OB PrepU Chapter 16 (go through)

One hour after birth the nurse is assessing a neonate in the nursery. The nurse begins by assessing which parameters? a. Auscultating bowel sounds, and measuring urine output b. Inspecting posture, color, and respiratory effort c. Determining chest and head circumference d. Checking for identifying birthmarks or skin injuries

b. Inspecting posture, color, and respiratory effort

During a routine home visit, the couple asks the nurse when it will be safe to resume full sexual relations. Which answer would be the best? a. generally after 12 weeks b. generally within 3 to 6 weeks c. usually within a couple weeks d. whenever the couple wishes

b. generally within 3 to 6 weeks

The client, who has just been walking around her room, sits down and reports leg tightness and achiness. After resting, she states she is feeling much better. The nurse recognizes that this discomfort could be due to which cause? a. infection b. thromboembolic disorder of the lower extremities c. normal response to the body converting back to prepregnancy state d. hormonal shifting of relaxin and estrogen

b. thromboembolic disorder of the lower extremities

A nurse is conducting a class on various issues that might develop after going home with a new infant. After discussing how to care for hemorrhoids, the nurse understands that which statement by the class would indicate the need for more information? a. "My mom always used dibucaine." b. "Sitz baths worked the last time." c. "I only eat a low-fiber diet." d. "I already have some pads with witch hazel at home."

c. "I only eat a low-fiber diet."

Which finding would lead the nurse to suspect that a woman is developing a postpartum complication? a. lochia that is the color of menstrual blood b. lochia appearing pinkish-brown on the fourth day c. an absence of lochia d. red-colored lochia for the first 24 hours

c. an absence of lochia

A postpartum client is having difficulty stopping her urine stream. Which should the nurse do next? a. Ask the client when she last urinated. b. Determine if the client is emptying her bladder. c. Perform an in and out catheter on the client. d. Educate the client on how to perform Kegel exercises.

d. Educate the client on how to perform Kegel exercises.

A nurse is working with the parents of a newborn girl. The parents have a 2-year-old boy at home. Which statement would the nurse include when teaching these parents? a. "Ask your 2-year-old to pick out a special toy for his sister." b. "Have your 2-year-old stay at home while you're here in the hospital." c. "Talk to your 2-year-old about the baby when you're driving him to day care." d. "Expect to see your 2-year-old become more independent when the baby gets home."

a. "Ask your 2-year-old to pick out a special toy for his sister."

A client appears to be resting comfortably 12 hours after giving birth to her first child. In contrast, she labored for more than 24 hours, the primary care provider had to use forceps to deliver the baby, and she had multiple vaginal examinations during labor. Based on this information what postpartum complication is the client at risk for developing? a. hemorrhage b. infection c. pulmonary emboli d. depression

b. infection

A nurse has been assigned to the care of a client who has just given birth. How frequently should the nurse perform the assessments during the first hour after birth? a. after 60 minutes b. every 30 minutes c. every 15 minutes d. after 45 minutes

c. every 15 minutes

The nurse is reviewing the medical record of a postpartum client. The nurse determines that the client is at risk for thromboembolism based on which factors from her history? Select all that apply. a. age 30 years b. first pregnancy c. severe varicose veins d. previous oral contraceptive use e. preeclampsia

c. severe varicose veins d. previous oral contraceptive use e. preeclampsia

Review of a woman's labor and birth record reveals a laceration that extends through the anal sphincter muscle. The nurse identifies this laceration as which type? a. first-degree laceration b. second-degree laceration c. third-degree laceration d. fourth-degree laceration

c. third-degree laceration

A client who gave birth to twins 6 hours ago becomes restless and nervous. Her blood pressure falls from 130/80 mm Hg to 96/50 mm Hg. Her pulse drops from 80 to 56 bpm. She was induced earlier in the day and experienced abruptio placentae. Based on this information, what postpartum complication would the nurse expect is happening? a. fluid volume overload b. infection c. pulmonary emboli d. hemorrhage

d. hemorrhage

When palpating for fundal height on a postpartum woman, which technique is preferable? a. placing one hand on the fundus, one on the perineum b. resting both hands on the fundus c. palpating the fundus with only fingertip pressure d. placing one hand at the base of the uterus, one on the fundus

d. placing one hand at the base of the uterus, one on the fundus

When an infant smiles at the mother and the mother in turn smiles and kisses her baby, this would be which phase of attachment? a. proximity b. reciprocity c. commitment d. all of the above

b. reciprocity

A new mother who is breastfeeding reports that her right breast is very hard, tender, and painful. Upon examination the nurse notices several nodules and the breast feels very warm to the touch. What do these findings indicate to the nurse? a. mastitis b. normal findings in breastfeeding mothers c. too much milk being retained d. an improperly positioned baby during feedings

a. mastitis

A woman gave birth vaginally approximately 12 hours ago, and her temperature is now 100° F (37.8° C). Which action would be most appropriate? a. Continue to monitor the woman's temperature every 4 hours; this finding is normal. b. Inspect the perineum for hematoma formation. c. Obtain a urine culture; the woman most likely has a urinary tract infection. d. Notify the health care provider about this elevation; this finding reflects infection.

a. Continue to monitor the woman's temperature every 4 hours; this finding is normal.

A woman states that she still feels exhausted on her second postpartum day. The nurse's best advice for her would be to do which action? a. Walk with the nurse the length of her room. b. Avoid elevating her feet when she rests in a chair. c. Avoid getting out of bed for another 2 days. d. Walk the length of the hallway to regain her strength.

a. Walk with the nurse the length of her room.

Which nursing intervention is appropriate for prevention of a urinary tract infection (UTI) in the postpartum woman? a. encouraging the woman to empty her bladder completely every 2 to 4 hours b. increasing intravenous fluids c. increasing oral fluid intake d. screening for bacteriuria in the urine

a. encouraging the woman to empty her bladder completely every 2 to 4 hours

When teaching the new mother about breastfeeding, the nurse is correct when providing what instructions? Select all that apply. a. Help the mother initiate breastfeeding within 30 minutes of birth. b. Provide breastfeeding newborns with pacifiers. c. Encourage breastfeeding of the newborn infant on demand. d. Place baby in uninterrupted skin-to-skin contact with the mother. e. Give newborns water and other foods to balance nutritional needs.

a. Help the mother initiate breastfeeding within 30 minutes of birth. c. Encourage breastfeeding of the newborn infant on demand. d. Place baby in uninterrupted skin-to-skin contact with the mother.

A nurse finds the uterus of a postpartum woman to be boggy and somewhat relaxed. This a sign of which condition? a. atony b. normal involution c. hemorrhage d. infection

a. atony

Many clients experience a slight fever after birth especially during the first 24 hours. To what should the nurse attribute this elevated temperature? a. dehydration b. fluid volume overload c. infection d. change in the temperature from the birth room

a. dehydration

The nurse is planning care for a client at risk for postpartum depression. Which statement regarding postpartum depression does the nurse need to be aware of when attempting to formulate a plan of care? a. Postpartum depression only impacts women with two or more children. b. Symptoms of postpartum depression can easily go undetected. c. Only mental health professionals can detect postpartum depression. d. Symptoms occur within a week after giving birth.

b. Symptoms of postpartum depression can easily go undetected.

At the 6-week visit following delivery of her infant, a postpartum client reports extreme fatigue, feelings of sadness and anxiety, and insomnia. Based on these assessment findings, the nurse documents that the client is exhibiting characteristics of: a. postpartum psychosis. b. postpartum depression. c. postpartum blues. d. postpartum adjustment.

b. postpartum depression.

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. showing a video of parents feeding their babies c. bringing the newborn into the room d. talking about how the nurse held her own newborn while on the birthing table

c. bringing the newborn into the room

Two days after giving birth, a client is to receive Rho(D) immune globulin. The client asks the nurse why this is necessary. The most appropriate response from the nurse is: a. "Rho(D) immune globulin suppresses antibody formation in a woman with Rh-positive blood who gave birth to a baby with Rh-positive blood." b. "Rho(D) immune globulin suppresses antibody formation in a woman with Rh-negative blood who gave birth to a baby with Rh-negative blood." c. "Rho(D) immune globulin suppresses antibody formation in a woman with Rh-positive blood who gave birth to a baby with Rh-negative blood." d. "Rho(D) immune globulin suppresses antibody formation in a woman with Rh-negative blood who gave birth to a baby with Rh-positive blood."

d. "Rho(D) immune globulin suppresses antibody formation in a woman with Rh-negative blood who gave birth to a baby with Rh-positive blood."