RN Maternal Child Chapter 12, 13, 14

14. The nurse is providing discharge teaching for the patient related to prevention of future pregnancy. The following statement by the patient indicates additional education is required. 1. "I will start using a barrier method once my menstrual cycle begins." 2. "Breastfeeding is not an effective form of birth control and I should use another method when I resume sexual activity." 3. "Long-acting reversible contraception (ACR) such as an intrauterine device (IUD) is highly effective in preventing unwanted pregnancy." 4. "Withdrawal has a high failure rate and does not protect against sexually transmitted infections (STIs)."

1. "I will start using a barrier method once my menstrual cycle begins."

19. The aim of the qualitative research by Cox, Lashley, Hansen, and Hans was to describe the experiences of first-time African American teen mothers during their first 2 years of motherhood. Which of the following are positive changes experienced by the women? 1. Becoming more responsible 2. Becoming more mature 3. Being motivated to succeed 4. Being financially independent 5. Developing new friendships

1. Becoming more responsible 2. Becoming more mature 3. Being motivated to succeed

15. The nurse on a postpartum unit is acutely aware that cultural influences impact the patient's process of "becoming a mother." For which cultural influences does the nurse assess? Select all that apply. 1. What amount of time the mother spends in each phase 2. Differences in the mother's expectation related to ability to rest 3. How the mother physically recovers from labor and delivery 4. Mother's involvement in decision-making for the first few months 5. Whether the mother seems interested in how to care for her baby

1. What amount of time the mother spends in each phase 2. Differences in the mother's expectation related to ability to rest 4. Mother's involvement in decision-making for the first few months 5. Whether the mother seems interested in how to care for her baby

19. The nurse is reviewing the medical record for a patient who is postpartum. The nurse notices the patient is rubella-nonimmune. Which information does the nurse present to the patient? Select all that apply. 1. Maternal immunization carries over to the neonate. 2. The patient should be immunized before discharge. 3. If given rubella vaccination, breastfeeding should be avoided for 24 hours after immunization. 4. There are risks to the fetuses of any future pregnancies. 5. If given rubella vaccination, pregnancy should be avoided for 4 weeks.

2. The patient should be immunized before discharge. 4. There are risks to the fetuses of any future pregnancies. 5. If given rubella vaccination, pregnancy should be avoided for 4 weeks.

The nurse is palpating a patient's uterus 12 hours after a vaginal delivery. For which reason does the nurse place one hand just above the symphysis pubis? 1. To prevent uterine prolapse 2. To prevent uterine inversion 3. To prevent uterine hemorrhage 4. To prevent uterine movement

2. To prevent uterine inversion

The nurse is providing postpartum care to a patient 24 hours after a vaginal delivery. Which action does the nurse perform before assessing the patient's uterus? 1. Place the patient on the left side. 2. Administer a dose of oxytocin. 3. Ask the patient to void. 4. Assess the passage of lochia.

3. Ask the patient to void.

20. In an attempt to improve the effectiveness of postpartum teaching, the nurse uses the Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN) acronym POST BIRTH. Which teaching points require the patient to call for 911 assistance? Select all that apply. 1. Bleeding that soaks a pad per hour 2. A bad headache with vision changes 3. Thoughts of hurting self or baby 4. Signs an incision is not healing 5. Pain in the chest

3. Thoughts of hurting self or baby 5. Pain in the chest

2. Findings from analysis of maternal deaths from multiple states' maternal mortality review committees suggest what percentage of maternal deaths are likely preventable? 1. 30% 2. 40% 3. 50% 4. 60%

4. 60%

21. A patient who is 8 months' postpartum arrives for an obstetrics (OB) appointment. The nurse notices that both the patient and the infant appear unkempt. The nurse anticipates a diagnosis of .

postpartum depression

16. The nurse is preparing to perform a visual assessment of the perineum of a postpartum patient. The nurse will use the REEDA acronym. Which specific assessments are covered by REEDA? Select all that apply. 1. Perineal coloration 2. Suture line appearance 3. Amount of swelling 4. Description of discomfort 5. Soft-tissue trauma

1. Perineal coloration 2. Suture line appearance 3. Amount of swelling 5. Soft-tissue trauma

6. The nurse in a labor and delivery department carefully assesses postpartum patients for signs of complications related to hemorrhage. Which factor makes it most difficult to identify the risk of hemorrhage through vital sign evaluation? 1. Changes in blood pressure may not be an immediate sign. 2. Respirations are increased due to activity of labor. 3. Blood pressure may be elevated from prenatal conditions. 4. Heart rate may increase with intensity of labor.

1. Changes in blood pressure may not be an immediate sign.

15. The nurse is performing a uterus assessment on a patient who is 20 hours' postpartum. The nurse finds the fundus of the uterus to be soft and boggy. In addition, the uterus is displaced to the left and moderate bleeding is noted. If the uterus does not respond to uterine massage, which actions does the nurse implement? Select all that apply. 1. Assist the patient to the bathroom to void. 2. Assist the patient to lay in the left lateral position while assessing vital signs. 3. Administer oxytocin as prescribed. 4. Place an emergency call to the health-care provider (HCP). 5. Make the patient nothing by mouth (NPO) for surgery.

1. Assist the patient to the bathroom to void. 3. Administer oxytocin as prescribed. 5. Make the patient nothing by mouth (NPO) for surgery.

8. The nurse is assisting the primary care provider (PCP) with the third stage of a vaginal delivery. The patient is multiparous, experienced a precipitous birth, and has a history of hypertension. Which medical prescription does the nurse anticipate for this patient? 1. Carboprost-tromethamine 2. Fresh frozen plasma 3. Methylergonovine 4. Magnesium sulfate

1. Carboprost-tromethamine

16. The nurse is counseling a lesbian couple who have decided to have a child. The couple is having difficulty in deciding who will become pregnant. Which considerations does the nurse present with regard to which partner will become pregnant? Select all that apply. 1. Consider the age and health of each partner. 2. Evaluate each partner's career goals. 3. Decide which partner has better insurance. 4. Determine who will be on the birth certificate. 5. Identify which woman desires to be pregnant.

1. Consider the age and health of each partner. 2. Evaluate each partner's career goals. 3. Decide which partner has better insurance. 5. Identify which woman desires to be pregnant.

12. The nurse is assessing a multiparous woman who is 8 hours' postpartum. Her fundus is located 2 cm above the umbilicus and shifted slightly to the right. What education would the nurse provide to the patient related to this assessment finding? 1. Emptying the bladder frequently will help to reduce displacement of the uterus. 2. The uterus is normally above the fundus on the first postpartum day and will significantly reduce in size within the next 24 hours. 3. Beginning an infusion of oxytocin will help to contract the uterus below the umbilicus. 4. Breastfeeding can cause the uterus to increase in size and shift it to the right.

1. Emptying the bladder frequently will help to reduce displacement of the uterus.

8. The nurse on a postpartum unit focuses on how to assist the father in identifying his role with the neonate. Which intervention by the nurse is most helpful? 1. Encourage the couple to identify mutual expectations of the fathering role. 2. Critique the father's methods of providing physical care for the neonate. 3. Provide written materials about the physical and emotional role of a father. 4. Observe for a competitive attitude between the parents about providing baby care.

1. Encourage the couple to identify mutual expectations of the fathering role.

The nurse in a postpartum unit frequently teaches patients regarding breast care. Which teaching is most helpful to the breastfeeding patient? 1. Express milk by a breast pump or manually if the infant is unable to nurse. 2. Wear a supportive bra for 24 hours a day. 3. Run warm water over breasts while in the shower. 4. Avoid taking analgesics unless absolutely necessary for comfort.

1. Express milk by a breast pump or manually if the infant is unable to nurse.

21. The nurse is providing teaching to a patient who is breastfeeding a newborn. The patient expresses interest in maintaining a healthy nutritional status for both her and her baby. Which information does the nurse present to meet the patient's need? Select all that apply. 1. Increase caloric intake by 500 to 1,000 per day. 2. Avoid the intake of processed foods. 3. Abstain from the intake of alcohol. 4. Eat fresh fruits and vegetables. 5. Drink 2 to 3 liters of fluid each day.

1. Increase caloric intake by 500 to 1,000 per day. 5. Drink 2 to 3 liters of fluid each day.

16. The nurse is aware of concern about the increasing numbers of severe maternal morbidity (SMM). It is believed to be related to changes in the overall health of the population of women giving birth. Which reasons does the nurse identify as causes of SMM? Select all that apply. 1. Increases in maternal age 2. Prepregnancy obesity 3. Inability to pay for health care 4. Cesarean deliveries 5. Preexisting chronic medical conditions

1. Increases in maternal age 2. Prepregnancy obesity 4. Cesarean deliveries 5. Preexisting chronic medical conditions

18. A postpartum patient informs the nurse of a frequent urge and burning when attempting to urinate. The nurse reviews the patient's medical record and associates which risk factors related to a possible urinary tract infection (UTI)? Select all that apply. 1. Neonatal macrosomia 2. Low-grade fever (101.3°F [38.5°C]) 3. Poor oral fluid intake 4. Urinary catheter during labor 5. Use of a vacuum extractor

1. Neonatal macrosomia 3. Poor oral fluid intake 4. Urinary catheter during labor 5. Use of a vacuum extractor

15. The nurse on a postpartum unit observes a patient who delivered 2 days ago. The nurse notices extreme agitation and depressed mood. The patient states, "I think that my baby is deformed inside and we have to fix him." Which risk factor is most strongly related to possible postpartum psychosis (PPP)? 1. Personal history of bipolar disorder 2. Separation from the baby's father 3. Prolonged labor resulting in cesarean 4. Loss of first child from a heart defect

1. Personal history of bipolar disorder

4. The nurse on a postpartum unit is focused on providing care that will assist the mother and father in making the transition to parenthood. For which reason does the nurse review the prenatal and labor records? 1. Pregnancy and birth experiences, which can either enhance or impede the process of becoming a mother 2. Awareness of prenatal classes that will help identify and focus on learning needs of both parents 3. Identification of preexisting maternal conditions that may interfere with parenting transitions 4. Knowledge regarding questions and concerns the mother and father may have about neonate issues.

1. Pregnancy and birth experiences, which can either enhance or impede the process of becoming a mother

18. The nurse uses research from Greenberg and Morris (1974) as a guideline for identifying the presence of engrossment in a new baby by the father. Which behaviors exhibit paternal-infant bonding related to engrossment? Select all that apply. 1. Seeing the baby as attractive 2. Perceiving the baby as being perfect 3. Having a desire to touch the baby 4. Indicating an increasing sense of self-esteem 5. Positively commenting about the baby's features

1. Seeing the baby as attractive 2. Perceiving the baby as being perfect 3. Having a desire to touch the baby 4. Indicating an increasing sense of self-esteem 5. Positively commenting about the baby's features

20. The nurse is collecting information during a follow-up obstetrics (OB) appointment with a patient who delivered 3 months ago. The patient reports her partner has become cynical, irritable, and verbally abusive. The nurse will screen for which risks related to paternal postnatal depression (PPND)? Select all that apply. 1. The father exhibited depression during the pregnancy. 2. The mother experienced a prolonged labor and a cesarean birth. 3. The father expresses feeling bored and underappreciated in his job. 4. The father is recently estranged from his parents and siblings. 5. The birth of this fourth child was unexpected and unplanned.

1. The father exhibited depression during the pregnancy. 4. The father is recently estranged from his parents and siblings. 5. The birth of this fourth child was unexpected and unplanned.

17. The nurse in a postpartum unit evaluates new parents for risk factors that can indicate problems with bonding or attachment. Which situations does the nurse recognize as a cause for bonding or attachment problems? Select all that apply. 1. The mother experienced eclampsia in the third trimester of pregnancy. 2. The neonate is being treated for meconium aspiration syndrome (MAS). 3. The mother experienced dystocia in the second phase of labor. 4. The father of the neonate is in the military and not yet home on leave. 5. The mother's mother lives next door and is available to help with the baby.

1. The mother experienced eclampsia in the third trimester of pregnancy. 2. The neonate is being treated for meconium aspiration syndrome (MAS). 3. The mother experienced dystocia in the second phase of labor.

18. The nurse is assessing patients who are postpartum. Which patients does the nurse identify as being at increased risk for respiratory complications? Select all that apply. 1. The patient with leg pain and swelling 2. The patient who received large amounts of IV fluid due to blood loss 3. The patient with a preexisting diagnosis of diabetes mellitus 4. The patient who delivered a neonate after regional anesthesia 5. The patient with preeclampsia treated with magnesium sulfate

1. The patient with leg pain and swelling 2. The patient who received large amounts of IV fluid due to blood loss 5. The patient with preeclampsia treated with magnesium sulfate

The nurse is collecting the urine of a postpartum patient who is passing large clots. For which reason does the nurse examine the large collected clots? 1. To determine the presence of tissue 2. To validate the presence of clotting 3. To obtain an accurate description 4. To document the number of clots

1. To determine the presence of tissue

17. A postpartum patient states, "I am really in pain." For which sources of pain will the nurse specifically assess the patient? Select all that apply. 1. Uterine contractions 2. Perineal trauma 3. Breast engorgement 4. Hemorrhoids 5. General soreness

1. Uterine contractions 2. Perineal trauma 3. Breast engorgement 4. Hemorrhoids 5. General soreness

Before discharge from the birthing center, the nurse informs the patient that she will receive vaccines for rubella, hepatitis B, pertussis, and influenza. For which reason does the nurse explain the need for the vaccinations? 1. Vaccinating the mother will protect the neonate from serious illnesses. 2. Discharge with a neonate is discouraged if the mother is not vaccinated. 3. The mother's immune system has been suppressed during pregnancy. 4. Vaccination is more easily accomplished while the mother is under medical care.

1. Vaccinating the mother will protect the neonate from serious illnesses.

12. The lactation nurse takes a phone call from a mother who is breastfeeding her 2-month-old infant. The mother reports an area of redness and warmth on the breast and a painful burning sensation when breastfeeding. Which statement by the nurse is correct if mastitis is suspected? 1. "If your nipples are cracked, you will need to stop breastfeeding." 2. "Continuing to breastfeed will help clear up the condition." 3. "The baby gave you an infection and needs to be on antibiotics." 4. "Pump your milk and throw it away until the infection is gone."

2. "Continuing to breastfeed will help clear up the condition."

11. The nurse is observing a new mother interact with her baby and notices the mother holding the baby close to her body. However, the nurse also notices that the mother does not hold the baby in an enface position. Which question is most appropriate for the nurse to ask? 1. "Can I help you with a nice position in which to hold your baby?" 2. "What can you tell me about your family's beliefs and practices with new babies?" 3. "Is there some reason that I have not seen you look into your baby's eyes?" 4. "Your baby is so expressive, have you looked into his eyes yet?"

2. "What can you tell me about your family's beliefs and practices with new babies?"

A postpartum patient calls the obstetric (OB) office 8 days following a vaginal delivery. The patient reports concern regarding vaginal bleeding. Which patient-reported symptom causes the nurse concern? 1. Increased flow noticed with physical activity 2. A description of the lochia as being red in color 3. Discharge that is noted to have a fleshy odor 4. Bleeding that is described as brown in color

2. A description of the lochia as being red in color

5. The nurse is researching for evidence-based practice related to a mother's response during the postpartum period. Based on research by Rubin and Mercer, which finding will the nurse be able to easily implement to change the culture of the unit? 1. Satisfaction questionnaires 2. Alterations in terminology 3. Decrease in nurse/patient ratios 4. Soliciting paternal expectations

2. Alterations in terminology

10. The nurse is providing care for a patient who is 8 hours' postpartum after a vaginal delivery. The patient reports severe perineal pain unaffected by pain medication. The nurse notices a 4-cm area of discoloration on the labia that is tender to the touch. Which action does the nurse take? 1. Continue to apply ice to the area for 24 hours. 2. Contact the primary care provider (PCP) for further evaluation. 3. Monitor vital signs and report any abnormal readings. 4. Relieve pressure by placing the patient in a side-lying position.

2. Contact the primary care provider (PCP) for further evaluation.

11. The nurse is discussing contraception with a breastfeeding woman and her husband before discharge following the birth of a first child. The couple are uncertain about the method but are certain about avoiding pregnancy for at least 2 years. Which method does the nurse recommend? 1. Lactational amenorrhea method 2. Depo-Provera 3. Oral estrogen/progesterone pill 4. Natural family planning

2. Depo-Provera

17. The nurse is preparing a postpartum patient for discharge. For which reasons does the nurse instruct the patient to call the primary care provider (PCP)? Select all that apply. 1. Mild headache 2. Hot, red, painful breasts 3. Foul-smelling lochia 4. Not sleeping well 5. Frequent, painful urination

2. Hot, red, painful breasts 3. Foul-smelling lochia 5. Frequent, painful urination

19. The nurse is assessing a patient who is 36 hours' postpartum following a cesarean delivery. Which findings cause the nurse to conclude that a wound infection is developing? Select all that apply. 1. Temperature that increases from 99.8°F to 100.5°F 2. Increased margins of incisional redness 3. Incisional tenderness with palpation 4. Serosanguinous drainage from the suture line 5. Notably warm skin around the incision

2. Increased margins of incisional redness 5. Notably warm skin around the incision

1. Levesque, Bisson, Charton, and Fernet (2020) conducted research focused on parenting and relational well-being during the transition to parenthood. Based on the research findings, which of the following is a central challenge identified by the couples? 1. Experiencing fatigue 2. Maintaining couple relationship 3. Maintaining friendships 4. Experiencing discrimination at work

2. Maintaining couple relationship

7. Dayton et al. (2016) performed qualitative research regarding expectant fathers' beliefs and expectations. The nurse identifies which theme as emerging from this research? 1. Men felt that the role of being a father can be learned. 2. Men described fathering as an extremely difficult task. 3. Men rely on other men to support the fathering role. 4. Men believe that the nurturing role is always the mother's.

2. Men described fathering as an extremely difficult task.

1. The initial drug of choice for excessive bleeding in the immediate postpartum period is: 1. Methylergonovine maleate (Methergine) IM 2. Oxytocin IV infusion 3. Prostaglandin 15-MF2α suppository 4. Misoprostol

2. Oxytocin IV infusion

11. The nurse is providing postpartum care for a patient after a vaginal delivery. Which assessment finding causes the nurse to suspect endometritis from beta-hemolytic streptococcus? 1. Presence of headache, malaise, and chills 2. Scant amount of odorless lochia 3. Pain or discomfort in the midline lower abdomen 4. Elevated temperature greater than 100.4°F (38°C)

2. Scant amount of odorless lochia

3. The nurse is aware that some parenting skills are acquired through the process of intentional learning. Which activity does the nurse associate with intentional learning? 1. The couple observes other individuals who are mothers and fathers. 2. The couple attends hospital classes addressing newborn and infant care. 3. The couple discusses with each other how they were parented. 4. The couple watches media containing parenting roles.

2. The couple attends hospital classes addressing newborn and infant care.

10. Which behavior does the nurse identify as a demonstration of unidirectional bonding between a parent and infant? 1. The parents respond to the baby's cry. 2. The parents call the baby by name. 3. The baby responds to comforting measures. 4. The parents stimulate and entertain the baby.

2. The parents call the baby by name.

The nurse is providing care to a patient who is postpartum. Using anatomy and physiology knowledge, which expectation does the nurse relate to the cardiovascular system? 1. Patient reports being cold related to a 400 mL blood loss during a vaginal birth 2. White blood cell (WBC) laboratory level of 30,000/mm a few hours after delivery 3. A normal postpartum hemoglobin laboratory value of less than 11 g/dL 4. Risk for hemorrhage due to decrease in circulating clotting factors

2. White blood cell (WBC) laboratory level of 30,000/mm a few hours after delivery

14. The nurse is providing care for a new mother during a follow-up visit 6 weeks after a vaginal delivery. The mother begins to cry and reports difficulty with eating and sleeping. The nurse identifies postpartum blues and cites which reason as the most likely cause? 1. Fatigue related to a "fussy" baby 2. Frustration over physical appearance 3. Changes in hormonal levels 4. Stress related to new mother role

3. Changes in hormonal levels

4. The nurse is aware that the greatest source of bleeding during childbirth occurs following detachment of the placenta. Which physiological change takes place immediately after the expulsion of the placenta to decrease the amount of blood loss? 1. Platelet activity increases before labor and delivery. 2. Factor VIII complex increases during gestation. 3. Contractions of the uterine myometrium occur. 4. Fibrin formation increases before the birth occurs.

3. Contractions of the uterine myometrium occur.

14. The nurse is preparing discharge teaching for a postpartum patient who exhibits signs and symptoms of an episiotomy infection and is on oral antibiotic therapy. Which discharge teaching will the nurse provide regarding pain management? 1. Application of hot packs to the perineal area 2. Instructions to improve circulation by ambulating 3. Information applicable to medication therapy 4. Medicating for pain above level 4 on a 0 to 10 scale

3. Information applicable to medication therapy

9. The nurse is closely monitoring a patient who is postpartum and at risk for postpartum hemorrhage (PPH). Which assessment finding will cause the nurse to contact the primary care provider (PCP) immediately? 1. The uterus is displaced. 2. The uterine fundus is boggy. 3. Peripad weighs 100 g within 15 minutes. 4. Small clots are expressed with massage.

3. Peripad weighs 100 g within 15 minutes.

6. The postpartum nurse is planning a home visit to a mother who delivered her baby 1 week ago. Which finding indicates to the nurse a possible problem with mother-infant bonding? 1. The mother is pleased to have the nurse visit her home and baby. 2. The baby's grandmother is present and involved with mother/baby care. 3. The mother focuses the visit on her physical recovery and concerns. 4. The baby's father is on "paternity leave" and involved with the baby.

3. The mother focuses the visit on her physical recovery and concerns.

The nurse is preparing a postpartum patient for discharge. Which patient teaching is most important for the nurse to provide? 1. The signs and symptoms of uterine infection 2. The signs and symptoms of a boggy uterus 3. The signs and symptoms of secondary hemorrhage 4. The signs and symptoms of postpartum depression

3. The signs and symptoms of secondary hemorrhage

13. The nurse is completing postpartum discharge teaching to a client who had no immunity to rubella and was given the rubella immunization. Which of the following statements by the client indicates understanding of the teaching? 1. "I was given the vaccine because my newborn is Rh positive." 2. "The rubella immunization should be given with each pregnancy within 72 hours of delivery." 3. "If I do not develop immunity to rubella, I should be immunized during the first trimester of my next pregnancy." 4. "I should avoid pregnancy for 4 weeks after being immunized."

4. "I should avoid pregnancy for 4 weeks after being immunized."

10. A patient who is 12 hours' postpartum after a vaginal delivery continues to have difficulty in initiating urination. The nurse is aware that an integrative method used when a woman is unable to void is peppermint oil. In which manner will the peppermint oil be used? 1. A thin layer is applied to the urinary meatus. 2. A small amount on toilet paper is added to the toilet bowl. 3. A small amount is added to the water of a vaporizer. 4. A saturated cotton ball is placed in a "hat" on the toilet.

4. A saturated cotton ball is placed in a "hat" on the toilet.

A multiparous patient reports severe uterine cramps the first day after a vaginal delivery. The nurse is aware the patient is breastfeeding and associates the patient's pain primarily with which occurrence? 1. The efforts of the uterus to return to a prepregnancy condition 2. The presence of intense afterbirth pains related to multiparity 3. An expected response to the daily administration of oxytocin 4. An increase in oxytocin release related to the newborn suckling

4. An increase in oxytocin release related to the newborn suckling

5. Postpartum endometritis is: 1. Associated with precipitous labor and birth 2. Effectively treated with a single dose of ampicillin or cephalosporin 3. Less frequent following cesarean birth due to sterile technique used during surgery 4. Associated with internal monitoring, amnioinfusion, prolonged labor, and prolonged rupture of membranes

4. Associated with internal monitoring, amnioinfusion, prolonged labor, and prolonged rupture of membranes

3. The nurse works in a labor and delivery facility with new protocols for estimating postpartum blood loss. Which method for estimating blood loss is implemented in the delivery room? 1. Ask the patient how many peripads she considered to be "soaked." 2. Rely on the primary health-care provider's (HCP's) estimate of blood loss. 3. Place a basin at the foot of the delivery table to catch any blood. 4. Collect blood in calibrated, under-buttocks drapes for vaginal birth.

4. Collect blood in calibrated, under-buttocks drapes for vaginal birth.

7. The nurse continues to monitor a patient after a vaginal delivery with an estimated blood loss of 1,000 mL. Which assessment finding does the nurse recognize as requiring Stage 3 hemorrhage protocol? 1. Increased patient restlessness 2. Manifestations of severe pain 3. Patient requests water for extreme thirst 4. Development of abnormal vital signs

4. Development of abnormal vital signs

13. The nurse is providing care for a patient who is 1 day postpartum and exhibiting symptoms of postpartum psychosis. Which medical management does the nurse expect for this patient? 1. Prescriptions for antidepressant/antipsychotic drugs 2. Discharge to home with 24-hour observation in place 3. Prescribed neonate visits during inpatient treatment 4. Immediate hospitalization in a psychiatric unit

4. Immediate hospitalization in a psychiatric unit

9. The nurse is providing postpartum care for an adolescent mother and her family. Which factor is most important for the nurse to consider when planning teaching about neonatal care? 1. The grandparents decided they want to be involved. 2. The parents need to discuss their expectations of each other. 3. The mother is determined the father should be involved. 4. Information must be presented on an age-appropriate level.

4. Information must be presented on an age-appropriate level.

2. Because of the previously mentioned research study, the nurses in a postpartum facility will implement which evidence-based change? 1. Continue to assess the level of fatigue for the mother during the postpartum period. 2. Assist the partner in recognizing and managing stress and depressive symptoms. 3. Encourage the partner to go home and rest while the mother is hospitalized. 4. Promote strategies to decrease fatigue for both parents during postnatal periods.

4. Promote strategies to decrease fatigue for both parents during postnatal periods.

13. The priority nursing action when caring for lesbian couples in the postpartum unit is which of the following? 1. Assess the couple's knowledge of infant care. 2. Include both mothers in infant teaching sessions 3. Clarify if both mothers are planning to breastfeed their infants and provide teaching and support to both mothers. 4. Self-assessment of the nurse's attitudes, beliefs, and knowledge of lesbian couples.

4. Self-assessment of the nurse's attitudes, beliefs, and knowledge of lesbian couples.

12. A new mother expresses frustration about how to know what her baby wants. The mother states, "I don't know what I expect, but then, the baby doesn't know either." Which situation does the nurse use as an example of neonate communication? 1. The baby is content to lie still on the mother's abdomen. 2. The baby is easily awakened if irritated by loud noises. 3. The baby resists eye contact if bored or disinterested. 4. The baby roots for the breast when the cheek is stroked.

4. The baby roots for the breast when the cheek is stroked.