Mother Baby Study Questions Week 2
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 depression B. Postpartum blues C. Postpartum psychosis D. Postpartum adjustment
A
The nurse is teaching a prenatal class on the difference between true and false labor contractions. The nurse determines the session is successful when the class correctly chooses which factor as an indication of true labor contraction? A. Increase even if relaxing and taking a shower. B. Remain irregular with the same intensity. C. Subside when walking around and use the lateral position. D. Cause discomfort over the top of the uterus.
A
Which action is a priority when caring for a woman during the fourth stage of labor? A. Assessing the uterine fundus every 15 minutes. B. Offering fluids as indicated. C. Encouraging the women to void. D. Assisting with perineal care.
A
Healthy bonding behaviors are important to note when the nurse is assessing the new family. What statement or action would the nurse consider a warning sign that the mother and infant were not attaching as they should? A. Mother states she wanted a boy this time, not another girl. B. Mother cries and says "I have no family nearby and my mother-in-law doesn't like me." C. Mother wants you in the room while she breastfeeds as she is afraid she is not doing it right. D. Mother states she is concerned about one of her other children not liking the new baby.
A
It is normal for the women to experience a decrease in blood pressure during the postpartum period. A. True B. False
A
It is normal for the women to experience bradycardia or a decreased heart rate during the postpartum period. A. True B. False
A
The nurse assesses a postpartum woman's perineum and notices that her lochial discharge is moderate in amount and red. The nurse would record this as what type of lochia? A. Lochia rubra B. Lochia serosa C. Lochia alba D. Lochia normalia
A
The nurse is concerned that the parents are having difficulties relating to their newborn. In an effort to assist with and encourage attachment, which activity should the nurse suggest? A. promoting skin-to-skin contact on the chest B. sleeping with the infant C. keeping the baby in the same room at all times D. playing a recording of their voices at all times
A
The nurse is measuring a contraction from the beginning of the increment to the end of the decrement for the same contraction. The nurse would document this as which finding? A. Duration B. Intensity C. Frequency D. Peal
A
A nurse caring for a pregnant client in labor observes that the fetal heart rate (FHR) is below 110 beats per minute. Which interventions should the nurse perform? Select all that apply. A. Turn the client on her left side B. reduce IV fluid rate C. Administer oxygen by mask D. Assess client for underlying causes C. Administer epinephrine to the mother to stimulate the fetus
A, C, D
The nurse who works on a postpartum floor is mentoring a new graduate. She informs the new nurse that a postpartum assessment of the mother includes which assessments? Select all that apply. A. Vital signs of mother B. Vital signs of newborn C. Pain level D. Head-to-toe assessment of mother E. Head-to-toe assessment of newborn
A, C, D
The nurse is observing a set of new parents to ensure that they are bonding with their newborn. What displayed behavior would indicate that the parents bonding is maladaptive? A. The mother states that she has her father's eyes. B. The father holds the newborn en face and talks to her. C. The mother is reluctant to touch the newborn for fear of hurting her. D. The parents explore the newborn's extremities, counting fingers and toes.
C
The nurse is preparing a birthing care plan for a pregnant client. Which factor should the nurse prioritize to achieve adequate pain relief during the birthing process? A. The client has the baby without any analgesic or anesthetic. B. The health care provider decides the best pain relief for the mother and family. C. Client priorities and preferences are incorporated into the plan. D. The nurse suggests alternative methods of pain relief.
C
The nurse is preparing a postpartum client for discharge 72 hours after birth. The client reports bilateral breast pain around the entire breast on assessment. The nurse predicts this is related to which cause after noting the skin is intact and normal coloration? A. Mastitis B. Blocked milk duct C. Engorgement D. Excessive oxytocin
C
The postpartum client is reporting her left calf hurts and it is making it difficult for her to walk. The nurse predicts which factor is contributing to this situation after finding an area of warmth and redness? A. Increased white blood cell count B. Stirrup injury during birth C. Increased coagulation factors D. Decreased red blood cell count
C
Which intervention would be least effective in caring for a woman who is in the transition phase of labor? A. Having the client breathe with contractions. B. Providing one-to-one support. C. Encouraging the woman to ambulate. D. Urging her to focus on one contraction at a time,.
C
The nurse knows that women are at an increased risk for _____________ during the postpartum period due to decreased urge for urination which leads to urinary retention. A. Postpartum hemorrhage B. Urinary tract infections C. Vaginal yeast infections D. Constipation
B
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 would be a priority? A. assigning a female nurse to care for her B. ensuring that the newborn receives a daily bath C. allowing time for the numerous visitors who come to see the woman and newborn D. providing time for prayers to be performed at the bedside
B
Which factor puts a client on her first postpartum day at risk for hemorrhage? A. hemoglobin level of 12 g/dl B. Uterine atony C. Thrombophlebitis D. Moderate amount of lochia rubra
B
While waiting for the placenta to deliver during the third stage of labor, the nurse must assess the mother's vital signs every 15 minutes. The patient has a heart rate of 130 and a blood pressure of 80/40. The nurse knows that these vital signs during the third stage of labor are most indicative of which complication? A. Dehydration B. Hypovolemic shock C. Not a complication, these are normal vital signs for a post-partum mother. D. Side affect of administered medication during labor.
B
A client has asked that an opioid be kept on standby in case she needs it for pain control. As a precaution, the nurse will also have which of medication readily available to reverse the effects of that opioid? A. Naloxone B. Nalbuphine C. Hydroxyzine D. Midazolam
A
A new dad is alarmed at the shape of his newborn's head. When responding to the dad, the nurse reminds him this is due to: A. Cranial bones overlapping at the suture lines (molding). B. Extreme pressure in the vaginal vault. C. A congenital defect. D. Prolonged labor.
A
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 pelvic floor muscles to reduce urinary incontinence. B. strengthen the uterine muscle fibers to return to their pre pregnancy condition. C. strengthen the joints and return them to their normal state. D. strengthen the abdominal muscles to lessen the size of stretch marks.
A
A nurse is instructing a client who is breastfeeding for the first time that about normal breast milk appearance. The nurse tells the client that breast milk is ___________________ in color. A. Bluish white B. Creamy yellow C. Milky white D. Gray liquid
A
A woman who gave birth to a healthy baby 5 days ago is experiencing fatigue and weepiness, lasting for short periods each day. Which condition does the nurse believe is causing this experience? A. Postpartum baby blues B. Postpartum anxiety C. Postpartum reaction D. Postpartum depression
A
As a woman enters the second stage of labor, which would the nurse expect to assess? A. Feelings of being frightened by the change in contractions. B. Reports of feeling hungry and unsatisfied. C. Falling asleep from exhaustion. D. Expressions of satisfactions with her labor progress.
A
The nurse is assessing a client for rupture of membranes. Which findings would confirm the presence of ruptured membranes? Select all that apply. A. Nitrazine paper turns blue. B. Ferning is present. C. The cervix is effaced. D. The patient reports having wet pants. E. A pool of fluid is visible in the vaginal vault.
A, B, E
A client in the latent phase of the first stage of labor is noted to be uncomfortable with intact membranes and mild contractions on assessment. The nurse should encourage the client to pursue which action? A. Complete bed rest B. Ambulation ad lib C. Bathroom privileges D. Up to chair TID
B
A low-risk client is in the active phase of labor. The nurse evaluates the fetal monitor strip at 12:00 a.m. and notes the following: moderate variability, FHR in the 130s, occasional accelerations, and no decelerations. At what time should the nurse reevaluate the FHR? A. 12:05 a.m. B. 12:30 a.m. C. 01:15 a.m. D. 01:30 a.m.
B
A mother is breastfeeding her newborn and begins to feel strong contractions which are painful. The nurse knows which of the following hormones is released during breast feeding which can lead to uterine contractions. A. FSH B. Oxytocin C. Prolactin D. Estrogen
B
Dilation (dilatation) follows effacement in the primiparous mother. To be 50% dilated, the cervix should have a distance of what measurement? A.3CM B.5CM C.8CM D.10CM
B
It is normal for the women to experience a fever for up to 72 hours after delivery. A. True. B. False
B
The nurse is assess the women's fundus during a contraction with the tips of her fingers. She notes that the contraction is moderate when she identifies that the fundus feels like: A. Tip of the nose B. Chin C. Forehead D. Shin
B
The nurse is discussion the process of expulsion of the placenta with the Patient. When the patient asks how long it takes for the placenta to deliver, the nurse should reply with which of the following? A. Immediately after the delivery of the newborn. B. It can be anywhere from 5 to 30 minutes. C. The placenta is usually expelled 1 hour after labor. D. It can be anywhere from 1 to 45 minutes.
B
The nurse knows that the administration of which kind of medication can cause respiratory depression to both the mother and the newborn. A. Barbiturates B. Opiates C. Benzodiazepines D. Antiemetics
B
A 32-year-old woman presents to the labor and birth suite in active labor. She is multigravida, relaxed, and talking with her husband. When examined by the nurse, the fetus is found to be in a cephalic presentation. His occiput is facing toward the front and slightly to the right of the mother's pelvis, and he is exhibiting a flexed attitude. How does the nurse document the position of the fetus? A. LOA B. LOP C. ROA D. ROP
C
A pregnant client wants to know why the labor of a first-time-pregnant woman usually lasts longer than that of a woman who has already given birth once and is pregnant a second time. What explanation should the nurse offer the client? A. Braxton Hicks contractions are not strong enough during first pregnancy. B. Contractions are stronger during the first pregnancy than the second. C. The cervix takes around 12 to 16 hours to dilate during first pregnancy. D. Spontaneous rupture of membranes occurs during first pregnancy.
C
A student observes during an initial prenatal visit. The student states, "I heard the primary care provider say that the client has a gynecoid pelvis. What does that mean?" The best response by the nurse is: A. "It is a typical male pelvis. With this type of pelvis, large neonates must be born by cesarean birth although some small neonates are able to be born vaginally." B. "It is flat and narrow, making it extremely difficult for the neonate to pass through." C. "It is rounded in shape and allows ample room for the neonate to fit through the passageway." D. "It is elongated, the width is roomy, but the length is narrow."
C
A woman is admitted to the labor and birthing suite. Vaginal examination Reveals that the presenting part is approximately 2 cm above the ischial spines. The nurse documents this finding as: A. +2 station B. 0 station C. -2 station D. Crowning
C
A woman who delivered her infant 2 days ago asks the nurse why she wakes up at night drenched in sweat. She is concerned that this is a problem. The nurse's best reply would be: A. "Often, when a postpartum woman perspires like you are reporting, it means that they have an infection." B. I need to get your vital signs and check your fundus to be sure you are not going into shock." C. "Sweating is very normal for the first few days after childbirth because your body needs to get rid of all the excess water from pregnancy." D. "Many women sweat after delivery but you seem to be perspiring far more than normal. I'll call the doctor."
C
A women's amniotic fluid is noted to be tary-green. The nurse interprets this finding as? A. Normal B.A possible infection C. Meconium passage D. Transient fetal hypoxia
C
Identify the following FHR baseline changes. A. Early deceleration B. Late Deceleration C. Variable Deceleration D. Sinusoidal FHR
C
The nurse assesses a client in labor and finds that the fetal long axis is longitudinal to the maternal long axis. How should the nurse document this finding? A. Presentation B. Attitude C. Lie D. Position
C
The nurse is assessing a new client who presents in early labor. The nurse determines the fetus has an acceptable heart rate if found within which range? A. 60 to 100 bpm B. 100 to 150 bpm C. 110 to 160 bpm D. 120 to 180 bpm
C
The nurse is monitoring the FHR of a client in labor. She notices that the monitor demonstrates multiple late decelerations with prominent fetal bradycardia. What would be the nurses first intervention. A. Contact the physician. B. Prepare for an emergency cesarean section. C. Ask the patient to lay on her left side. D. Administer oxygen to the patient.
C
A nurse is caring for a pregnant client who is in labor. Which maternal physiologic responses should the nurse monitor for in the client as the client progresses through birth? Select all that apply. A. Decrease in heart rate B. Decrease in blood pressure C. Slight increase in body temperature D. Decrease in gastric emptying and pH E. Decrease in respiratory rate
C, D
The nurse identifies which of the following as danger signs during the postpartum period. Select all that apply. A. Temperature of 100.3 B. Lochia serosa C. Severe headaches with blurred vision D. Urinary output up to 3,000ml a day E. Calf pain F. Saturating 1 peri pad in two hours
C,E
Fetal heart rate monitoring reveals baseline tachycardia in the fetus. Which rate would be most likely? A. 65 bpm B. 125 bpm C. 155 bpm D. 165 bpm
D
The nurse is educating a patient about measuring her lochia and counting her peripads. The nurse tells the patient to contact the provider if she saturates more than one pad in __________ hour(s). A.4 B.3 C.2 D.1
D
The nurse knows which of the following assessments is indirect and noninvasive and will allow her to monitor the oxygenation status and well being of the fetus. A. Fetal blood pH B. Fetal oxygen saturation C. Fetal position D. External electronic fetal monitoring
D
