Chapter 25 Maternal and Child Health Nursing 7th Edition

Chapter 25  Maternal and Child Health Nursing 7th Edition

Complete Chapter Questions And Answers
 

Sample Questions

1.
A patient who gave birth 5 hours ago has completely saturated a perineal pad within 15 minutes. Which action by the nurse should be implemented first?
A)
Assess vital signs.
B)
Assess the fundus.
C)
Notify the health care provider.
D)
Begin an IV infusion of Ringer’s lactate solution.
Ans:
B

Feedback:

The best safeguard against uterine atony is to palpate the fundus at frequent intervals to be assured that the uterus is remaining contracted. If bleeding persists, then vital signs assessment and notification to the health care provider may be indicated. An intravenous infusion might be prescribed if bleeding continues.

2.
The nurse is reviewing orders written for a postpartum patient with a fourth-degree perineal laceration. Which order should the nurse question before implementing?
A)
Providing a sitz bath
B)
Administering an enema
C)
Urging to drink all the milk provided during meals
D)
Administering acetaminophen and codeine for pain
Ans:
B

Feedback:

A fourth-degree perineal laceration involves the entire perineum, rectal sphincter, and some of the mucous membrane of the rectum. Any patient who has a fourth-degree laceration should not have an enema prescribed because the hard tips of equipment could open sutures near to or including those of the rectal sphincter.

3.
The nurse is concerned that a postpartum patient with a cervical laceration is developing hypovolemic shock. What did the nurse assess in this patient?
A)
Weak and rapid pulse
B)
Warm and flushed skin
C)
Elevated blood pressure
D)
Decreased respiratory rate
Ans:
A

Feedback:

If the loss of blood is extremely copious, a woman will quickly begin to exhibit symptoms of hypovolemic shock such as a weak and rapid pulse. The skin will be pale and clammy, and the blood pressure will fall. Respiratory rate will be increased and shallow.

4.
The nurse is planning interventions to prevent the onset of urinary retention in a postpartum patient. Why are these interventions needed?
A)
Frequent partial voiding never relieves the bladder pressure.
B)
Catheterization at the time of delivery reduces bladder tonicity.
C)
Mild dehydration causes a concentrated urine volume in the bladder.
D)
Decreased bladder sensation results from edema because of pressure of birth.
Ans:
D

Feedback:

Urinary retention occurs when there is inadequate bladder emptying. After childbirth, bladder sensation for voiding is decreased because of bladder edema caused by the pressure of birth. Frequent partial voiding can lead to bladder overdistention. Catheterization at the time of delivery will not reduce bladder tone. Dehydration will not cause urinary retention but an overall reduction in urine volume.

5.
After delivery, a patient is diagnosed with postpartal gestational hypertension. What care will the nurse provide to this patient? (Select all that apply.)
A)
Maintain on bed rest.
B)
Monitor urine output.
C)
Instruct on the purpose of a fluid restriction
D)
Administer magnesium sulfate as prescribed.
E)
Administer antihypertensive medication as prescribed.
Ans:
A, B, D, E

Feedback:

Treatment for postpartal gestational hypertension includes bed rest, monitoring of urine output, and administration of magnesium sulfate or an antihypertensive agent. Fluid restriction is not indicated for postpartal gestational hypertension.