Postpartum quiz 2
The new mom is tearful and wonders if this is a sign of postpartum depression? The nurse correctly answers:
"No, this is normal and is known as the postpartal "baby blues"
A woman 48 hours postpartum is complaining of profuse diaphoresis at night. She has no other complaints of discomfort. Which of the following actions by the nurse is most appropriate?
Reassure the woman this is normal
A breastfeeding mother states that she has sore nipples. In response to the complaint, the nurse assists with "latch on" and recommends that the mother do which of the following?
Rotate the baby's position at each feeding
A breast-feeding woman has been counseled on how to prevent engorgement. Which of the following actions by the mother shows that the teaching was effective?
She feeds her baby every 2-3 hours
A primipara that delivered two hours ago requests that the nurse take care of the baby in the nursery so that she can get a nap. Based on this information, the nurse concluded that the woman is exhibiting signs of which of the following?
Taking-In stage
What is the most important assessment in the immediate postpartum period for the nurse to make?
Fundal
The nurse is assessing a woman who delivered 12 hours earlier. Which of the following findings would the nurse expect to find at this point?
Fundus at the level of the umbilicus, lochia rubra
The nurse is assigned to care for 4 new mothers on the postpartum floor. The nurse knows that the patient who is most likely to have the most painful after-birth pains is:
G4P3 breastfeeding mom
The nurse in the obstetric clinic received a telephone call from a bottle-feeding mother of a 4 day old baby girl. The client stated that her breasts are firm, red, and very shiny. Which of the following is the best action for the nurse to advise the client to perform?
Intermittently apply ice packs to the axillae and breast regions
The nurse receives the following report on a newly delivered client: 21 years of age; married; G1P1001; Spontaneous vaginal delivery with no episiotomy or lacerations; vitals: 99.0F, 88, 16, 120/70; fundus firm at umbilicus with moderate rubra lochia; ambulated to the bathroom to void 4 times; breastfeeding every two hours. Which of the following nursing diagnoses should the nurse include in this client's care plan?
Knowledge deficit r/t lack of parenting experience
The nurse has received an order for an early discharge for a patient that delivered a few hours ago. The assessment that is most concerning over an early discharge is:
Patient's fundus is boggy
The client who has decided to breast feed her baby has just delivered her newborn baby girl and is in recovery. Which of the following maternal hormones will increase sharply postpartum in order for the production of milk to occur?
Prolactin
The nurse has taught a newly admitted patient to the postpartum unit about pericare. Which of the following indicates that the client understands the procedure? (SELECT ALL THAT APPLY).
The client uses her peri-bottle each time she goes to the bathroom to void/stool. The client applies a fresh peri-pad after each void/stool The client washes her hand after the procedure.
Which of the following nursing outcomes related to the nursing diagnosis, "Risk for intrauterine infection related to vaginal delivery" should be included in the plan of care? (SELECT ALL THAT APPLY).
The client will use her peri-bottle after every void throughout hospitalization. The client will report that lochia is not foul-smelling throughout hospitalization. The client will have a normal temperature within 24 hours of delivery.
A 3-day-breastfeeding client who is not immune to rubella is to receive the rubella vaccine at discharge. Which of the following must the nurse include in her discharge teaching regarding the vaccine?
The woman should not become pregnant for at least 4 weeks