Chapter 17 Textbook Questions

A nurse is observing a new mother interacting with her newborn. Which statement would alert the nurse to potential for impaired bonding? A. "he looks like a frog to me" B. "where did you get all that hair" C." you have your daddy's eyes" D. "he seems to sleep a lot"

A

A nurse is visiting a postpartum woman who gave birth to a healthy newborn five days ago. Which founding with the nurse expect? A. pinkish brown discharge B. deep red mucus like discharge C. creamy white discharge D. bright red discharge

A

After a class for expectant parents on the various forms of birth control after the birth of their infant, the nurse realizes more training is needed when a participant makes which comment? A. I'm going to be breast-feeding occasionally so we won't need to use any other birth control for at least six months B. We will be discussing birth control with our primary care provider to find the best method for us C. we're going to use a barrier for the first few months and then decide what we want to do D. I'm going back on the pill as soon as the doctor okays it

A

Rubin identified a series of changes that a new mother makes during the postpartum period. The correct sequence of these changes is: A. taking in, taking hold, letting go B. taking in, holding on, letting go C. taking in, taking on, letting to D. taking, holding on, letting go

A

Six hours after birth, a clients first void is 70 mL. What is the nurses next action? A. assess for residual urine B. assess for UTI C. assess for perineal hematoma D. assess for dehydration

A

The nurse is preparing discharge teaching for a client who is two days postpartum. Which action should the nurse prioritize to encourage prevention of constipation? A. encourage fiber rich foods B. get plenty of rest C. use stimulant laxative D. increase coffee intake

A

When planning the care for a client during the first 24 hour postpartum, the nurse expects to monitor the clients pulse and BP frequently based on the understanding that the client is at risk for : A. hemorrhage B. cervical laceration C. hemorrhoids D. thromboembolism

A

during assessment of the mother during the postpartum. What song should alert the nurse that the client is likely experiencing uterine atony? A. boggy uterus B. firm fundus C. foul smelling urine D. purulent vaginal drainage

A

A 26 year old new mother says to her nurse "I'm so disappointed I gained 25 lbs with my baby. Just what the doctor said i should gain. But after I had my baby I only lost 12 lbs." What is the best response? A. "It is normal to lose between 12 and 14 lbs after baby delivers. you should be back to pre-pregnancy weight by the time your baby is about 6 months old" B. "Remember, it only took 9 months for you to gain all this weight. it won't disappear in a couple of days" C. "I see that you are bottle feeding your baby. you would lose weight quicker if you were breast feeding" D. "I know you are anxious to lose all your "baby fat". Get yourself on a good diet and you will be down to your original weight in no time"

A.

The night shift LPN is checking on post c-section patient who had a spinal morphine injection anesthetic this morning. The nurse counts a respiratory rate of 8. What should she do first? A. Administer naloxone per preprinted orders B. Awaken woman and instruct her to breathe more rapidly C. Call anesthesiologist from room for orders D. Perform bag to mouth rescue breathing at 12 per minute

A. Administer naloxone per preprinted orders.

A client who has just given birth To a baby girl demonstrates behavior not indicative of bonding when she performs which action? A. Kisses the infant on the cheek B. Talks to company and ignores the baby lying next to her C. Holds and smiles at the infant D. Strokes the infants head

B

A postpartum client calls the nurse into her room and asks her what to do with the squirt bottle she found in the bathroom. The client is referring to the peri bottle used to clean her perineum. What instructions with the nurse provide to the client to explain how to use it? A. Fill the peri bottle with sterile water and cleanse area after stooling B: fill the peri bottle with warm water and squeeze it so water flows from front to back after using restroom C. fill the bottle with hot, sudsy water and wash the perineum 4 times per day D. fill the peri bottle with one quarter strength vinegar water and clean. perineum after voiding

B

Not all mothers express joy at seeing their newborn upon delivery and during their hospitalization. A behavior that indicates impaired attachment of the mother to the newborn is a) Giving the child an uncommon name b) Referring to a facial feature as "ugly" c) Bottle feeding d) Dressing the child in old clothes

B

A first time mother is nervous about breast-feeding. Which intervention with the nurse performed to reduce maternal anxiety about breast-feeding? A. Ensure that the mother breast-feeds the newborn using the cradle method B. Tell her that breast-feeding is a mechanical procedure that involves burping once in a while and that she should try finishing it quickly C. Reassure the mother that some newborns latch on and catch on right away and some newborns take more time and patience D. Explain that breast-feeding comes naturally to all mothers

C

A nurse is making a home visit to a postpartum woman who gave birth to a healthy newborn four days ago. The woman's breasts are swollen and hard and tender to the touch. the nurse documents this finding as A. mastitis B. involution C. engorgement D. engrossment

C

A postpartum client reports urinary frequency and burning. What cause should the nurse expect? A. subinvolution B. stress incontinence C. uterine atony D. UTI

D

The nurse is questioning the effect of bonding have a client and her two day old infant after noting signs of impaired bonding an attachment. What actions does the nurse find concerning? A. making eye contact with baby B. asking for assistance with diaper change C. Breastfeeding infant on demand D. calling baby "it" or "they"

D

When developing a plan of care for parents of a newborn, the nurse identifies interventions to promote bonding and attachment based on the rationale that bonding and attachment are most supported by which measure? A. good nutrition and prenatal care B. expert medical care for labor and birth C. grandparent involvement in infant care D. early parent-infant contact following birth

D

The nurse is concerned that the parents are having difficulties related to their newborn. In an effort to assist with and encourage attachment which activity should the nurse suggest? A. keeping the baby in the same room at all times B. Sleeping with the infant C. Playing a recording of their voices at all times D. Promoting skin to skin contact on the chest

D. Promoting skin to skin contact on the chest

The nurse is used to working on the postpartum floor taking care of women who had vaginal births. today she is assigned to women less than 24 hours post c-section. the nurse realizes that some areas will not be assessed. which should she leave out of her assessment? A. lower extremities B. breasts C. respiratory status D. perineum

D. perineum. typically, no episiotomy will be present