Maternity 12,14,15

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

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

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.

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

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

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

The parents of a newborn male are concerned about providing care for the baby's new circumcision performed with a Plastibell. Which information will the nurse include in the teaching plan for the parents? 1 . Report if penis is red, warm, and swollen, or if there is surgical site drainage. 2 . Remove the plastic ring gently on the fifth day after surgery. 3 Apply lubricants to the penis to keep the diaper from sticking 4 . Contact the health-care provider (HCP) if the newborn does not void for

1 . Report if penis is red, warm, and swollen, or if there is surgical site drainage.

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 underapprec

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.

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

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

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

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 2 . 4 . Bleeding that is described as brown in color

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

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 placin

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

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

The nurse is providing care for a neonate during the fourth stage of labor. Which action does the nurse take during this stage? 1 . Complete the neonate assessment within the first hour. 2 . Dry the neonate immediately after birth. 3 . Obtain neonate blood glucose levels as soon as possible. 4 . Perform Apgar screening until scores are 7.

2 . Dry the neonate immediately after birth.

The nurse is assessing a term neonate delivered to a mother with a history of drug and alcohol abuse. Which finding does the nurse relate to the mother's history? 1 . Chest circumference is less than the head circumference. 2 . Head circumference is below the 10th percentile of normal for gestational age. 3 . When crying, the neonate exhibits an absence of tear production. 4. The neonate's pulse rate increases when the neonate cries.

2 . Head circumference is below the 10th percentile of normal for gestational age.

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

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

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

The nurse is explaining to a mother that her newborn's blood test indicates a high level of unconjugated bilirubin, which causes jaundice. Which information does the nurse present to the mother? Select all that apply. 1 . The blood test indicates a pathological disease. 2 . The newborn's liver converts bilirubin to a water-soluble substance. 3 . An abundance of white blood cells (WBCs) and WBC short life span contribute to the condition. 4 . The newborn's condition is also referred to as h

2 . The newborn's liver converts bilirubin to a water-soluble substance. 4 . The newborn's condition is also referred to as hyperbilirubinemia. 5 . Elevated bilirubin can be excreted in the urine and stool.

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. 6 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

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 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

The postnatal nurse is making a newborn visit to the parents who are from a different country. The nurse finds the newborn swaddled in a heavy blanket and wearing a knitted cap. The newborn has wet hair and is restless with rapid breathing. Which initial comment from the nurse is appropriate? 1 . "Your baby is exhibiting some concerning symptoms." 2 . "I want to explain how to dress your baby correctly." 3 . "Share with me how babies are cared for in your country." 4 . "Let me expl

3 . "Share with me how babies are cared for in your country."

A new mother states, "I don't want anyone around my baby. I need to protect him from getting sick." Which statement by the nurse will help the mother to understand neonatal immunity? Select all that apply. 1 . "I agree with you; the baby's sterile environment is gone." 2 . "The baby will have acquired immunity soon from vaccinations." 3 . "The baby has natural passive immunity from you for a few months." 4 . "Babies start to establish gut flora after birth which helps to pr

3 . "The baby has natural passive immunity from you for a few months." 4 . "Babies start to establish gut flora after birth which helps to provide protection against gastrointestinal (GI) infections."

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.

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

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.

A new mother expresses severe frustration with an infant that is exhibiting symptoms of colic. Which suggestions from the nurse are aimed at infant safety? 1 . Hold the infant and sway from side to side or walk around with the infant. 2 . Place the infant in a car seat and take the child for a ride in the car. 3 . Place the baby in a safe location and allow the baby to cry for 10 to 15 minutes. 4 . Swaddle the infant snugly and provide a pacifier. 5 . Place the infant (abdomen down) over the kn

3 . Place the baby in a safe location and allow the baby to cry for 10 to 15 minutes.

The nurse is presenting information to new parents regarding screening of their newborn. Which information does the nurse identify as being most important to the parents? 1 . All babies born in the United States are screened for specific conditions. 2 . Newborn screenings consist of a blood test and a hearing test. 3 . Screenings are done to identify genetic diseases and inherited disorders. 4 . Each state has statutes or regulations on newborn screening.

3 . Screenings are done to identify genetic diseases and inherited disorders.

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

A patient delivers a term neonate and expresses concern about the reason for giving the neonate an injection. Which information from the nurse is accurate? 1 . Neonates will hemorrhage without vitamin K. 2 . Mothers are unable to supply vitamin K to the fetus. 3 . Vitamin K is needed to activate clotting factors. 4 . Mothers on certain medications do not provide enough vitamin K to infants through breastfeeding.

3 . Vitamin K is needed to activate clotting factors.

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

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

After pregnancy and birth, a mother may notice a condition called diastasis recti abdominis, which is a(n) ____________________ of the rectus musles

Seperation

The nurse is assessing a newborn's reflexes. Which response will cause the nurse concern? 1 . A positive tonic neck reflex 2 . Absence of rooting or sucking reflexes 3 . Asymmetrical Moro reflex 4 . Strong Babinski reflex

3 . Asymmetrical Moro reflex

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%

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 _________________________.

post partum depression

The nurse is providing information to a postpartum mother about circumcision of her neonate. The neonate's father states, "We have never done that to any baby boy in my family." Which statement is best for the nurse to make? 1 . "I understand that family culture and beliefs form our way of life." 2 . "I can leave information for you to read over and then decide." 3 . "I personally think that boys are cleaner and healthier if circumcised." 4 . "Most families opt for the proced

1 . "I understand that family culture and beliefs form our way of life."

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

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

The nurse works in a postnatal nursery and is required by hospital policy to perform a gestational age assessment on specified neonates. On which neonate is the nurse most likely to perform this assessment? 1 . The neonate of a diabetic mother 2 . The neonate born at 41 weeks' gestation 3 . The neonate born after an 18-hour labor 4 . The neonate exposed to oxytocin in utero

1 . The neonate of a diabetic mother

The nurses in a postnatal unit are aware of the fears of new parents with regard to infant abduction. Which interventions by the nurse will alleviate the concerns of the parents? Select all that apply. 1 . Allow only visitors with identification to enter the unit. 2 . Use the hospital abduction alarm systems. 3 . Require all hospital personnel to wear name tags. 4 . Footprints and a photo of the neonate are taken for identification purposes. 5 . Encourage parents to accompany persons transportin

1 . Allow only visitors with identification to enter the unit. 4 . Footprints and a photo of the neonate are taken for identification purposes. 5 . Encourage parents to accompany persons transporting the newborn.

The nurse in the neonatal nursery notices a neonate, born 35 minutes ago, is unresponsive to external stimuli, and has a respiratory and heart rate slightly below normal range. Which action does the nurse take? 1 . Allows the neonate to naturally continue deep sleep. 2 . Picks up the neonate and tries to get a response. 3 . Asks another nurse to assist with reassessment. 4 . Notifies the caregiver of the neonate's condition.

1 . Allows the neonate to naturally continue deep sleep.

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 oxy

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

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

During the fourth stage of labor, which actions by the nurse will promote parent-newborn attachment? Select all that apply. 1 Delay administration of eye ointment until parents have held the newborn. . 2 . Stay close with the couple and the neonate in case of an emergency. 3 . Space out necessary assessments to prevent prolonged interruptions. 4 . Initiate skin-to-skin contact with a warm blanket over the neonate and parent. 5 . Explain expected neonatal characteristics such as molding, milia,

1 Delay administration of eye ointment until parents have held the newborn. 4 . Initiate skin-to-skin contact with a warm blanket over the neonate and parent. 5 . Explain expected neonatal characteristics such as molding, milia, and lanugo.

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.

The postpartum nurse is preparing to present infant care information to a couple who expresses concern about when to bathe their newborn. Which behaviors will the nurse present as general guidelines? Select all that apply. 1 . Daily bathing with soap is not necessary for the newborn. 2 . Bathing is best after a feeding when the newborn is relaxed. 3 . Use a mild preservative-free soap with a neutral pH. 4 . Avoid the use of soap on the face of the newborn. 5 . Genital and rectal areas should be

1 . Daily bathing with soap is not necessary for the newborn. 3 . Use a mild preservative-free soap with a neutral pH. 4 . Avoid the use of soap on the face of the newborn. 5 . Genital and rectal areas should be cleaned at each diaper change.

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 oxytoc

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

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.

A neonate is born after 37 weeks' gestation, and the nurse is concerned about avoiding cold stress after discharge. Which suggestions does the nurse give the mother to keep the baby safe? Select all that apply. 1 . Keep the baby wrapped in a warm blanket. 2 . Perform the daily bath in a warm location. 3 . Change wet clothing immediately. 4 . Place a stocking cap on the neonate's head. 5 . Position the baby away from outside walls and windows.

1 . Keep the baby wrapped in a warm blanket. 3 . Change wet clothing immediately. 4 . Place a stocking cap on the neonate's head. 5 . Position the baby away from outside walls and windows.

The labor and delivery nurse understands that some neonates spontaneously take a breath once the head and chest are delivered. Which understanding does the nurse have for the neonate that requires chemical stimuli to breathe? 1 . Mild hypoxia and decreased pH stimulate the brain. 2 . Carbon dioxide is administered in small doses. 3 . Oxygen is applied immediately to start respirations. 4 . Suctioning is used to stimulate breathing efforts.

1 . Mild hypoxia and decreased pH stimulate the brain.

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 .

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

Postnatal nurses expressed concern about neonatal pain management during painful interventions. Using evidence-based practice from research performed by Thakkar, Arora, Das, Javadekar, and Panigrahi (2016), which method of pain control will be used for heel sticks? 1 . An anesthetic gel will be applied 20 minutes before the stick. 2 . A combination of stimulated sucking and receiving sucrose orally is used. 3 . The stick will be administered while the neonate is breastfeeding. 4 . The neonate is

2 . A combination of stimulated sucking and receiving sucrose orally is used.

The nurse is preparing a talk with new parents about immunity and their newborns. Which factual information will the nurse present? Select all that apply. 1 . Antigens are produced as part of natural immunity. 2 . A vaccination is an example of acquired immunity. 3 . Placental transfer is how newborns get natural acquired immunity. 4 . Gamma globulin is an example of artificial active immunity. 5 . Natural passive immunity protects the baby for a few months after birth.

2 . A vaccination is an example of acquired immunity. 5 . Natural passive immunity protects the baby for a few months after birth.

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.

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.

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

3. Prolonged labor resulting in cesarean

The nurse is collecting information from a parent whose infant has frequent diaper dermatitis. Which comment by the parent indicates a possible cause of the condition? Select all that apply. 1 . "I use disposable wipes to clean the diaper area." 2 . "I treat any sign of a rash immediately with zinc oxide." 3 . "I leave the diaper off while the baby is sleeping." 4 . "I buy an antibiotic ointment specified for skin rashes." 5 . "I notice a skin rash whenever my baby is teething.

4 . "I buy an antibiotic ointment specified for skin rashes." 5 . "I notice a skin rash whenever my baby is teething."

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 ne

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

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

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

The nurse is assisting a newborn's primary care provider (PCP) with the performance of a circumcision. Which intervention is used to manage the neonate's pain? 1 . A Velcro tourniquet is loosely wrapped around the penis. 2 . The neonate is given acetaminophen 3 hours before the procedure. 3 . The foreskin is numbed with ice before the nerve block. 4 . A sucrose-dipped pacifier is offered during the nerve block.

4 . A sucrose-dipped pacifier is offered during the nerve block.

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

The nurse is explaining to the new breastfeeding mother the types of neonatal stools the mother can expect. Which examples does the nurse provide? Select all that apply. 1 . Residual meconium is passed as loose watery stool. 2 . Sticky, thick, black stools indicate a presence of blood. 3 . Stools will eventually become drier and more formed. 4 . Stools will be golden yellow, with a "seedy" appearance, and a sour odor is expected. 5 . A neonate's first stool is passed within the first 12 to

4 . Stools will be golden yellow, with a "seedy" appearance, and a sour odor is expected. 5 . A neonate's first stool is passed within the first 12 to 24 hours.

The postpartum nurse notices that a new mother has her neonate unwrapped and undressed "to check out the baby." For which reason does the nurse conclude the neonate is at risk for cold stress? 1 . The neonate has an increased metabolic rate. 2 . The neonate's respiratory rate has dropped. 3 . The neonate's skin is cool and clammy 4 . The neonate is moving extremities about.

4 . The neonate is moving extremities about.

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

The nurse is teaching newborn care to an adolescent mother. When the nurse attempts to teach how to swaddle the newborn, the mother states, "What's the big deal about how to wrap up a baby?" The nurse needs to convey which reason as being most important for proper swaddling? 1. Correct swaddling will increase the neonate's comfort. 2. Neonates are swaddled only until they can turn from front to back. 3. Two to three fingers need to fit between the infant's chest and the swaddle. 4. Imp

4. Improper swaddling can cause hip dysplasia.