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When caring for a newly delivered woman,the nurse is aware that the best measure to prevent abdominal distention after a cesarean birth is:


A) rectal suppositories.
B) early and frequent ambulation.
C) tightening and relaxing abdominal muscles.
D) carbonated beverages.

Correct Answer

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A hospital has a number of different perineal pads available for use.A nurse is observed soaking several of them and writing down what she sees.This activity indicates that the nurse is trying to:


A) improve the accuracy of blood loss estimation, which usually is a subjective assessment.
B) determine which pad is best.
C) demonstrate that other nurses usually underestimate blood loss.
D) reveal to the nurse supervisor that one of them needs some time off.

Correct Answer

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MATCHING Much of a woman's behavior during the after birth period is strongly influenced by her cultural background. Nurses are likely to come into contact with women from many different countries and cultures. All cultures have developed safe and satisfying methods of caring for new mothers and babies. Please match the cultural norm with the nationality of origin. -Mexican


A) Prefer not to give babies colostrum
B) Eat only warm foods and hot drinks
C) Take the placenta home to bury
D) Will not eat pork or pork products
E) Have an IUD inserted after the first child

Correct Answer

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B

A after birth woman overhears the nurse tell the obstetrics clinician that she has a positive Homans' sign and asks what it means.The nurse's best response is:


A) "You have pitting edema in your ankles."
B) "You have deep tendon reflexes rated 2+."
C) "You have calf pain when the nurse flexes your foot."
D) "You have a 'fleshy' odor to your vaginal drainage."

Correct Answer

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In many hospitals new mothers are routinely presented with gift bags containing samples of infant formula.This practice:


A) is inconsistent with the Baby-Friendly Hospital Initiative.
B) promotes longer periods of breastfeeding.
C) is perceived as supportive to both bottle-feeding and breastfeeding mothers.
D) is associated with earlier cessation of breastfeeding.

Correct Answer

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Rh? immune globulin will be ordered after birth if which situation occurs?


A) Mother Rh-, baby Rh+
B) Mother Rh-, baby Rh-
C) Mother Rh+, baby Rh+
D) Mother Rh+, baby Rh-

Correct Answer

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Under the Newborns' and Mothers' Health Protection Act,all health plans are required to allow new mothers and newborns to remain in the hospital for a minimum of _____ hours after a normal vaginal birth and for _____ hours after a cesarean birth.


A) 24, 73
B) 24, 96
C) 48, 96
D) 48, 120

Correct Answer

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If a woman is at risk for thrombus and is not ready to ambulate,nurses may intervene by performing a number of interventions.Which intervention should the nurse avoid?


A) Putting the patient in antiembolic stockings (TED hose) and/or sequential compression device (SCD) boots.
B) Having the patient flex, extend, and rotate her feet, ankles, and legs.
C) Having the patient sit in a chair.
D) Notifying the physician immediately if a positive Homans' sign occurs.

Correct Answer

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C

Discharge instruction,or teaching the woman what she needs to know to care for herself and her newborn,officially begins:


A) at the time of admission to the nurse's unit.
B) when the infant is presented to the mother at birth.
C) during the first visit with the physician in the unit.
D) when the take-home information packet is given to the couple.

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A 25-year-old gravida 2,para 2-0-0-2 gave birth 4 hours ago to a 9-lb,7-ounce boy after augmentation of labor with Pitocin.She puts on her call light and asks for her nurse right away,stating,"I'm bleeding a lot." The most likely cause of after birth hemorrhage in this woman is:


A) retained placental fragments.
B) unrepaired vaginal lacerations.
C) uterine atony.
D) puerperal infection.

Correct Answer

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MATCHING Much of a woman's behavior during the after birth period is strongly influenced by her cultural background. Nurses are likely to come into contact with women from many different countries and cultures. All cultures have developed safe and satisfying methods of caring for new mothers and babies. Please match the cultural norm with the nationality of origin. -Korean or other South East Asian countries.


A) Prefer not to give babies colostrum
B) Eat only warm foods and hot drinks
C) Take the placenta home to bury
D) Will not eat pork or pork products
E) Have an IUD inserted after the first child

Correct Answer

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On examining a woman who gave birth 5 hours ago,the nurse finds that the woman has completely saturated a perineal pad within 15 minutes.The nurse's first action is to:


A) begin an intravenous (IV) infusion of Ringer's lactate solution.
B) assess the woman's vital signs.
C) call the woman's primary health care provider.
D) massage the woman's fundus.

Correct Answer

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The nurse caring for the after birth woman understands that breast engorgement is caused by:


A) overproduction of colostrum.
B) accumulation of milk in the lactiferous ducts and glands.
C) hyperplasia of mammary tissue.
D) congestion of veins and lymphatics.

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D

Nursing care in the fourth trimester includes an important intervention sometimes referred to as taking the time to mother the mother.Specifically this expression refers to:


A) formally initializing individualized care by confirming the woman's and infant's identification (ID) numbers on their respective wrist bands. ("This is your baby.")
B) teaching the mother to check the identity of any person who comes to remove the baby from the room. ("It's a dangerous world out there.")
C) including other family members in the teaching of self-care and child care. ("We're all in this together.")
D) nurturing the woman by providing encouragement and support as she takes on the many tasks of motherhood.

Correct Answer

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As relates to rubella and Rh issues,nurses should be aware that:


A) breastfeeding mothers cannot be vaccinated with the live attenuated rubella virus.
B) women should be warned that the rubella vaccination is teratogenic, and that they must avoid pregnancy for 1 month after vaccination.
C) Rh immune globulin is safely administered intravenously because it cannot harm a nursing infant.
D) Rh immune globulin boosts the immune system and thereby enhances the effectiveness of vaccinations.

Correct Answer

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MATCHING Much of a woman's behavior during the after birth period is strongly influenced by her cultural background. Nurses are likely to come into contact with women from many different countries and cultures. All cultures have developed safe and satisfying methods of caring for new mothers and babies. Please match the cultural norm with the nationality of origin. -Haitian


A) Prefer not to give babies colostrum
B) Eat only warm foods and hot drinks
C) Take the placenta home to bury
D) Will not eat pork or pork products
E) Have an IUD inserted after the first child

Correct Answer

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A woman gave birth vaginally to a 9-lb,12-ounce girl yesterday.Her primary health care provider has written orders for perineal ice packs,use of a sitz bath tid,and a stool softener.What information is most closely correlated with these orders?


A) The woman is a gravida 2, para 2.
B) The woman had a vacuum-assisted birth.
C) The woman received epidural anesthesia.
D) The woman has an episiotomy.

Correct Answer

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A woman gave birth 48 hours ago to a healthy infant girl.She has decided to bottle-feed.During your assessment you notice that both of her breasts are swollen,warm,and tender on palpation.The woman should be advised that this condition can best be treated by:


A) running warm water on her breasts during a shower.
B) applying ice to the breasts for comfort.
C) expressing small amounts of milk from the breasts to relieve pressure.
D) wearing a loose-fitting bra to prevent nipple irritation.

Correct Answer

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Excessive blood loss after childbirth can have several causes; the most common is:


A) vaginal or vulvar hematomas.
B) unrepaired lacerations of the vagina or cervix.
C) failure of the uterine muscle to contract firmly.
D) retained placental fragments.

Correct Answer

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MATCHING Much of a woman's behavior during the after birth period is strongly influenced by her cultural background. Nurses are likely to come into contact with women from many different countries and cultures. All cultures have developed safe and satisfying methods of caring for new mothers and babies. Please match the cultural norm with the nationality of origin. -Chinese


A) Prefer not to give babies colostrum
B) Eat only warm foods and hot drinks
C) Take the placenta home to bury
D) Will not eat pork or pork products
E) Have an IUD inserted after the first child

Correct Answer

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