Foundations of Nursing 7th Edition By Kim Cooper- Kelly Gosnell
Foundations of Nursing 7th Edition By Kim Cooper- Kelly Gosnell
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Chapter 27: Care of the Mother and Newborn
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| 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:Â 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:Â NCLEX: Physiological Integrity
| a. | Lochia serosa |
| b. | Lochia rubra |
| c. | Lochia palatine |
| d. | Lochia alba |
ANS:Â 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:Â NCLEX: Physiological Integrity
| a. | Prolactin |
| b. | Colostrum |
| c. | False milk |
| d. | Whey |
ANS:Â 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:Â NCLEX: Physiological Integrity
| 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:Â 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:Â NCLEX: Physiological Integrity
| 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:Â 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:Â NCLEX: Physiological Integrity
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