Chapter 15 Maternity and Pediatric Nursing 2nd Edition

Chapter 15  Maternity and Pediatric Nursing 2nd Edition

Complete Chapter Questions And Answers
 

Sample Questions

1.
A primipara client gave birth vaginally to a healthy newborn girl 48 hours ago. The nurse palpates the client’s fundus, expecting it to be at which location?
A)
Two fingerbreadths above the umbilicus
B)
At the level of the umbilicus
C)
Two fingerbreadths below the umbilicus
D)
Four fingerbreadths below the umbilicus

2.
When caring for a mother who has had a cesarean birth, the nurse would expect the client’s lochia to be:
A)
Greater than after a vaginal delivery
B)
About the same as after a vaginal delivery
C)
Less than after a vaginal delivery
D)
Saturated with clots and mucus

3.
The nurse is developing a teaching plan for a client who has decided to bottle feed her newborn. Which of the following would the nurse include in the teaching plan to facilitate suppression of lactation?
A)
Encouraging the woman to manually express milk
B)
Suggesting that she take frequent warm showers to soothe her breasts
C)
Telling her to limit the amount of fluids that she drinks
D)
Instructing her to apply ice packs to both breasts every other hour

4.
The nurse is making a follow-up home visit to a woman who is 12 days postpartum. Which of the following would the nurse expect to find when assessing the client’s fundus?
A)
Cannot be palpated
B)
2 cm below the umbilicus
C)
6 cm below the umbilicus
D)
10 cm below the umbilicus

5.
A client who is breast-feeding her newborn tells the nurse, “I notice that when I feed him, I feel fairly strong contraction-like pain. Labor is over. Why am I having contractions now?” Which response by the nurse would be most appropriate?
A)
“Your uterus is still shrinking in size; that’s why you’re feeling this pain.”
B)
“Let me check your vaginal discharge just to make sure everything is fine.”
C)
“Your body is responding to the events of labor, just like after a tough workout.”
D)
“The baby’s sucking releases a hormone that causes the uterus to contract.”

6.
When the nurse is assessing a postpartum client approximately 6 hours after delivery, which finding would warrant further investigation?
A)
Deep red, fleshy-smelling lochia
B)
Voiding of 350 cc
C)
Heart rate of 120 beats/minute
D)
Profuse sweating

Answer Key

1.
C
2.
C
3.
D
4.
A
5.
D
6.
C