COMPLETE TEST BANK FOR MATERNITY AND PEDIACTRIC NURSING 4TH EDITION QUESTIONS AND RATIONALESS ANSWERS |LATEST UPDATE

COMPLETE TEST BANK FOR
MATERNITY AND PEDIACTRIC
NURSING 4TH EDITION QUESTIONS
AND RATIONALESS ANSWERS
|LATEST UPDATE
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 - ANSWER-C
During the first few days after birth, the uterus typically
descends downward from the level of the umbilicus at a
rate of 1 cm (1 fingerbreadth) per day so that by day 2, it is
about 2 fingerbreadths below the umbilicus.
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 - ANSWER-C
Women who have had cesarean births tend to have less
flow because the uterine debris is removed manually
along with delivery of the placenta.
A client who is breastfeeding her newborn tells the nurse, I
notice that when I feed him, I feel fairly strong contractionlike 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 - ANSWER-D
The woman is describing afterpains, which are usually
stronger during breast-feeding because oxytocin released
by the sucking reflex strengthens uterine contractions.
Afterpains are associated with uterine involution, but the
woman's description strongly correlates with the hormonal
events of breast-feeding. All women experience
afterpains, but they are more acute in multiparous women
secondary to repeated stretching of the uterine muscles.
A soft, boggy uterus that deviates from the midline
suggests a full bladder interfering with uterine involution.
True or False? - ANSWER-True
It deviates to the right
A prolapse of the uterine fundus to or through the cervix
so that the uterus is turned inside out after birth is called
uterine __________. - ANSWER-Inversion
Postpartum hemorrhage is defined as a blood loss of
greater than ________ mL after a cesarean birth. -
ANSWER-1000
>500 during a vaginal birth though
The most common cause of postpartum hemorrhage is
retained placental fragments.
True or False? - ANSWER-False - uterine atony is the
most common cause
An inflammation of the breast is termed __________. -
ANSWER-Mastitis
The nurse interprets which of the following as evidence
that a client is in the
taking-in phase?
A) Client states, He has my eyes and nose.
B) Client shows interest in caring for the newborn.
C) Client performs self-care independently.
D) Client confidently cares for the newborn - ANSWER-A
During the taking-in phase, new mothers when interacting
with their newborns spend time claiming the newborn and
touching him or her, commonly identifying specific features
in the newborn such as "he has my nose" or "his fingers
are long like his father's." Independence in self-care and
interest in caring for the newborn are typical of the taking-
hold phase. Confidence in caring for the newborn is
demonstrated during the letting-go phase