Chapter 30 Contemporary Maternal Newborn Nursing 7th Edition by Patricia W. Ladewig

Chapter 30 Contemporary Maternal Newborn Nursing 7th Edition by Patricia W. Ladewig

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

Chapter 30_LO01_Q01

The nurse has received end of shift report on the postpartum unit. Which client should she see first?

1. Multip, second day post-cesarean, moderate lochia serosa
2. Primip, day of delivery, fundus firm 2 cm above umbilicus
3. Multip, first postpartum day, 4 cm diastasis recti abdominis
4. Primip, first postpartum day, hypoactive bowel sounds all quadrants

Correct Answer: 2

Rationale:

1. This client is not experiencing any unexpected findings.
2. This client is the top priority. The fundus should not be positioned above the fundus after delivery. This high location could indicate an overdistended bladder or uterine atony and excessive bleeding.
3. This finding is normal, especially in a multiparous client.
4. Bowel sounds are often decreased after delivery.

Cognitive level: Application

Category of Client Need: Health Promotion and Maintenance

Nursing Process: Planning

Learning Outcome: 30.1 Describe the basic physiologic changes that occur in the postpartal period as a woman’s body returns to its pre-pregnant state, and the related nursing care.

Chapter 30_LO01_Q02

The nurse expects an initial weight loss for the average postpartum client to be:

1. 5–8 pounds.
2. 10–12 pounds.
3. 12–15 pounds.
4. 15–20 pounds.

Answer: 1

Rationale:

1. 5–8 pounds might be the loss after a preterm birth.
2. 10–12 pounds is the usual initial weight loss. This weight is lost with the birth of the infant and the expulsion of the placenta and the amniotic fluid.
3. 12–15 pounds is close, but does not match the usual weight of placenta, amniotic fluid, and full-term infant weight.
4. 15–20 pounds might be the loss from a multiple birth.

Cognitive Level: Application

Category of Client Need: Health Promotion and Maintenance: Growth and Development Through the Life Span

Nursing Process: Assessment

Learning Outcome: 30.1 Describe the basic physiologic changes that occur in the postpartal period as a woman’s body returns to its pre-pregnant state, and the related nursing care.

Chapter 30_LO01_Q03

To assess healing of the uterus at the placental site, the nurse assesses:

1. Lab values.
2. Blood pressure.
3. Uterine size.
4. Type, amount, and consistency of lochia.

Answer: 4

Rationale:

1. Lab values is incomplete as an answer because it does not indicate which lab values are in question.
2. Blood pressure varies slightly in the normal postpartal woman, and would not affect the placenta site.
3. Uterine size alone is not enough to assess the placenta site.
4. Type, amount, and consistency of lochia determine the stage of healing of the placenta site, which occurs by a process of exfoliation.

Cognitive Level: Analysis

Category of Client Need: Health Promotion and Maintenance: Prevention and/or Early Detection of Disease

Nursing Process: Assessment

Learning Outcome: 30.1 Describe the basic physiologic changes that occur in the postpartal period as a woman’s body returns to its pre-pregnant state, and the related nursing care.

Chapter 30_LO02 _Q04

Which statement indicates that the client is in the informal stage of maternal role attainment?

1. “I fed the baby. I hope I did it right. Will you watch my next feeding?”
2. “I am so excited to become a mother next month!”
3. “It works better for me to undress the baby and nurse in the chair.”
4. “I hope that I’m as good a mother as my mother was to me.”

Correct Answer: 3

Rationale:

1. This statement indicates the formal stage of maternal role attainment. The mother is trying to act as she believes the nurse wants her to act.
2. This statement indicates the anticipatory stage of maternal role attainment.
3. This statement indicates the informal stage of maternal role attainment. The client is making her own decisions about parenting.
4. This statement indicates the anticipatory stage of maternal role attainment.

Cognitive level: Analysis

Category of Client Need: Health Promotion and Maintenance

Nursing Process: Diagnosis

Learning Outcome: 30.2 Describe the psychologic adjustments that normally occur during the postpartal period, and the related nursing care and support.