Women's Health - Exam II Questions and
Answers (GRADED A)
D
(Immediately after birth the uterus is about the size of a large grapefruit and the fundus
can be palpated midway between the symphysis pubis and umbilicus. Within 12 hours
the fundus rises to the level of the umbilicus. By the second day, the fundus starts to
descend by approximately 1 cm/day.) - ANSWER-Immediately after birth, the nurse can
anticipate the fundus to be located
A. at the umbilicus.
B. 2 cm above the umbilicus. Incorrect
C. 1 cm below the umbilicus.
D. midway between the symphysis pubis and umbilicus
A
(Descent of the fundus is documented in relation to the umbilicus and is measured in
centimeters. Numbers with a plus sign mean that the fundus is above the umbilicus;
numbers with a minus sign mean that the fundus is below the umbilicus.) - ANSWER-
When reading the postpartum chart the nurse notices that the patient's fundus is
recorded as "u+1." The nurse understands that this means the fundus is
A. 1 cm above umiblicus
B. 1 cm below the umbilicus.
C. 1 inch above the umbilicus.
D. 1 inch below the umbilicus.
D
(Afterpains are more acute for multiparas because repeated stretching of muscle fibers
leads to low muscle tone, which results in repeated contraction and relaxation of the
uterus. Breastfeeding increases the severity of afterpains. The afterpains are self-
limiting and will decrease rapidly after 48 hours.) - ANSWER-During the second
postpartum day, a woman asks the nurse, "Why are my afterpains so much worse this
time than after the birth of my other child?" The best answer by the nurse would be:
A. "Most women forget how strong the afterpains can be." Incorrect
B. "They should not be strong with you because you are breastfeeding."
C. "You should not be feeling the pains now; I will notify the physician for you."
D. "Afterpains are more severe for women who have already given birth."
A
(Lochia rubra is red in color and occurs the first 3 or 4 days after birth. A light amount of
discharge is classified as a 1- to 4-inch stain on the peripad.) - ANSWER-The nurse is
, assessing the patient's vaginal discharge. It is red and has about a 2-inch stain on the
peripad. The nurse will record this finding as a
A. light amount of lochia rubra.
B. scant amount of lochia alba.
C. moderate amount of lochia rubra. Incorrect
D. heavy amount of lochia alba.
B
(Topical anesthetics can be applied directly to the site to numb the area. This will not
cause systemic effects like pain medications. Sitz baths may also be soothing.) -
ANSWER-The new mother is complaining of pain at the episiotomy site; however,
because she is breastfeeding, she does not want any medication. What other
alternatives can the nurse offer this mother to help relieve the pain?
A. Ambulation
B. Topical anesthetics
C. Hot fluids to drink
D. Stool softeners
C
(Diaphoresis and diuresis rid the body of excess fluids that accumulated during the
pregnancy. Diaphoresis is not clinically significant, but can be unsettling for the mother
who is not prepared for it. Explanations of the cause and provision of comfort measures,
such as showers and dry clothing, are generally sufficient.) - ANSWER-A mother who is
3 days postpartum calls the clinic and complains of "night sweats." She is afraid that
she is going into early menopause. The nurse should base her answer on the fact that
A. birth may put some women into early menopause; an appointment is needed to have
this checked out.
B. night sweats may be an indication of many other problems; an appointment is
needed to assess the problem.
C. diaphoresis is normal during the postpartum period, and comfort measures can be
suggested to the mother.
D. diaphoresis is normal only if the mother is breastfeeding.
D
(Marked leukocytosis occurs during the postpartum period. The WBC count increases to
as high as 30,000/mm3. The WBC count should fall to normal values by day 7.
Neutrophils, which increase in response to inflammation, pain, and stress to protect
against invading organisms, account for the major increase in WBCs. Because this is a
normal reading, noting the results in the chart is the appropriate action.) - ANSWER-On
the first postpartum day a patient's white blood cell count is 25,000/mm3. The nurse's
next action should be to
Answers (GRADED A)
D
(Immediately after birth the uterus is about the size of a large grapefruit and the fundus
can be palpated midway between the symphysis pubis and umbilicus. Within 12 hours
the fundus rises to the level of the umbilicus. By the second day, the fundus starts to
descend by approximately 1 cm/day.) - ANSWER-Immediately after birth, the nurse can
anticipate the fundus to be located
A. at the umbilicus.
B. 2 cm above the umbilicus. Incorrect
C. 1 cm below the umbilicus.
D. midway between the symphysis pubis and umbilicus
A
(Descent of the fundus is documented in relation to the umbilicus and is measured in
centimeters. Numbers with a plus sign mean that the fundus is above the umbilicus;
numbers with a minus sign mean that the fundus is below the umbilicus.) - ANSWER-
When reading the postpartum chart the nurse notices that the patient's fundus is
recorded as "u+1." The nurse understands that this means the fundus is
A. 1 cm above umiblicus
B. 1 cm below the umbilicus.
C. 1 inch above the umbilicus.
D. 1 inch below the umbilicus.
D
(Afterpains are more acute for multiparas because repeated stretching of muscle fibers
leads to low muscle tone, which results in repeated contraction and relaxation of the
uterus. Breastfeeding increases the severity of afterpains. The afterpains are self-
limiting and will decrease rapidly after 48 hours.) - ANSWER-During the second
postpartum day, a woman asks the nurse, "Why are my afterpains so much worse this
time than after the birth of my other child?" The best answer by the nurse would be:
A. "Most women forget how strong the afterpains can be." Incorrect
B. "They should not be strong with you because you are breastfeeding."
C. "You should not be feeling the pains now; I will notify the physician for you."
D. "Afterpains are more severe for women who have already given birth."
A
(Lochia rubra is red in color and occurs the first 3 or 4 days after birth. A light amount of
discharge is classified as a 1- to 4-inch stain on the peripad.) - ANSWER-The nurse is
, assessing the patient's vaginal discharge. It is red and has about a 2-inch stain on the
peripad. The nurse will record this finding as a
A. light amount of lochia rubra.
B. scant amount of lochia alba.
C. moderate amount of lochia rubra. Incorrect
D. heavy amount of lochia alba.
B
(Topical anesthetics can be applied directly to the site to numb the area. This will not
cause systemic effects like pain medications. Sitz baths may also be soothing.) -
ANSWER-The new mother is complaining of pain at the episiotomy site; however,
because she is breastfeeding, she does not want any medication. What other
alternatives can the nurse offer this mother to help relieve the pain?
A. Ambulation
B. Topical anesthetics
C. Hot fluids to drink
D. Stool softeners
C
(Diaphoresis and diuresis rid the body of excess fluids that accumulated during the
pregnancy. Diaphoresis is not clinically significant, but can be unsettling for the mother
who is not prepared for it. Explanations of the cause and provision of comfort measures,
such as showers and dry clothing, are generally sufficient.) - ANSWER-A mother who is
3 days postpartum calls the clinic and complains of "night sweats." She is afraid that
she is going into early menopause. The nurse should base her answer on the fact that
A. birth may put some women into early menopause; an appointment is needed to have
this checked out.
B. night sweats may be an indication of many other problems; an appointment is
needed to assess the problem.
C. diaphoresis is normal during the postpartum period, and comfort measures can be
suggested to the mother.
D. diaphoresis is normal only if the mother is breastfeeding.
D
(Marked leukocytosis occurs during the postpartum period. The WBC count increases to
as high as 30,000/mm3. The WBC count should fall to normal values by day 7.
Neutrophils, which increase in response to inflammation, pain, and stress to protect
against invading organisms, account for the major increase in WBCs. Because this is a
normal reading, noting the results in the chart is the appropriate action.) - ANSWER-On
the first postpartum day a patient's white blood cell count is 25,000/mm3. The nurse's
next action should be to
