RICCI CHAPTER 15 - TEST BANK - 4TH
EDITION QUESTIONS AND ANSWERS
1.4A4primipara4client4gave4birth4vaginally4to4a4healthy4newborn4girl4124hours4a
go.4The4nurse
palpates4the4client's4fundus.4Which4finding4would4the4nurse4identify4as4expecte
d?4-4ans-Answer:4At4the4level4of4the4umbilcus4
Rationale:4During4the4first4124hours4postpartum,4the4fundus4of4the4uterus4is4lo
cated4at4the4level4of4the4umbilicus
2.4When4caring4for4a4mother4who4has4had4a4cesarean4birth,4the4nurse4would
4expect4the4client's
lochia4to4be4-4ans-Answer:4less4than4after4a4vaginal4birth.
Rationale:4Women4who4have4had4cesarean4births4tend4to4have4less4flow4beca
use4the4uterine4debris4is4removed4manually4along4with4delivery4of4the4placenta
.
3.4The4nurse4is4developing4a4teaching4plan4for4a4client4who4has4decided4to4b
ottle-feed4her
newborn.4Which4information4would4the4nurse4include4in4the4teaching4plan4to4fa
cilitate
suppression4of4lactation?4-4ans-
Answer:4instructing4her4to4apply4ice4packs4to4both4breasts4every4other4hour
4.4The4nurse4is4making4a4follow-
up4home4visit4to4a4woman4who4is4124days4postpartum.4Which
finding4would4the4nurse4expect4when4assessing4the4client's4fundus?4-4ans-
Answer:4cannot4be4palpated
Rationale:4By4the4end4of4104days,4the4fundus4usually4cannot4be4palpated4beca
use4it4has4descended
into4the4true4pelvis.
6.4When4the4nurse4is4assessing4a4postpartum4client4approximately464hours4aft
er4birth,4which
finding4would4warrant4further4investigation?4-4ans-blood4pressure490/504mm4Hg
, 7.4A4postpartum4client4who4is4bottle4feeding4her4newborn4asks,4"When4should4
my4period4return?"
Which4response4by4the4nurse4would4be4most4appropriate?4-
4ans-"It4varies,4but4you4can4estimate4it4returning4in4about474to494weeks."
8.4A4nurse4is4providing4care4to4a4postpartum4woman.4The4nurse4determines4th
at4the4client4is4in4the
taking-in4phase4based4on4which4finding?4-4ans-
The4client4states,4"He4has4my4eyes4and4nose."
10.4A4postpartum4client4comes4to4the4clinic4for4her46-
week4postpartum4checkup.4When4assessing
the4client's4cervix,4the4nurse4would4expect4the4external4cervical4os4to4appear:
A.4shapeless.
B.4circular.
C.4triangular.
D.4slit-like.4-4ans-Answer:4D
Rationale:4After4birth,4the4external4cervical4os4is4no4longer4shaped4like4a4circle
4but4instead
appears4as4a4jagged4slit-like4opening,4often4described4as4a4"fish4mouth."
11.4A4nurse4is4teaching4a4postpartum4client4how4to4do4muscle-
clenching4exercises4for4the
perineum.4The4client4asks4the4nurse,4"Why4do4I4need4to4do4these4exercises?"
4Which4reason4would
the4nurse4most4likely4incorporate4into4the4response?4-4ans-
improves4pelvic4floor4tone
12.4A4father4of4a4newborn4tells4the4nurse,4"I4may4not4know4everything4about4
being4a4dad,4but4I'm
going4to4do4the4best4I4can4for4my4son."4The4nurse4interprets4this4as4indicatin
g4the4father4is4in
which4stage4of4adaptation?
A.4expectations
B.4transition4to4mastery
C.4reality
D.4taking-in4-4ans-Answer:4B
Rationale:4The4father's4statement4reflects4transition4to4mastery4because4he4is4
making4a4conscious
decision4to4take4control4and4be4at4the4center4of4the4newborn's4life4regardless4
of4his4preparedness.4The4expectations4stage4involves4preconceptions4about4how
4life4will4be4with4a4newborn.4Reality
occurs4when4fathers4realize4their4expectations4are4not4realistic.4Taking-
in4is4a4phase4of4maternal
adaptation.
EDITION QUESTIONS AND ANSWERS
1.4A4primipara4client4gave4birth4vaginally4to4a4healthy4newborn4girl4124hours4a
go.4The4nurse
palpates4the4client's4fundus.4Which4finding4would4the4nurse4identify4as4expecte
d?4-4ans-Answer:4At4the4level4of4the4umbilcus4
Rationale:4During4the4first4124hours4postpartum,4the4fundus4of4the4uterus4is4lo
cated4at4the4level4of4the4umbilicus
2.4When4caring4for4a4mother4who4has4had4a4cesarean4birth,4the4nurse4would
4expect4the4client's
lochia4to4be4-4ans-Answer:4less4than4after4a4vaginal4birth.
Rationale:4Women4who4have4had4cesarean4births4tend4to4have4less4flow4beca
use4the4uterine4debris4is4removed4manually4along4with4delivery4of4the4placenta
.
3.4The4nurse4is4developing4a4teaching4plan4for4a4client4who4has4decided4to4b
ottle-feed4her
newborn.4Which4information4would4the4nurse4include4in4the4teaching4plan4to4fa
cilitate
suppression4of4lactation?4-4ans-
Answer:4instructing4her4to4apply4ice4packs4to4both4breasts4every4other4hour
4.4The4nurse4is4making4a4follow-
up4home4visit4to4a4woman4who4is4124days4postpartum.4Which
finding4would4the4nurse4expect4when4assessing4the4client's4fundus?4-4ans-
Answer:4cannot4be4palpated
Rationale:4By4the4end4of4104days,4the4fundus4usually4cannot4be4palpated4beca
use4it4has4descended
into4the4true4pelvis.
6.4When4the4nurse4is4assessing4a4postpartum4client4approximately464hours4aft
er4birth,4which
finding4would4warrant4further4investigation?4-4ans-blood4pressure490/504mm4Hg
, 7.4A4postpartum4client4who4is4bottle4feeding4her4newborn4asks,4"When4should4
my4period4return?"
Which4response4by4the4nurse4would4be4most4appropriate?4-
4ans-"It4varies,4but4you4can4estimate4it4returning4in4about474to494weeks."
8.4A4nurse4is4providing4care4to4a4postpartum4woman.4The4nurse4determines4th
at4the4client4is4in4the
taking-in4phase4based4on4which4finding?4-4ans-
The4client4states,4"He4has4my4eyes4and4nose."
10.4A4postpartum4client4comes4to4the4clinic4for4her46-
week4postpartum4checkup.4When4assessing
the4client's4cervix,4the4nurse4would4expect4the4external4cervical4os4to4appear:
A.4shapeless.
B.4circular.
C.4triangular.
D.4slit-like.4-4ans-Answer:4D
Rationale:4After4birth,4the4external4cervical4os4is4no4longer4shaped4like4a4circle
4but4instead
appears4as4a4jagged4slit-like4opening,4often4described4as4a4"fish4mouth."
11.4A4nurse4is4teaching4a4postpartum4client4how4to4do4muscle-
clenching4exercises4for4the
perineum.4The4client4asks4the4nurse,4"Why4do4I4need4to4do4these4exercises?"
4Which4reason4would
the4nurse4most4likely4incorporate4into4the4response?4-4ans-
improves4pelvic4floor4tone
12.4A4father4of4a4newborn4tells4the4nurse,4"I4may4not4know4everything4about4
being4a4dad,4but4I'm
going4to4do4the4best4I4can4for4my4son."4The4nurse4interprets4this4as4indicatin
g4the4father4is4in
which4stage4of4adaptation?
A.4expectations
B.4transition4to4mastery
C.4reality
D.4taking-in4-4ans-Answer:4B
Rationale:4The4father's4statement4reflects4transition4to4mastery4because4he4is4
making4a4conscious
decision4to4take4control4and4be4at4the4center4of4the4newborn's4life4regardless4
of4his4preparedness.4The4expectations4stage4involves4preconceptions4about4how
4life4will4be4with4a4newborn.4Reality
occurs4when4fathers4realize4their4expectations4are4not4realistic.4Taking-
in4is4a4phase4of4maternal
adaptation.
