MATERNAL - POST-PARTUM REVIEW
TEST
The nurse is caring for a postpartum client. Which finding should make the nurse
suspect endometritis in this client? - CORRECT ANSWERS-Fever of 38 C, beginning 2
days postpartum.
The nurse in the postpartum unit is assessing a newborn for signs of breast-feeding
problems. Which findings indicate a problem? Select all that apply. - CORRECT
ANSWERS-1. The infant exhibits dimpling of the cheeks.
2. The infant makes smacking or clicking sounds.
3. The infant falls asleep after feeding less than 5 minutes.
It has been 12 hours since the client's delivery of a newborn. The nurse assesses the
client for the process of involution and documents that it is progressing normally when
palpation of the client's fundus is at which level? - CORRECT ANSWERS-At the level of
the umbilicus
The nurse teaches a postpartum client about observation of lochia. The nurse
determines the client's understanding when the client says that on the second day
postpartum, the lochia should be which color? - CORRECT ANSWERS-Red
After delivery, the postpartum nurse instructs the client with known cardiac disease to
call for the nurse when she needs to get out of bed or when she plans to care for her
newborn infant. Which rationale is the basis for these instructions? - CORRECT
ANSWERS-Avoid maternal or infant injury caused by the potential for syncope or
overexertion.
The nurse provides instructions to a new mother who is about to breast-feed her
newborn infant. The nurse observes the new mother as she breast-feeds for the first
time and determines the mother needs further teaching if the new mother applies which
technique? - CORRECT ANSWERS-Tilts up the nipple or squeezes the areola, pushing
it into the newborn's mouth.
The nurse has provided instructions to a new mother with a urinary tract infection
regarding foods and fluids to consume that will acidify the urine. The nurse determines
that further teaching is needed if the mother indicates that which fluid will acidify the
urine? - CORRECT ANSWERS-Carbonated drinks
The nurse is preparing to care for the mother of a preterm infant. When should the
nurse plan to begin discharge planning? - CORRECT ANSWERS-After stabilization of
the infant during the early stages of hospitalization.
, The nurse is developing goals for the postpartum client who is at risk for uterine
infection. Which goal would be most appropriate for this client? - CORRECT
ANSWERS-The client will be able to identify measures to prevent infection.
A neonatal intensive care unit (NICU) nurse teaches hand washing techniques to the
parents of an infant who is receiving antibiotic treatment for a neonatal infection. The
nurse determines that the parents understand the primary purpose of hand washing if
which statement is made? - CORRECT ANSWERS-It is primarily done to reduce the
possibility of transmitting an environmental infection to the infant.
A postpartum client with gestational diabetes is scheduled for discharge. During the
discharge teaching, the client asks the nurse, "Do I have to worry about this diabetes
anymore?" Which is the appropriate response by the nurse? - CORRECT ANSWERS-
You will be at risk for developing gestational diabetes with your next pregnancy and also
for developing diabetes mellitus.
The nurse is planning care for a client with an intrauterine fetal demise. Which is an
inappropriate goal for this client? - CORRECT ANSWERS-The woman will recognize
that thoughts of worthlessness and suicide are normal after a loss.
A client has just given birth to a newborn who has a cleft lip and palate. When planning
to talk to the client, the nurse recognizes that the client needs to first work through
which emotion before maternal bonding can occur? - CORRECT ANSWERS-Grief
The nurse is observing the parents at the bedside of their small-for-gestational-age
(SGA) infant, who was born at 27 weeks' gestation. The infant's mother states, "She is
so tiny and fragile. I'll never be able to hold her with all those tubes." Considering this
statement, which problem should the nurse identify for the mother? - CORRECT
ANSWERS-Potential for compromised parenting
A client has just delivered a large-for-gestational-age (LGA) infant by the vaginal route.
The client verbalizes concern regarding the infant's facial bruising and causing pain to
the site if touched. Which therapeutic statement should the nurse make to alleviate the
client's concerns? - CORRECT ANSWERS-I can show you how to gently stroke the
face and not cause pain.
The nurse is caring for a postpartum client with thromboembolytic disease. Which
intervention is most important to include when planning care to prevent the complication
of pulmonary embolism? - CORRECT ANSWERS-Administer prescribed anticoagulant
therapy.
The nurse is checking the fundus of a postpartum woman and notes that the uterus is
soft and spongy. Which nursing action is appropriate initially? - CORRECT ANSWERS-
Massage the fundus gently until it is firm.
TEST
The nurse is caring for a postpartum client. Which finding should make the nurse
suspect endometritis in this client? - CORRECT ANSWERS-Fever of 38 C, beginning 2
days postpartum.
The nurse in the postpartum unit is assessing a newborn for signs of breast-feeding
problems. Which findings indicate a problem? Select all that apply. - CORRECT
ANSWERS-1. The infant exhibits dimpling of the cheeks.
2. The infant makes smacking or clicking sounds.
3. The infant falls asleep after feeding less than 5 minutes.
It has been 12 hours since the client's delivery of a newborn. The nurse assesses the
client for the process of involution and documents that it is progressing normally when
palpation of the client's fundus is at which level? - CORRECT ANSWERS-At the level of
the umbilicus
The nurse teaches a postpartum client about observation of lochia. The nurse
determines the client's understanding when the client says that on the second day
postpartum, the lochia should be which color? - CORRECT ANSWERS-Red
After delivery, the postpartum nurse instructs the client with known cardiac disease to
call for the nurse when she needs to get out of bed or when she plans to care for her
newborn infant. Which rationale is the basis for these instructions? - CORRECT
ANSWERS-Avoid maternal or infant injury caused by the potential for syncope or
overexertion.
The nurse provides instructions to a new mother who is about to breast-feed her
newborn infant. The nurse observes the new mother as she breast-feeds for the first
time and determines the mother needs further teaching if the new mother applies which
technique? - CORRECT ANSWERS-Tilts up the nipple or squeezes the areola, pushing
it into the newborn's mouth.
The nurse has provided instructions to a new mother with a urinary tract infection
regarding foods and fluids to consume that will acidify the urine. The nurse determines
that further teaching is needed if the mother indicates that which fluid will acidify the
urine? - CORRECT ANSWERS-Carbonated drinks
The nurse is preparing to care for the mother of a preterm infant. When should the
nurse plan to begin discharge planning? - CORRECT ANSWERS-After stabilization of
the infant during the early stages of hospitalization.
, The nurse is developing goals for the postpartum client who is at risk for uterine
infection. Which goal would be most appropriate for this client? - CORRECT
ANSWERS-The client will be able to identify measures to prevent infection.
A neonatal intensive care unit (NICU) nurse teaches hand washing techniques to the
parents of an infant who is receiving antibiotic treatment for a neonatal infection. The
nurse determines that the parents understand the primary purpose of hand washing if
which statement is made? - CORRECT ANSWERS-It is primarily done to reduce the
possibility of transmitting an environmental infection to the infant.
A postpartum client with gestational diabetes is scheduled for discharge. During the
discharge teaching, the client asks the nurse, "Do I have to worry about this diabetes
anymore?" Which is the appropriate response by the nurse? - CORRECT ANSWERS-
You will be at risk for developing gestational diabetes with your next pregnancy and also
for developing diabetes mellitus.
The nurse is planning care for a client with an intrauterine fetal demise. Which is an
inappropriate goal for this client? - CORRECT ANSWERS-The woman will recognize
that thoughts of worthlessness and suicide are normal after a loss.
A client has just given birth to a newborn who has a cleft lip and palate. When planning
to talk to the client, the nurse recognizes that the client needs to first work through
which emotion before maternal bonding can occur? - CORRECT ANSWERS-Grief
The nurse is observing the parents at the bedside of their small-for-gestational-age
(SGA) infant, who was born at 27 weeks' gestation. The infant's mother states, "She is
so tiny and fragile. I'll never be able to hold her with all those tubes." Considering this
statement, which problem should the nurse identify for the mother? - CORRECT
ANSWERS-Potential for compromised parenting
A client has just delivered a large-for-gestational-age (LGA) infant by the vaginal route.
The client verbalizes concern regarding the infant's facial bruising and causing pain to
the site if touched. Which therapeutic statement should the nurse make to alleviate the
client's concerns? - CORRECT ANSWERS-I can show you how to gently stroke the
face and not cause pain.
The nurse is caring for a postpartum client with thromboembolytic disease. Which
intervention is most important to include when planning care to prevent the complication
of pulmonary embolism? - CORRECT ANSWERS-Administer prescribed anticoagulant
therapy.
The nurse is checking the fundus of a postpartum woman and notes that the uterus is
soft and spongy. Which nursing action is appropriate initially? - CORRECT ANSWERS-
Massage the fundus gently until it is firm.
