Safe Maternity Pediatric Nursing By Care Palmer Coats
Safe Maternity Pediatric Nursing By Care Palmer Coats
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Chapter 14: Assessment and Care of the Family After Birth
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. After the nurse assesses a woman’s uterus and finds it soft and boggy with no improvement after massage, which is the priority intervention?
| 1) | Notifying the provider |
| 2) | Assessing the bladder |
| 3) | Inserting a catheter |
| 4) | Having the woman breastfeed |
____ 2. The nurse caring for a patient during the first hour after delivery needs to notify the provider when which condition is assessed?
| 1) | Several small blood clots on the peripad |
| 2) | Saturation of two peripads over the hour |
| 3) | Passing a large clot the size of a fist |
| 4) | Yellow-white drainage from the nipples |
____ 3. The nurse performs a focal postpartum assessment using the BUBBLE LE mnemonic. Which assessment finding is incorrect to document as part of this examination?
| 1) | Breasts firm and tender; patient reports sore nipples |
| 2) | Fundus 2 cm below umbilicus, firm |
| 3) | Lochia pink, small amount of drainage |
| 4) | Pulse strong and regular at rate of 84 beats per minute |
____ 4. While performing a BUBBLE LE postpartum assessment, the nurse notes a raised area just above the symphysis pubis. Which is the nurse’s priority action?
| 1) | Completing the assessment and documenting the findings |
| 2) | Notifying the provider and obtaining orders |
| 3) | Assisting the patient to the bathroom |
| 4) | Massaging the uterus until it becomes firm |
Answer Section
MULTIPLE CHOICE
Chapter number and title: 14: Assessment and Care of the Family After Birth
Chapter learning objective: Discuss possible causes of uterine atony.
Chapter page reference: 199
Heading: Uterine Assessment
Integrated processes: Clinical Problem-Solving Process
Client need: Health Promotion and Maintenance
Cognitive level: Application [Applying]
Concept: Pregnancy
Difficulty: Moderate
| Feedback | |
| 1 | Administering IV fluids is not an independent nursing intervention. |
| 2 | If the uterus does not become firm with massage, the bladder should be assessed because a full bladder will displace the uterus and make involution difficult. |
| 3 | A catheter should be considered only if the bladder is full and the patient is unable to urinate, which is not indicated in this scenario. |
| 4 | Although breastfeeding promotes involution, that is not the priority intervention. |
PTS: 1 CON: Pregnancy
Chapter number and title: 14: Assessment and Care of the Family After Birth
Chapter learning objective: Outline postpartum care in the first hour after delivery.
Chapter page reference: 200
Heading: Lochia Assessment
Integrated processes: Clinical Problem-Solving Process
Client need: Health Promotion and Maintenance
Cognitive level: Application [Applying]
Concept: Pregnancy
Difficulty: Moderate
| Feedback | |
| 1 | It is not uncommon for a woman to pass small clots during the first hour after delivery, and this does not need to be reported to the provider. |
| 2 | During the first hour after delivery, it is acceptable to saturate two peripads in 1 hour; after the first hour, however, the woman should saturate no more than one pad per hour. |
| 3 | Passing a large clot can be an indication of hemorrhage and should be reported to the provider. |
| 4 | Yellow-white drainage from the nipples is colostrum and is expected. |
PTS: 1 CON: Pregnancy
Chapter number and title: 14: Assessment and Care of the Family After Birth
Chapter learning objective: Demonstrate a focal postpartum assessment using the BUBBLE LE mnemonic.
Chapter page reference: 222-223
Heading: Postpartum Assessment and Nursing Intervention
Integrated processes: Clinical Problem-Solving Process
Client need: Health Promotion and Maintenance
Cognitive level: Application [Applying]
Concept: Pregnancy
Difficulty: Moderate
| Feedback | |
| 1 | Breast assessment is a component of BUBBLE LE, so this documentation is appropriate. |
| 2 | Assessment of the uterus is part of BUBBLE LE, so this is an appropriate assessment to document. |
| 3 | Lochia is assessed in the BUBBLE LE mnemonic, so this is appropriate documentation. |
| 4 | Pulse rate is not a part of the BUBBLE LE mnemonic and should not be included in this assessment. |
PTS: 1 CON: Pregnancy
Chapter number and title: 14: Assessment and Care of the Family After Birth
Chapter learning objective: Demonstrate a focal postpartum assessment using the BUBBLE LE mnemonic.
Chapter page reference: 201
Heading: Bladder
Integrated processes: Clinical Problem-Solving Process
Client need: Health Promotion and Maintenance
Cognitive level: Application [Applying]
Concept: Pregnancy
Difficulty: Moderate
| Feedback | |
| 1 | The raised area indicates the need for the nurse to intervene before completing the assessment. |
| 2 | There is no reason to notify the provider for orders at this time. |
| 3 | The patient should be assisted to the bathroom because the raised area indicates a full bladder, which will interfere with uterine involution; thus, the patient should be encouraged to void. |
| 4 | Massaging the uterus will not have the desired effect until the proper nursing intervention is performed. |
PTS: 1 CON: Pregnancy
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