Chapter 17 maternal
A nurse on the postpartum floor is conducting a class on danger signs for postpartum women after discharge. The nurse recognizes that further teaching is needed when a new mother makes which statement? a. my episiotomy should begin to heal and feel better over the next few weeks b. i am breast feeding so i can anticipate that there will be reddened painful areas in my breasts c. i need to let the doctor know if my lochia begins to have a foul smell d. if i develop chills or my fever goes above 100.4 i need to let someone know
B
Which intervention would be helpful to a bottle-feeding client who's experiencing hard or engorged breasts? a. administering bromcoriptine b. applying ice c. restriciting fluids d. applying warm compressess
B
A new mother has been reluctant to hold her newborn. Which action by the nurse would help promote this mother's attachment to her newborn? a. allowing the mother to pick the best time to hold her newborn b. talking about how the nurse held her own newborn while on the birthing table c. bringing the newborn into the room d. showing a video of parents feeding their babies
C
A nurse is assessing a postpartum client and notes an elevated temperature. Which temperature protocol should the nurse prioritize? a. 99.1 at 12 hours postbirth and decreases after 18 hrs b. 100.3 at 24 hours postbirth and remains the same for the second postpartum day c. 100.5 at 48 hours postbirth and remains the same the third day postpartum d. 100.1 at 24 hours postbirth and decreases the second postpartum day
C
A nurse notes a woman's prelabor vital signs were: temperature 98.8° F (37.1° C); BP 120/70 mm Hg; heart rate 80 bpm. and respirations 20 breaths/min. Which assessment findings during the early postpartum period should the nurse prioritize? a. shaking chills with a fever of 100.4 b. hear rate of 70 and excessive soaking diaphoresis c. BP 90/50 heart rate 120 resp. 24 d. blood loss of 250 mL and WBC 25,000
C
The nurse is providing discharge education for a new mother regarding constipation. Which statement by the mother indicates that she understands what the nurse explained to her? a. a good meal for me is cream of chicken soap, cheese toast and ice cream for dessert b. it is all right to suppress the urge to have a stool for a few days to allow my stitches to heal c. i will avoid medications for constipation such as psyllium because it can upset the babys stomach d. i will increase my intake of fruits and vegetables in my diet. I love to eat them anyhow
D
A nurse is caring for a nonbreast-feeding client in the postpartum period. The client reports engorgement. What suggestion should the nurse provide to alleviate breast discomfort? a. wear a well- fitting bra b. A nurse is caring for a c. apply warm compressess d. apply hydrogel dressing
A
The nurse is assessing a client at a postpartum visit and notes the client is emotionally sensitive, complains about being a failure, and appears extremely sad. The nurse concludes the client is presenting with which potential condition? a. postpartum blues b. postpartum depression c. anxiety disorders d. postpartum psychosis
B
The nurse is preparing discharge for a client who plans to bottle-feed her infant. Which instruction should the nurse prioritize for this client in the discharge teaching? a. massage the breasts when they are painful b. run warm water over the breast in the shower c. express small amounts of milk when they are too full d. wear a tight, supportive bra
D
The nurse is preparing to assess a client who is 1 day postpartum. The nurse predicts the client's fundus will be at which location on assessment? a. 1 cm above the umbilicus b. at the symphysis pubis c. at level of umbilicus d. 1 cm below the umbilicus
D
A gravida 4 para 4 mother calls the nurse's station reporting uterine pain following delivery. When the nurse responds to the call, the mother reports that she is having what feels like labor pains again off and on. What would be the nurse's response? a. explain to her that women who have had several babies prior to this delivery often experience contracting and relaxing at intervals b. tell her that you will notify the doctor of the unusual pain and see what he wants to do c. recommend that the client ambulate more to help relieve the pain d. encourage the mother to breast- feed to help relax the uterus
A
A new mother is in the second developmental stage of becoming a mother and is becoming independent in her actions. Which action by the nurse would best foster this stage? a. demonstrating how to do cord care on the newborn b. correcting the mother when she holds the newborn incorrectly c. telling the mother to feed the baby when it cries d. changing the infants diapers for the mother
A
The nurse is conducting a postparum examination on a client who reports pain and is unable to sit comfortably. The perineal exam reveals an episiotomy appropriately approximated without signs of a hematoma. Which action should the nurse prioritize? a. put on witch hazel pad b. place an ice pack c. notify a primary care provider d. apply a warm washcloth
B
The nursing instructor is leading a discussion on the physical changes to a woman's body after delivery of the baby. The instructor determines the session is successful after the students correctly point out which process results in the return of nonpregnant size and function of the female organs? a. evolution b. involution c. decrement d. progression
B
A nurse is caring for a breastfeeding client who reports engorgement. The nurse identifies that the client's condition is due to not fully emptying her breasts at each feeding. Which suggestion should the nurse make to help her prevent engorgement? a. apply cold compresses to the breasts b. feed the baby at least every two or three hours c. dry the nipples following feedings d. provide the infant oral nystatin
B
