Ch 16 Practice Q's

I has been 8 hrs since a woman gave birth vaginally to a healthy newborn. When assessing the woman's fundus, the nurse would expect to find it at: a. 2 cm below the umbilicus b. the level of the umbilicus c. between the umbilicus and the symphysis pubis d. 1 cm below the umbilicus

b. the level of the umbilicus

On a routine home visit, the nurse is asking the new mother about her breast-feeding and personal eating habits. How many additional calories should the nurse encourage the new mother to eat daily? a. 750 additional cal per day b. 250 additional cal per day c. 500 additional cal per day d. 1000 additional cal per day

c. 500 additional cal per day

Prior to discharge is an appropriate time to evaluate the client's status for preventative measures such as immunizations and Rh status. Which test would the nurse ensure has been conducted to evaluate the Rh negative mother? a. titer screen b. ANA c. Indirect Coombs Test d. CBC with differential

c. Indirect Coombs Test

The nurse has been asked to conduct a class to teach new mothers how to avoid developing stress incontinence. Which actions would the nurse include in her discussion as possible strategies for the new mothers to do? SATA a. increase fluid intake b. start jogging c. Kegel exercises d. lose weight if obese e. avoid smoking

c. Kegel exercises d. lose weight if obese e. avoid smoking

During the discharge planning for new parents, what would the case manager do to help provide the positive reinforcement and ensure multiple assessments are conducted? a. Ask family members to monitor the parents' progress b. Provide phone numbers for call canter questions c. Schedule home visits for high-risk families d. Encourage frequent clinic visits for high-risk families

c. Schedule home visits for high-risk families

A client who is 12 hrs postdelivery is reporting perineal pain. After the assessment reveals no signs of an infection, which measure could the nurse offer the client? a. a heating pad applied to the perineum b. a sitz bath c. an ice pack applied to the perineum d. narcotic pain medication

c. an ice pack applied to the perineum

Inspection of a woman's perineal pad reveals a 5-inch stain. How should the nurse document this amount? a. scant b. heavy c. moderate d. light

c. moderate

A nurse is conducting an in service education program for a group of nurses working in the postpartum unit about postpartum infection. The nurse determines that the teaching was successful when the group identifies which factor as contributing to the risk for infection post-partally? a. multiparity b. hgb of mg/dL c. placenta removed via manual extraction d. labor of 12 hrs

c. placenta removed via manual extraction

A nurse is providing care to a postpartum woman and is completing the assessment. Which finding would indicate to the nurse that a postpartum woman is experiencing bladder distention? a. percussion reveals dullness b. uterus is firm c. bladder in nonpalpable d. lochia is less than usual

a. percussion reveals dullness

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

a. "Ask you 2 yr old to pick out a special toy for his sister"

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. 3rd degree laceration b. 1st degree laceration c. 4th degree laceration d. 2nd degree laceration

a. 3rd degree laceration

The new mother has decided to feed her infant formula. WHen teaching her about the different types of formula, the nurse should stress the infant should receive how many calories each day? a. 650 cal b. 800 cal c. 500 cal d. 950 cal

a. 650 cal

The nurse realizes that accommodating for the various cultural differences in her clients is an important aspect in providing their care. When caring for a Japanese-American postpartum woman, which action should be a priority? a. ensuring that the newborn receives a daily bath b. providing time for prayers to be performed at the bedside c. allowing time for the numerous visitors who come to see the woman and newborn d. assigning a female nurse to care for her

a. ensuring that the newborn receives a daily bath

In a class for expectant parents, the nurse may discuss the various benefits of breastfeeding. However, the nurse also describes that there are situations involving certain women who should not breastfeed. Which examples would the nurse cite? SATA a. women on antineoplastic meds b. women with more than one infant c. women on antithyroid meds d. women who have had difficulties with breastfeeding in the past e. women using street drugs

a. women on antineoplastic meds c. women on antithyroid meds e. women using street drugs

After teaching a postpartum woman about postpartum blues, the nurse understands teaching was effective when the client makes which statement? a. "I'll need to take meds to treat anxiety and sadness" b. "I might feel like laughing one min and crying the next" c. I should call this support line only if I hear voices" d. If the symptoms last more than a few days, I need to call my doc"

b. "I might feel like laughing one min and crying the next"

The birth center recognizes that attachment is very important in the early stages after birth. Which policy would be inappropriate for the birth center to implement when assisting new parents in this process? a. policies that allow flexibility for cultural differences b. policies that allow rooming the infant and mother together c. policies that discourage unwrapping and exploring the infant d. policies that allow visitors

c. policies that discourage unwrapping and exploring the infant

The nurse is performing a routine assessment of the client after delivery. Inspection of a woman's perineal pad reveals a 2 in lochia stain. This amount should be documented as which type? a. light b. moderate c. scant d. heavy

c. scant

The nurse who is working with parents and their newborn encourages which action to assist the bonding and attachment between them? a. feeding b. looking c. touching d. talking

c. touching

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

d. Continue to monitor the woman's temp every 4 hrs; this finding is normal

A nurse is caring for a postpartum woman who is Muslim. When developing the woman's plan of care, the nurse would make which action a priority? a. Ensure that the newborn's daily bath is performed by the nurses b. allow time for he numerous visitors who come to see the woman and the newborn c. provide time for prayers to be performed at the bedside d. assign a female nurse to care for her

d. assign a female nurse to care for her

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. hormonal shifting of relaxin and estrogen c. normal response to the body converting back to pre-pregnancy state d. thromboembolic disorder of the lower extremities

d. thromboembolic disorder of the lower extremities

A postpartum woman has been unable to urinate since giving birth. When the nurse is assessing the woman, which finding would indicate that this client is experiencing bladder distention? a. bladder is nonpalpable b. percussion reveals tympany c. lochia is less than usual d. uterus is boggy

d. uterus is boggy

During a routine assessment the nurse notes the client is tachycardic. Which possible cause should be ruled out? a. extreme diaphoresis b. delayed hemorrhage c. uterine atony d. bladder distention

b. delayed hemorrhage

It has been 2 hrs since a woman gave birth vaginally to a healthy newborn. When assessing the woman's fundus, the nurse would expect to find it at: a. 2 cm below the umbilicus b. 1 cm below the umbilicus c. between the umbilicus and the symphysis pubis d. the level of the umbilicus

d. the level of the umbilicus

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

d. generally within 3-6 wks

A woman gave birth vaginally approx 12 hrs ago, and her temp is now 100.8 F. Which action would be most appropriate for the nurse to take? a. Obtain a urine culture; the woman most likely has a UTI b. Notify the health care provider about this elevation; this finding reflects infection c. Inspect the perineum for hematoma formation d. Continue monitoring the woman's temp every 4 hrs; this finding is normal

b. Notify the health care provider about this elevation; this finding reflects infection

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. "Sitz baths worked last time" b. "I only eat a low fiber diet" c. My mom always used dibucaine" d. I already have some pads with witch hazel at home"

b. "I only eat a low fiber diet"

A nurse is describing a technique developed in the 1940s by Dr. Arnold Kegel to assist postpartum women with a common issue. The nurse explains that the purpose of this technique is to: a. strengthen the uterine muscle fibers to return to their pre pregnancy condition b. strengthen the abdominal muscles to lessen the size of stretch marks c. strengthen the joints and return them to their normal state d. strengthen the pelvic floor muscles to reduce urinary incontinence

d. strengthen the pelvic floor muscles to reduce urinary incontinence

A nurse is determining a postpartum woman's history and labor and birth record. The nurse determines the need to closely monitor this client for infection based on which factor? a. multiparity b. labor less than 3 hrs c. placenta removed via manual extraction d. hgb of 11.5 mg/dL

c. placenta removed via manual extraction

The client is preparing to go home after a cesarean birth. The nurse giving discharge instructions stresses to the family that the client should be seen by her doctor within what time interval? a. 4 wks b. 2 wks c. 5 wks d. 3 wks

b. 2 wks

The nurse is teaching a postpartum woman about postpartum blues. The nurse would instruct the couple to seek further care if the client's persist beyond which time frame? a. 1 wk b. 2 wks c. 3 wks d. 4 wks

b. 2 wks

A woman who is breastfeeding her newborn says, "He doesn't seem to want to nurse. I must be doing something wrong." After teaching the woman about breast-feeding and offering suggestions, which statement by the mother indicates the need for additional teaching? a. "Some babies latch on quickly others take a little time." b. "Maybe a lactation specialist can help me work through this." c. Some women just can't breast-feed. Maybe I'm one of those women." d. Breast-feeding takes time and practice."

c. Some women just can't breast-feed. Maybe I'm one of those women."