Chapter 27: Care of the Mother and Newborn

Chapter 27: Care of the Mother and Newborn

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. When assessing a mother 12 hours following the delivery of a baby, where should the nurse expect to palpate the fundus?

a.	2 cm below the umbilicus
b.	At the umbilicus
c.	1 cm below the umbilicus
d.	Halfway between the umbilicus and the symphysis pubis

 

 

ANS:  B

Within 12 hours, the fundus rises to the level of the umbilicus. The fundus should be firm. Immediately following delivery, the fundus will be felt halfway between the umbilicus and the symphysis.

 

DIF:    Cognitive Level: Application           REF:   Page 842        OBJ:   1

TOP:   Postpartum     KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Physiological Integrity

 

2. What is the name of the vaginal discharge that occurs immediately following delivery?

a.	Lochia serosa
b.	Lochia rubra
c.	Lochia palatine
d.	Lochia alba

 

 

ANS:  B

The vaginal discharge that occurs immediately following discharge is known as lochia rubra and is made up mostly of  blood. As the placenta heals, the draining turns pink to dark brown in color and is known as lochia serosa. After about 7 days, the discharge turns slight yellow to white and is called lochia alba.

 

DIF:    Cognitive Level: Comprehension     REF:   Page 842        OBJ:   1

TOP:   Lochia            KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Physiological Integrity

 

3. What is the first secretion produced by the breast?

a.	Prolactin
b.	Colostrum
c.	False milk
d.	Whey

 

 

ANS:  B

The first secretion to be produced by the breast is colostrum.

 

DIF:    Cognitive Level: Knowledge            REF:   Page 844        OBJ:   2

TOP:   Lactation        KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity

 

4. What should be included in a teaching plan regarding breast engorgement?

a.	It typically occurs on the first postpartum day
b.	It is usually first observed in the axillary region
c.	It occurs only in women who are not breastfeeding
d.	It occurs near the nipple on the third postpartum day

 

 

ANS:  B

Filling of the breast with milk (engorgement) usually begins in the axillary region on the third postpartum day when the milk comes in. It occurs regardless of whether the mother is breastfeeding or bottle-feeding.

 

DIF:    Cognitive Level: Application           REF:   Page 857        OBJ:   2

TOP:   Engorgement                                  KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity

 

5. When is breast engorgement most likely to occur?

a.	When the infant’s mouth surrounds the areola when feeding
b.	When the breast tissue becomes congested
c.	When the breast is emptied completely at each feeding
d.	When the infant’s mouth grasps the nipple firmly

 

 

ANS:  B

Engorgement is the result of venous and lymphatic stasis (congestion). Emptying the breast at each feeding, the infant grasping the nipple firmly, and the infant’s mouth surrounding the areola when feeding are all measures that will aid in decreasing engorgement.

 

DIF:    Cognitive Level: Application           REF:   Page 857        OBJ:   2

TOP:   Engorgement                                  KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity