Chapter 09: The Family After Birth

Chapter 09: The Family After Birth

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. The nurse is assessing a newborn. What sign of hypoglycemia does the nurse record?

a.	Increased nasal mucus
b.	Increased temperature
c.	Active muscle movements
d.	High-pitched cry

 

 

ANS:  D

There are many signs of hypoglycemia in the newborn. One is a high-pitched cry.

 

DIF:    Cognitive Level: Comprehension     REF:   Page 219        OBJ:   9

TOP:   Signs of Hypoglycemia                   KEY:  Nursing Process Step: Data Collection

MSC:  NCLEX: Physiological Integrity: Reduction of Risk

 

2. What would the nurse expect to find when assessing the fundus of the uterus immediately after delivery?

a.	Well-contracted with its upper border at or just below the umbilicus
b.	Well-contracted with its upper border three or four fingerbreadths above the umbilicus
c.	Relaxed with its upper border level with the umbilicus
d.	Relaxed with its upper border two or three fingerbreadths below the umbilicus

 

 

ANS:  A

Immediately after the placenta is expelled, the uterine fundus can be felt as a firm mass, about the size of a grapefruit, at the level of the umbilicus.

 

DIF:    Cognitive Level: Comprehension     REF:   Page 200        OBJ:   2

TOP:   Fundus Assessment                         KEY:  Nursing Process Step: Data Collection

MSC:  NCLEX: Physiological Integrity: Physiological Adaptation

 

3. What statement made by a new mother indicates she needs additional information about breastfeeding?

a.	“I let the baby nurse 10 to 15 minutes on the first breast and then switch to the other breast.”
b.	“The baby needs to nurse at least 5 minutes on the breast to get the hindmilk.”
c.	“The baby has been nursing every 2 to 3 hours.”
d.	“If the baby gets fussy between feedings, I give her a bottle of water.”

 

 

ANS:  D

Supplemental feedings of formula or water should not be offered to a healthy newborn who is breastfeeding.

 

DIF:    Cognitive Level: Comprehension     REF:   Page 223-227

OBJ:   14                  TOP:   Breastfeeding—Supplemental Feedings

KEY:  Nursing Process Step: Evaluation

MSC:  NCLEX: Physiological Integrity: Physiological Adaptation

 

4. After delivery, the nurse’s assessment reveals a soft, boggy uterus located above the level of the umbilicus. What is the most appropriate nursing intervention?

a.	Notify the physician.
b.	Massage the fundus.
c.	Initiate measures that encourage voiding.
d.	Position the patient flat.

 

 

ANS:  B

A poorly contracted uterus should be massaged until firm to prevent hemorrhage.

 

DIF:    Cognitive Level: Application           REF:   Page 202        OBJ:   9

TOP:   Boggy Uterus                                  KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity: Physiological Adaptation

 

5. What type of lochia will the nurse assess initially after delivery?

a.	Serosa
b.	Rubra
c.	Alba
d.	Vaginalis

 

 

ANS:  B

The initial vaginal discharge after delivery is called lochia rubra. It is red and moderately heavy. Lochia rubra lasts for up to 3 days postpartum.

 

DIF:    Cognitive Level: Knowledge            REF:   Page 202        OBJ:   4

TOP:   Lochia Rubra                                  KEY:  Nursing Process Step: Implementation

MSC:   NCLEX: Physiological Integrity: Physiological Adaptation