Chapter 28 Review Questions

C

During a postpartum check, the nurse assesses the new mother's uterus and notes it to be boggy. What is the nurse's first intervention? A. Contact the health care provider for an oxytocic medication B. Instruct the patient to void C. Gently massage the fundus to increase contractility D. Direct the patient to assume a lateral position with her upper leg drawn toward the chest

A

Th father's behavior when introduced to his new baby is intense fascination. What is this behavior considered? A. Engrossment B. Bonding C. Enforcement D. Taking-In

C

The nurse observes a new mother turning away from her infant and sighing deeply. Which intervention would be most appropriate for the nurse? A. Inform the chaplain for spiritual counseling as the patient is rejecting her infant B. Assess the new mother for pain and offer analgesics as ordered C. Encourage the new mother to discuss her feelings by sitting next to her and stating, "Having a baby can be overwhelming" D. Ignore this as it is common after childbirth

B

The nurse teaches care of the umbilical cord to a new mother. What instruction will the nurse provide? A. Apply Vaseline to the cord stump several times a day to keep it moist until it comes off. B. Apply alcohol on the cord stump daily to keep it dry until it falls off. C. Place the infant in warm bathwater to help the cord stump to soak off over the next 7 to 10 days. D. Gently manipulate the cord stump side to side, until it loosens and can be easily removed.

D

The vital signs of newborn baby girl are: T 97.9, P 140, R 34, with brief periods of apnea and BP 80/40 with an increase in systolic pressure when crying. What is the nurse's next intervention? A. Notify the health care provider because the baby's heart rate reveals tachycardia B. Assess lung sounds due to a high respiratory rate with apnea C. Check the baby's blood glucose level as her temperature is low for a newborn D. Realize these vital signs are normal for a newborn and document the data on the flow sheet.

A,B,C

What are the most appropriate patient problems for a breast-feeding mother? (Select all that apply.) A. Imbalanced nutrition: less than body requirements related to the demands during lactation B. Anxiety related to lactation expectations C. Potential for infection related to dry, cracked nipples D. Ineffective health maintenance related to poor hygiene

B, C, D

Which actions by the nursing mother will support milk production and promote infant comfort? (Select all that apply.) A. Consume more protein and approximately 1500 extra calories daily. B. Drink 8 to 10 glasses of fluids daily. C. Continue her prenatal vitamins and minerals until they are gone D. Avoid spicy foods, chocolate, and onions. E. Drink 2 to 3 alcoholic beverages per day.

A, B, D

Which physical signs and symptoms might the postpartum patient experience following delivery? (Select all that apply.) A. Increased urination beginning 4 to 6 hours after delivery B. Increased diaphoresis, most commonly at night C. Bright red vaginal drainage that will saturate one pad every 15 minutes D. A normal bowel movement within 2 to 3 days E. A low-grade fever the first 48 hours after delivery

B

A new mother reports feeling weak, light-headed, and being sick to her stomach. The LPN/LVN also notes that the patient's perineal pad is soaked since she last checked it 15 minutes ago. The patient's skin is cool and clammy. The pulse is 110 beats/min and the blood pressure is 80/60. What complication do these symptoms indicate? A. Puerperal infection B. Hypovolemic shock C. Pregnancy-induced hypertension D. Preeclampsia