,___________ refers to changes that the reproductive organs, particularly the
uterus, undergo after birth to return to their prepregnancy size and condition. -
CORRECT ANSWERS -Involution
Involution refers to changes that the reproductive organs, particularly the uterus,
undergo after birth to return to their prepregnancy size and condition.
____________________________ is a lower-than-normal amount of amniotic fluid. -
CORRECT ANSWERS -oligohydramnios
Oligohydramnios is a lower amount than normal of amniotic fluid.
A 3-month-old infant is diagnosed with developmental hip dysplasia. The nurse knows
that what is the usual treatment for an infant with this diagnosis?
a. A Pavlik harness
b. A body spica cast
c. Traction
d. Triple-diapering - CORRECT ANSWERS -A
In infants who are more than 2 months of age, longer-term immobilization with a Pavlik
harness is required.
A 4-week postpartum patient with mastitis asks the nurse if she can continue to
breastfeed. What is the nurses most helpful response?
a. Stop breastfeeding until the infection clears.
b. Pump the breasts to continue milk production, but do not give breast milk to the
infant.
c. Begin all feedings with the affected breast until the mastitis is resolved. d.
Breastfeeding can continue unless there is abscess formation. - CORRECT ANSWERS
-D
The woman with mastitis can continue to breastfeed unless an abscess forms.
A first-time mother reports that she is experiencing difficulty breastfeeding her newborn.
Which neonatal reflex would the nurse teach the mother to elicit to facilitate
breastfeeding?
a. Sucking
b. Rooting
c. Grasping
d. Tonic neck - CORRECT ANSWERS -B
The rooting reflex causes the infants head to turn in the direction of anything that
touches the cheek in anticipation of food.
A frustrated patient in labor has been affected by decreased uterine muscle tone and
reports, My doctor wont induce my labor because of some silly score. He said I was a 4.
,What kind of magic number do I need? What is the lowest Bishop score the patient
should have prior to induction?
a. 6
b. 8
c. 10
d. 12 - CORRECT ANSWERS -A
The Bishop score evaluates the suitability of the patient for a vaginal delivery. A
minimum score of 6 is recommended by the American Congress of Obstetricians and
Gynecologists (ACOG).
A full-term newborn weighs 3600 grams at birth. What would the nurse expect the
newborn to weigh in grams 3 days later?
a. 2900
b. 3100
c. 3300
d. 3800 - CORRECT ANSWERS -C
In the first 3 to 4 days of life, a newborn generally loses 5% to 10% of his or her birth
weight.
A labor dysfunction due to decreased uterine muscle tone occurs in a patient who is
dilated to 5 cm with membranes intact. What action by the physician will the nurse
anticipate?
a. Perform an amniotomy.
b. Initiate tocolytic drugs.
c. Order a sedative for the patient.
d. Plan to do an emergency cesarean section. - CORRECT ANSWERS -A
Medical treatment for hypotonic labor dysfunction includes an amniotomy as the first
remedy if the membranes are intact.
A new mother has decided not to breastfeed her newborn. What information will the
nurse include when planning to teach the mother about formula feeding?
a. Positioning the bottle so that the nipple is full of formula during the entire feeding
b. Heating the infant formula in a microwave
c. Burping the infant after 4 ounces and again when the bottle is empty d. Propping a
bottle for a feeding - CORRECT ANSWERS -A
The nipple of the bottle should be kept full of formula to reduce the amount of air the
infant swallows.
A new mother is distressed and tearful about the elevated dome over her infants
posterior fontanelle. The nurse responds, This condition will resolve itself in a few days.
What is the cause?
a. Prolonged pressure against the partially dilated cervix
b. Small leak of fluid through the posterior fontanelle
c. Pressure of the forceps during delivery d. The effect of the vacuum extractor -
CORRECT ANSWERS -D
, The chignon is due to the effect of the vacuum extractor and will disappear in a few
days.
A new mother states her preference to formula feed her newborn. What will the nurse
planning discharge instructions tell her to help suppress lactation and promote comfort?
a. Wear a well-fitting bra continuously for several days.
b. Stand in a warm shower, letting the water spray over the breasts.
c. Express small amounts of milk from the breasts several times a day. d. Massage the
breasts when they ache. - CORRECT ANSWERS -A
When a mother does not wish to breastfeed, a snug bra worn around the clock can help
alleviate discomfort from engorgement.
A newborn was just admitted to the neonatal intensive care unit with a
meningomyelocele. What is the priority preoperative nursing care of this newborn?
a. Keep the sac dry.
b. Diaper snugly.
c. Position prone in an incubator.
d. Move from side to side every hour. - CORRECT ANSWERS -C
The infant is placed prone in a humidified incubator, and the sac is covered with
dressings of sterile saline. The infants hips are kept lower than the lesion, and the infant
is usually not in diapers.
A nurse is discussing risk factors for postpartum shock with a childbirth preparation
class. What will the nurse include in this education session? (Select all that apply.)
a. Hypertension
b. Blood clotting disorders
c. Anemia
d. Infection
e. Postpartum hemorrhage - CORRECT ANSWERS -B, C, D, E
Hypertension is not a cause for postpartum shock; all the other options can cause
shock.
A postpartum patient experiences anaphylactic shock. What is the most likely cause?
a. Pulmonary embolism
b. Hypertension
c. Allergy
d. Blood clotting disorder - CORRECT ANSWERS -C
Anaphylactic shock is caused by allergic responses to drugs administered. Cardiogenic
shock may be caused by pulmonary embolism or hypertension. Hypovolemic shock
could be caused by blood clotting disorders.
A postpartum patient is experiencing hypovolemic shock. What interventions can the
nurse anticipate? (Select all that apply.)
a. Provision of IV fluids
b. Placement of an indwelling Foley catheter
c. Assessment of oxygen saturation
uterus, undergo after birth to return to their prepregnancy size and condition. -
CORRECT ANSWERS -Involution
Involution refers to changes that the reproductive organs, particularly the uterus,
undergo after birth to return to their prepregnancy size and condition.
____________________________ is a lower-than-normal amount of amniotic fluid. -
CORRECT ANSWERS -oligohydramnios
Oligohydramnios is a lower amount than normal of amniotic fluid.
A 3-month-old infant is diagnosed with developmental hip dysplasia. The nurse knows
that what is the usual treatment for an infant with this diagnosis?
a. A Pavlik harness
b. A body spica cast
c. Traction
d. Triple-diapering - CORRECT ANSWERS -A
In infants who are more than 2 months of age, longer-term immobilization with a Pavlik
harness is required.
A 4-week postpartum patient with mastitis asks the nurse if she can continue to
breastfeed. What is the nurses most helpful response?
a. Stop breastfeeding until the infection clears.
b. Pump the breasts to continue milk production, but do not give breast milk to the
infant.
c. Begin all feedings with the affected breast until the mastitis is resolved. d.
Breastfeeding can continue unless there is abscess formation. - CORRECT ANSWERS
-D
The woman with mastitis can continue to breastfeed unless an abscess forms.
A first-time mother reports that she is experiencing difficulty breastfeeding her newborn.
Which neonatal reflex would the nurse teach the mother to elicit to facilitate
breastfeeding?
a. Sucking
b. Rooting
c. Grasping
d. Tonic neck - CORRECT ANSWERS -B
The rooting reflex causes the infants head to turn in the direction of anything that
touches the cheek in anticipation of food.
A frustrated patient in labor has been affected by decreased uterine muscle tone and
reports, My doctor wont induce my labor because of some silly score. He said I was a 4.
,What kind of magic number do I need? What is the lowest Bishop score the patient
should have prior to induction?
a. 6
b. 8
c. 10
d. 12 - CORRECT ANSWERS -A
The Bishop score evaluates the suitability of the patient for a vaginal delivery. A
minimum score of 6 is recommended by the American Congress of Obstetricians and
Gynecologists (ACOG).
A full-term newborn weighs 3600 grams at birth. What would the nurse expect the
newborn to weigh in grams 3 days later?
a. 2900
b. 3100
c. 3300
d. 3800 - CORRECT ANSWERS -C
In the first 3 to 4 days of life, a newborn generally loses 5% to 10% of his or her birth
weight.
A labor dysfunction due to decreased uterine muscle tone occurs in a patient who is
dilated to 5 cm with membranes intact. What action by the physician will the nurse
anticipate?
a. Perform an amniotomy.
b. Initiate tocolytic drugs.
c. Order a sedative for the patient.
d. Plan to do an emergency cesarean section. - CORRECT ANSWERS -A
Medical treatment for hypotonic labor dysfunction includes an amniotomy as the first
remedy if the membranes are intact.
A new mother has decided not to breastfeed her newborn. What information will the
nurse include when planning to teach the mother about formula feeding?
a. Positioning the bottle so that the nipple is full of formula during the entire feeding
b. Heating the infant formula in a microwave
c. Burping the infant after 4 ounces and again when the bottle is empty d. Propping a
bottle for a feeding - CORRECT ANSWERS -A
The nipple of the bottle should be kept full of formula to reduce the amount of air the
infant swallows.
A new mother is distressed and tearful about the elevated dome over her infants
posterior fontanelle. The nurse responds, This condition will resolve itself in a few days.
What is the cause?
a. Prolonged pressure against the partially dilated cervix
b. Small leak of fluid through the posterior fontanelle
c. Pressure of the forceps during delivery d. The effect of the vacuum extractor -
CORRECT ANSWERS -D
, The chignon is due to the effect of the vacuum extractor and will disappear in a few
days.
A new mother states her preference to formula feed her newborn. What will the nurse
planning discharge instructions tell her to help suppress lactation and promote comfort?
a. Wear a well-fitting bra continuously for several days.
b. Stand in a warm shower, letting the water spray over the breasts.
c. Express small amounts of milk from the breasts several times a day. d. Massage the
breasts when they ache. - CORRECT ANSWERS -A
When a mother does not wish to breastfeed, a snug bra worn around the clock can help
alleviate discomfort from engorgement.
A newborn was just admitted to the neonatal intensive care unit with a
meningomyelocele. What is the priority preoperative nursing care of this newborn?
a. Keep the sac dry.
b. Diaper snugly.
c. Position prone in an incubator.
d. Move from side to side every hour. - CORRECT ANSWERS -C
The infant is placed prone in a humidified incubator, and the sac is covered with
dressings of sterile saline. The infants hips are kept lower than the lesion, and the infant
is usually not in diapers.
A nurse is discussing risk factors for postpartum shock with a childbirth preparation
class. What will the nurse include in this education session? (Select all that apply.)
a. Hypertension
b. Blood clotting disorders
c. Anemia
d. Infection
e. Postpartum hemorrhage - CORRECT ANSWERS -B, C, D, E
Hypertension is not a cause for postpartum shock; all the other options can cause
shock.
A postpartum patient experiences anaphylactic shock. What is the most likely cause?
a. Pulmonary embolism
b. Hypertension
c. Allergy
d. Blood clotting disorder - CORRECT ANSWERS -C
Anaphylactic shock is caused by allergic responses to drugs administered. Cardiogenic
shock may be caused by pulmonary embolism or hypertension. Hypovolemic shock
could be caused by blood clotting disorders.
A postpartum patient is experiencing hypovolemic shock. What interventions can the
nurse anticipate? (Select all that apply.)
a. Provision of IV fluids
b. Placement of an indwelling Foley catheter
c. Assessment of oxygen saturation
