Nursing care of a postpartal family

Question 1

1. On the second day postpartum, the nurse asks new mother to describe her vaginal bleeding. What description does
the nurse expect the client to say?
a. Red and moderate
b. Red with clots
c. Scant and brown
d. Thin and white

Answer 1

B. Red with clots

Question 2

2. A woman delivers a 6lbs 4 oz baby boy. Which of the following statements would indicate to the nurse that the mother
   has begun to integrate her new baby into family structures?
   a. “All this baby does is cry. He is not like my other child”.
   b. “I wish he had curly hair like my husband”.
   c. “My parents wanted a granddaughter.”
   d. “When he yawns, he looks just like his brother.”

Answer 2

D. When he yawns he looks just like his brother

Question 3

3. A woman delivered the boy 12 hours ago. During postpartum assessment, the uterus is found to be boggy with heavy
   lochia flow. What should be the initial action of the nurse?
   a. Notify the physician or nurse midwife
   b. Administer prn oxytocin
   c. Encourage the woman to increase ambulation
   d. Massage the uterus until firm.

Answer 3

A. Notify the physician or nurse midwife

Question 4

4. A woman delivered this morning. Because this is her first child, which of the following goals is most appropriate?
   a. Early discharge for mother and baby
   b. Rapid adaptation to the role of parent
   c. Effective education of both parent
   d. Minimal need for expression of negative feelings

Answer 4

c. Effective education of both parent

Question 5

5. The Client has delivered a live baby boy 4 hours ago. Which of the following findings should be given highest priority?
   a. Bright red vaginal discharges
   b. Fundus at the level of the umbilicus, palpated towards the right side of the abdomen.
   c. Urine output of 250ml since after delivery
   d. Body temperature of 37.6”C

Answer 5

d. Body temperature of 37.6”C

Question 6

6. The postpartum client who delivered her newborn 4 days ago has been observed by the nurse to have started
   assuming task of mothering. She has started doing task for herself, not asking assistance. In which postpartum stage
   of regeneration is the client?
   a. Taking- in phase
   b. Taking- hold phase
   c. Letting- go phase
   d. Recovery phase

Answer 6

b. Taking- hold phase

Question 7

7. After teaching a pregnant woman who is in labor about the purpose of the episiotomy, which of the following purposes
   stated by the client would indicate to the nurse that the teaching was effective?
   a. Shortens the second stage of labor
   b. Enlarges the pelvic inlet
   c. Prevents perineal edema
   d. Ensures quick placenta delivery

Answer 7

a. Shortens the second stage of labor

Question 8

8. A new mother is going to breastfeed her baby. What is the best indication that the let-down reflex has been achieved
   in a nursing mother?
   a. Increased prolactin levels
   b. Milk dripping from the opposite breast
   c. Progressive weight gain in the infant
   d. Relief of breast engorgement

Answer 8

b. Milk dripping from the opposite breast

Question 9

9. To prevent cracked nipples while she is breastfeeding, what should the mother be taught?
   a. Apply a soothing cream prior to feeding
   b. Nurse at least 20 minutes on each breast each feeding
   c. Use plastic bra liners
   d. Wash nipples with water only

Answer 9

a. Apply a soothing cream prior to feeding

Question 10

10. A breastfeeding mother is visited by home health nurse 2 weeks after delivery. The woman is febrile with flulike
    symptoms; on assessment the nurse notes a warm, reddened, painful area of the right breast. What is the best initial
    action of the nurse?
    a. Contact the physician for an order of antibiotics.
    b. Advise the mother to stop breastfeeding and pumping
    c. Assess the mother’s feeding technique and knowledge of breast care
    d. Obtain a sample of breast milk for culture

Answer 10

c. Assess the mother’s feeding technique and knowledge of breast care