Mama, baby Postnatal Care

Question 1

What is the advantage of breastfeeding for the infant?

Answer 1

Breast milk contains antibodies and thus decreases the possibility of gastrointestinal illnesses

Question 2

When teaching a mother how to nurse her baby, how should you explain the baby’s rooting reflex? The rooting reflex:

Answer 2

Is the baby’s way of seeking her nipple to obtain milk when hungry

Question 3

Suzie, para 1, gravid 1, had a vaginal delivery of a full term baby yesterday. Because of the soreness of her perineum, Suzie states that she is afraid to have a bowel movement. The nurse should encourage Cindy to:

Answer 3

Ambulate frequently, eat fresh fruits and vegetables, and drink 6 – 8 glasses water per day

Question 4

The risk for constipation in the postpartum period is related to all except:

Answer 4

Decreasing levels of oestrogen

Question 5

Primary sites for postpartum infections would include all of the following except:
1.Endometrium
2.Respiratory tract
3.Urinary tract
4.Breasts

Answer 5

Respiratory tract

Question 6

A primiparous woman, one day postpartum, calls the nurse into her room the woman explains that while breastfeeding, she experienced uterine cramps and a heavy gush that soaked through her pad to the bed. The nurse should:

Answer 6

Palpate the woman’s fundus

Question 7

You assess a postpartum woman’s perineum and notice that her lochial discharge is moderate in amount and red in colour. You would record this as what type of lochia?

Answer 7

Lochia rubra

Question 8

You help a postpartum woman out of bed for the first time postpartally and notice that she has a very heavy lochia flow. Which of the following assessment findings would best help you decide that the flow is within normal limits?
1.The flow is over 500 ml
2.The colour of the flow is red
3.The flow contains large clots
4.Her uterus is soft to your touch

Answer 8

2.The colour of the flow is red

Question 9

A newborn is noticeably jaundiced on the third day of life. Which of the following would you explain to his mother?

Answer 9

This is from a normal breakdown of red blood cells

Question 10

A postpartal woman has difficulty voiding following delivery. You would explain that the reason for this is:

Answer 10

perineal oedema makes voiding difficult

Question 11

A newborns birth weight is 3400krms. The maximum expected weight loss for this newborn would be:

Answer 11

340 grms

Question 12

The pituitary hormone that stimulates the secretion of milk from the mammary glands is:

Answer 12

Prolactin

Question 13

A new parent tells you that she is afraid to touch her baby’s head because of the soft spot. what is the best best response?

Answer 13

“I understand your concern. Let me explain the significance of the soft spot.”

Question 14

During the post partum period many women experience mood swings which are referred to as:

Answer 14

Post partum blues

Question 15

When teaching a mother to care for her newborn’s umbilical cord, your instructions would be to

Answer 15

keep it dry

Question 16

When the nurse asked her client and partner what type of birth control they were planning to use, they stated that since she is breast feeding, they don‟t need to have to worry about birth control. The nurse should tell them that:

Answer 16

Ovulation can occur when a woman is breast feeding

Question 17

A new mother is concerned because her 2 day-old daughter has a slightly blood-tinged vaginal discharge. How should you respond to this mother’s concern?

Answer 17

“Effects of your pregnancy hormones cause this response.”

Question 18

While making a home visit to a postpartum client on day 12, the nurse would anticipate that the client’s lochia would be which of the following colours?

Answer 18

White

Question 19

A new mother, a primigravida, asks you how soon she can breastfeed after delivery. Your best answer would be (barring unforeseen circumstances):

Answer 19

immediately after birth

Question 20

Within three minutes after birth the normal heart rate of the infant may range from:

Answer 20

120 and 160

Question 21

A parent is concerned because her baby has tiny white spots on his nose and chin. You would explain that these are most likely:

Answer 21

immature sebaceous glands

Question 22

A primiparous client who is beginning to breast-feed her neonate asks the nurse, “Is it important for my baby to get colostrum?” When instructing the client, the nurse would explain that colostrum provides the neonate with which of the following?

Answer 22

gives baby passive immunity throught maternal antibodies in the breast milk.

Question 23

A newborn infant has loose, yellow stools. Although the infant is healthy, his mother is concerned that this means he is allergic to breast milk. You would explain to her that:

Answer 23

the stools of breast-fed infants are normally loose

Question 24

The most serious potential problem if a woman’s bladder is distended in the early postpartum period is:

Answer 24

Haemorrhage

Question 25

When doing a health assessment, which fundal finding would you expect to find present in a woman on the second postpartal day?

Answer 25

Fundus two fingerwidths below umbilicus and firm

Question 26

On the first day postpartum, a new mother is concerned that her milk has not yet “come in”. You would explain to her that:

Answer 26

breast milk normally comes in on the third or fourth postpartum day

Question 27

During a home visit on the fourth postpartum day, a primiparous client tells the nurse that she is aware of a “let-down sensation” in her breasts and asks what causes it. The nurse explains that the let-down sensation is stimulated by which of the following?

Answer 27

Oxytocin

Question 28

While the nurse is assessing the fundus of a multiparous client who delivered 24 hours ago, the client asks, “What can I do to get rid of these stretch marks?” Which of the following responses would be most appropriate?

Answer 28

“They usually fade to a silvery-white colour over a period of time.

Question 29

The lochia of the postpartum woman second day after birth should exhibit each of the following except:

Answer 29

Deep red and thick blood

Question 30

The nurse encourages a new mother to breastfeed her infant, even for a short time, because colostrum will provide the infant with:

Answer 30

passive immunity to diseases to which the mother has immunity