prevent pregnancy by stopping either fertilization or
ovulation
