MATERNITY AND PEDIATRIC NURSING 4TH EDITION
QUESTIONS | TESTED AND PROVEN ANSWERS |
LATEST UPDATE 2024/2025 100% (GRADE A+)
A primipara client gave birth vaginally to a healthy newborn girl 48 hours ago. The nurse
palpates the client's fundus, expecting it to be at which location?
A) Two fingerbreadths above the umbilicus
B) At the level of the umbilicus
C) Two fingerbreadths below the umbilicus
D) Four fingerbreadths below the umbilicus
Ans>> C
During the first few days after birth, the uterus typically descends downward from the level of the
umbilicus at a rate of 1 cm (1 fingerbreadth) per day so that by day 2, it is about 2
fingerbreadths below the umbilicus.
When caring for a mother who has had a cesarean birth, the nurse would expect the client's
lochia to be:
A) Greater than after a vaginal delivery
B) About the same as after a vaginal delivery
C) Less than after a vaginal delivery
1
,D) Saturated with clots and mucus
Ans>> C
Women who have had cesarean births tend to have less flow because the uterine debris is
removed manually along with delivery of the placenta.
A client who is breastfeeding her newborn tells the nurse, I notice that when I feed him, I feel
fairly strong contraction-like pain. Labor is over. Why am I having contractions now? Which
response by the nurse would be most appropriate?
A) Your uterus is still shrinking in size; that's why you're feeling this pain.
B) Let me check your vaginal discharge just to make sure everything is fine.
C) Your body is responding to the events of labor, just like after a tough workout.
D) The baby's sucking releases a hormone that causes the uterus to contract
Ans>> D
The woman is describing afterpains, which are usually stronger during breast-feeding because
oxytocin released by the sucking reflex strengthens uterine contractions. Afterpains are associated
with uterine involution, but the woman's description strongly correlates with the hormonal events of
breast-feeding. All women experience afterpains, but they are more acute in multiparous women
secondary to repeated stretching of the uterine muscles.
2
, The nurse interprets which of the following as evidence that a client is in the
taking-in phase?
A) Client states, He has my eyes and nose.
B) Client shows interest in caring for the newborn.
C) Client performs self-care independently.
D) Client confidently cares for the newborn
Ans>> A
During the taking-in phase, new mothers when interacting with their newborns spend time claiming
the newborn and touching him or her, commonly identifying specific features in the newborn such
as "he has my nose" or "his fingers are long like his father's." Independence in self-care and
interest in caring for the newborn are typical of the taking-hold phase. Confidence in caring for
the newborn is demonstrated during the letting-go phase.
A postpartum client is experiencing subinvolution. When reviewing the woman's labor and birth
history, which of the following would the nurse identify as being least significant to this condition?
A) Early ambulation
B) Prolonged labor
C) Large fetus
3
QUESTIONS | TESTED AND PROVEN ANSWERS |
LATEST UPDATE 2024/2025 100% (GRADE A+)
A primipara client gave birth vaginally to a healthy newborn girl 48 hours ago. The nurse
palpates the client's fundus, expecting it to be at which location?
A) Two fingerbreadths above the umbilicus
B) At the level of the umbilicus
C) Two fingerbreadths below the umbilicus
D) Four fingerbreadths below the umbilicus
Ans>> C
During the first few days after birth, the uterus typically descends downward from the level of the
umbilicus at a rate of 1 cm (1 fingerbreadth) per day so that by day 2, it is about 2
fingerbreadths below the umbilicus.
When caring for a mother who has had a cesarean birth, the nurse would expect the client's
lochia to be:
A) Greater than after a vaginal delivery
B) About the same as after a vaginal delivery
C) Less than after a vaginal delivery
1
,D) Saturated with clots and mucus
Ans>> C
Women who have had cesarean births tend to have less flow because the uterine debris is
removed manually along with delivery of the placenta.
A client who is breastfeeding her newborn tells the nurse, I notice that when I feed him, I feel
fairly strong contraction-like pain. Labor is over. Why am I having contractions now? Which
response by the nurse would be most appropriate?
A) Your uterus is still shrinking in size; that's why you're feeling this pain.
B) Let me check your vaginal discharge just to make sure everything is fine.
C) Your body is responding to the events of labor, just like after a tough workout.
D) The baby's sucking releases a hormone that causes the uterus to contract
Ans>> D
The woman is describing afterpains, which are usually stronger during breast-feeding because
oxytocin released by the sucking reflex strengthens uterine contractions. Afterpains are associated
with uterine involution, but the woman's description strongly correlates with the hormonal events of
breast-feeding. All women experience afterpains, but they are more acute in multiparous women
secondary to repeated stretching of the uterine muscles.
2
, The nurse interprets which of the following as evidence that a client is in the
taking-in phase?
A) Client states, He has my eyes and nose.
B) Client shows interest in caring for the newborn.
C) Client performs self-care independently.
D) Client confidently cares for the newborn
Ans>> A
During the taking-in phase, new mothers when interacting with their newborns spend time claiming
the newborn and touching him or her, commonly identifying specific features in the newborn such
as "he has my nose" or "his fingers are long like his father's." Independence in self-care and
interest in caring for the newborn are typical of the taking-hold phase. Confidence in caring for
the newborn is demonstrated during the letting-go phase.
A postpartum client is experiencing subinvolution. When reviewing the woman's labor and birth
history, which of the following would the nurse identify as being least significant to this condition?
A) Early ambulation
B) Prolonged labor
C) Large fetus
3
