Question 1

Which condition seen in the postpartum period is likely to require careful medical assessment?

Accepted Answer

A)   Varicosities of the legs
B)   Carpal tunnel syndrome
C)   Periodic numbness and tingling of the fingers
D)   Headaches

Question 2

During which phase of maternal adjustment will the mother relinquish the baby of her fantasies and accept the real baby?

Accepted Answer

A)   Letting go
B)   Taking hold
C)   Taking in
D)   Taking on

Question 3

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

Accepted Answer

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

Question 4

During which stage of role attainment do the parents become acquainted with their baby and combine parenting activities with cues from the infant?

Accepted Answer

A)   Anticipatory
B)   Formal
C)   Informal
D)   Personal

Question 5

Which woman is most likely to have severe afterbirth pains and request a narcotic analgesic?

Accepted Answer

A)   Gravida 5, para 5
B)   Woman who is bottle-feeding her first child
C)   Primipara who delivered a 7-lb boy
D)   Woman who has started to breastfeed

Question 6

If the patient's white blood cell (WBC) count is 25,000/mm³ on her second postpartum day,the nurse should

Accepted Answer

A)   tell the physician immediately.
B)   have the laboratory draw blood for reanalysis.
C)   recognize that this is an acceptable range at this point.
D)   begin antibiotic therapy immediately.

Question 7

What is the best way for the nurse to promote and support the maternal-infant bonding process?

Accepted Answer

A)   Help the mother identify her positive feelings toward the newborn.
B)   Encourage the mother to provide all newborn care.
C)   Assist the family with rooming-in.
D)   Return the newborn to the nursery during sleep periods.

Question 8

A postpartum 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

Accepted Answer

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

Question 9

A nurse is observing a family.The mother is holding the baby she delivered less than 24 hours ago.Her husband is watching his wife and asking questions about newborn care.The 4-year-old brother is punching his mother on the back.What action by the nurse is best?

Accepted Answer

A)   Report the incident to the social services department.
B)   Advise the parents that the toddler needs to be reprimanded.
C)   Report to oncoming staff that the mother is not a good disciplinarian.
D)   Realize that this is a normal family adjusting to family change.

Question 10

Rh? immune globulin will be ordered postpartum if which situation occurs?

Accepted Answer

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

Question 11

A postpartum patient asks,"Will these stretch marks go away?" The nurse's best response is

Accepted Answer

A)   "They will fade and be gone by your 6-week checkup."
B)   "No, unfortunately they will never fade away."
C)   "Yes, eventually they will totally disappear."
D)   "They will fade to silvery lines but won't disappear completely."

Question 12

A man calls the nurse's station stating that his wife,who delivered 2 days ago,is happy one minute and crying the next.The man says,"She was never like this before the baby was born." What response by the nurse is best?

Accepted Answer

A)   Tell him to ignore the mood swings, as they will go away.
B)   Reassure him that this behavior is normal.
C)   Advise him to get immediate psychological help for her.
D)   Instruct him in the signs, symptoms, and duration of postpartum blues.

Question 13

A new father states,"I know nothing about babies," but he seems to be interested in learning.What action by the nurse is best?

Accepted Answer

A)   Continue to observe his interaction with the newborn.
B)   Tell him when he does something wrong.
C)   Show no concern, as he will learn on his own.
D)   Include him in teaching sessions. D

Question 14

The nurse explains to the nursing student that one mechanism for the diaphoresis and diuresis experienced during the early postpartum period is which of the following?

Accepted Answer

A)   Elevated temperature caused by postpartum infection
B)   Increased basal metabolic rate after giving birth
C)   Loss of increased blood volume associated with pregnancy
D)   Increased venous pressure in the lower extremities

Question 15

If rubella vaccine is indicated for a postpartum patient,instructions to the patient should include

Accepted Answer

A)   drinking plenty of fluids to prevent fever.
B)   no specific instructions.
C)   recommending that she stop breastfeeding for 24 hours after injection.
D)   explaining the risks of becoming pregnant within 1 month after injection.

Question 16

Nurses must be aware of the conditions that increase the risk of hemorrhage,one of the most common complications of the puerperium.What are these conditions? (Select all that apply.)

Accepted Answer

A)   Primipara
B)   Rapid or prolonged labor
C)   Overdistention of the uterus
D)   Uterine fibroids
E)   Preeclampsia

Question 17

What documentation on a woman's chart on postpartum day 14 indicates a normal involution process?

Accepted Answer

A)   Moderate bright red lochial flow
B)   Breasts firm and tender
C)   Fundus below the symphysis and not palpable
D)   Episiotomy slightly red and puffy

Question 18

Which maternal event is abnormal in the early postpartum period?

Accepted Answer

A)   Diuresis and diaphoresis
B)   Flatulence and constipation
C)   Extreme hunger and thirst
D)   Lochial color changes from rubra to alba

Question 19

Many women given up smoking during pregnancy to protect the health of the fetus.The majority of women resumed smoking within the first 6 months postpartum.Factors that increase the likelihood of relapse include (Select all that apply.)

Accepted Answer

A)   living with a smoker.
B)   returning to work.
C)   weight concerns.
D)   successful breastfeeding.
E)   failure to breastfeed.

Question 20

If the fundus is palpated on the right side of the abdomen above the expected level,the nurse should suspect that the patient has

Accepted Answer

A)   been lying on her right side too long.
B)   a distended bladder.
C)   stretched ligaments that are unable to support the uterus.
D)   a normal involution.

Exam 20: Postpartum Adaptations

Which condition seen in the postpartum period is likely to require careful medical assessment?

Correct AnswerverifiedShow Answer

During which phase of maternal adjustment will the mother relinquish the baby of her fantasies and accept the real baby?

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedB

During which stage of role attainment do the parents become acquainted with their baby and combine parenting activities with cues from the infant?

Correct AnswerverifiedShow Answer

Which woman is most likely to have severe afterbirth pains and request a narcotic analgesic?

Correct AnswerverifiedShow Answer

If the patient's white blood cell (WBC) count is 25,000/mm³ on her second postpartum day,the nurse should

Correct AnswerverifiedShow Answer

What is the best way for the nurse to promote and support the maternal-infant bonding process?

Correct AnswerverifiedShow Answer

A postpartum 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

Correct AnswerverifiedC

A nurse is observing a family.The mother is holding the baby she delivered less than 24 hours ago.Her husband is watching his wife and asking questions about newborn care.The 4-year-old brother is punching his mother on the back.What action by the nurse is best?

Correct AnswerverifiedShow Answer

Rh? immune globulin will be ordered postpartum if which situation occurs?

Correct AnswerverifiedShow Answer

A postpartum patient asks,"Will these stretch marks go away?" The nurse's best response is

Correct AnswerverifiedShow Answer

A man calls the nurse's station stating that his wife,who delivered 2 days ago,is happy one minute and crying the next.The man says,"She was never like this before the baby was born." What response by the nurse is best?

Correct AnswerverifiedShow Answer

A new father states,"I know nothing about babies," but he seems to be interested in learning.What action by the nurse is best?

Correct AnswerverifiedD

The nurse explains to the nursing student that one mechanism for the diaphoresis and diuresis experienced during the early postpartum period is which of the following?

Correct AnswerverifiedShow Answer

If rubella vaccine is indicated for a postpartum patient,instructions to the patient should include

Correct AnswerverifiedShow Answer

Nurses must be aware of the conditions that increase the risk of hemorrhage,one of the most common complications of the puerperium.What are these conditions? (Select all that apply.)

Correct AnswerverifiedShow Answer

What documentation on a woman's chart on postpartum day 14 indicates a normal involution process?

Correct AnswerverifiedShow Answer

Which maternal event is abnormal in the early postpartum period?

Correct AnswerverifiedShow Answer

Many women given up smoking during pregnancy to protect the health of the fetus.The majority of women resumed smoking within the first 6 months postpartum.Factors that increase the likelihood of relapse include (Select all that apply.)

Correct AnswerverifiedShow Answer

If the fundus is palpated on the right side of the abdomen above the expected level,the nurse should suspect that the patient has

Correct AnswerverifiedShow Answer

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C

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D

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