Correct Answers)
a client who is breastfeeding her newborn infant is experiencing nipple soreness. To relieve the
soreness which action should the nurse suggest to the client —Answer: begin feeding on the
less sore nipple
and your mother is attempting to breastfeed for the first time. The nurse notices that they client
has inverted nipples. Which nursing action can the nurse take to assist the client in
breastfeeding the newborn —Answer: provide breast shield in assisting mother with using a
breast pump before each feeding to make the nipples easier for the newborn to grasp
the nurse in the postpartum unit is instructing a mother regarding lochia and the amount of
expected lochia drainage. The nurse instructs the mother that the normal amount of lochia may
vary but should never exceed which amount —Answer: 8 pads per day
the nurse provides home care instructions to a postpartum client following a vaginal birth with
episiotomy. Which statement by the client indicates the need for further teaching —Answer: I
can resume sexual activity at any time
a postpartum client who delivered at 32 weeks of gestation would like to breastfeed her preterm
infant. At this time the infant is receiving tube feedings only. What is the nurses best response
to the mother —Answer: you can begin pumping as soon as possible after delivery with an
electric breast pump
the nurse caring for a woman who has delivered a baby after pregnancy with a placenta previa.
Which complication would the client be at risk for —Answer: postpartum hemorrhage
oxytocin is prescribed to be administered intravenously to client after cesarean delivery. The
nurse understands that which is the action of the medication —Answer: to stimulate the uterus
to contract this reducing possible blood loss
a pregnant client experienced a uterine rupture with subsequent fetal death. After ensuring that
the client is physiologically stable the nurse should take which approach as the first step to
support the client physiologically —Answer: collect data regarding how the client receive the
event
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, a postpartum nurse obtain C vital signs on a mother who delivered a healthy newborn 2 hours
ago. Then mothers temperature is 100 °F. what is the initial nursing action —Answer:
encourage oral fluid intake
the nurse is monitoring a new mother in the fourth stage of labor for signs of hemorrhage.
Which side noted in the mother would indicate an early sign of excessive blood loss and shock
—Answer: an increase in the pulse rate from 80 to 102 beats per minute
on the second postpartum day at mother complains of burning on urination, urgency, and
frequency of urination. A urine sample is collected for urinalysis and the results indicate the
presence of a urinary tract infection. The nurse reinforces instructions to the new mother
regarding measures to take for the treatment of the infection. Which statement by the mother
indicates the need for further teaching —Answer: foods and fluids that will increase your and
alkalinity should be consumed
a delivery room nurse collects data on a mother who just delivered a healthy newborn infant.
The nurse checks the uterine fundus expecting to note which uterine fundus position —
Answer: at the level of the umbilicus
it has been 12 hours since the delivery of a newborn. The nurse assesses the mother for the
process of evolution and documents that it is progressing normally when palpation of the
client's fundus is noted at which level —Answer: 1
a new mother attempting breastfeeding for the first time has development status. She states my
breasts look terrible and I think that I will stop breastfeeding. The nurse plans care knowing
that the client is concerned about which problem —Answer: body image
the nurse in a postpartum unit identifies which client as being at risk for developing
endometritis following delivery —Answer: an adolescent experiencing an emergency cesarean
delivery for fetal distress
the nurse is preparing to care for a woman in the immediate postpartum. Who has just
delivered a healthy newborn. The nurse plans to take the woman's vital signs at which time
intervals —Answer: every 15 minutes for the first hour then every 30 minutes for the next 2
hours
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