Chapter 27: Care of the Mother and Newborn

Foundations Of Nursing 6th Edition by Barbara Lauritsen Christensen

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Chapter 27: Care of the Mother and Newborn

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

  1. Twelve hours following the delivery of a baby, the mother is assessed by the nurse. As the nurse palpates the level of the fundus of the uterus, it should be:
a. firm and 2 cm below the umbilicus.
b. firm and at the umbilicus.
c. slightly boggy and 1 cm below the umbilicus.
d. halfway between the umbilicus and the symphysis pubis.

 

ANS:   B

Within 12 hours, the fundus contracts to the level of the umbilicus.

 

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

TOP:    Postpartum      KEY:   Nursing Process Step: Assessment

MSC:   NCLEX: Physiological Integrity

 

  1. The vaginal discharge following delivery is called lochia. It changes color over time and has different names. The initial discharge is charted by the nurse as lochia:
a. serosa.
b. rubra.
c. palatine.
d. alba.

 

ANS:   B

Initially, the drainage is called lochia rubra.

 

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

TOP:    Lochia             KEY:   Nursing Process Step: Assessment

MSC:   NCLEX: Physiological Integrity

 

  1. The nurse explains that following delivery, the return of the menstrual cycle, which is anovulatory, depends on the return of estrogen to normal levels, which may take from:
a. 3 weeks to 3 months.
b. 4 weeks to 4 months.
c. 6 weeks to 6 months.
d. 8 weeks to 8 months.

 

ANS:   C

The first cycle may be from 6 weeks to 6 months postpartum.

DIF:    Cognitive Level: Comprehension      REF:    Page 848, Box 27-6

OBJ:    2                      TOP:    Postpartum     KEY:   Nursing Process Step: Assessment

MSC:   NCLEX: Physiological Integrity

 

  1. The new mother is breastfeeding her baby and asks about the milk from her breasts. The nurse explains that the first secretion produced by the breast is called:
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: Application             REF:    Page 844         OBJ:    2

TOP:    Lactation         KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Physiological Integrity

 

  1. The nurse tells the new mother that the prepregnancy weight is usually achieved without dieting within:
a. 2 to 3 weeks.
b. 4 to 5 weeks.
c. 6 to 8 weeks.
d. 3 months.

 

ANS:   C

The prepregnancy weight is usually achieved within 6 to 8 weeks without dieting.

 

DIF:    Cognitive Level: Application             REF:    Page 851         OBJ:    3

TOP:    Postpartum      KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Physiological Integrity

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