NUR 230 Maternal Exam 2 | Galen College of Nursing
the nurse is teaching a bottle-feeding mother how to manage engorgement when she gets home. which
of the following statements indicates a lack of understanding by the mother on this topic -
answerrunning warm water over my breasts or expressing milk will help if my breasts get overly full
reliable indicators of impending shock from early postpartum hemorrhage include all of the following
EXCEPT - answerblood pressure
if a postpartum woman complains of extreme perineal pain, especially after having received pain
medication, the FIRST action by the nurse should be - answerassess the perineum
upon examining a patient on day 2 after spontaneous vaginal delivery, a nurse finds the perineal pad to
be completely saturated with bright red blood over the last 15 minutes. the priority in this scenario is -
answermassage the fundus
blood loss of delivery is replenished by all of the following EXCEPT - answerreduction of intravascular
fluid through dehydration in labor
which of the following information regarding postpartum women's bladder and bowel patterns is FALSE
- answerrectal suppositories and enemas may be safely used by all clients in the postpartum period
which of the following types of birth control are contraindicated after hospital discharge for the
breastfeeding mother in the early postpartum period - answeroral contraceptives, mirena IUD
the nurse recognizes all of the following PP changes are normal EXCEPT - answerWBC of 40,000/mm^3
the nurse is teaching a postpartum mother about skin changes in the postpartum period. the nurse
recognizes the mother needs additional teaching when the mother states - answeri will have some hair
loss for the first 12 months postpartum
, which postpartum clients require Rhogam - answermother who is A- infant is A+, mother who is AB-
infant is unknown and father is B-, mother who is B- status post miscarriage at 8 weeks
a nurse receives report on four mother and baby couplets. which client should the nurse assess first -
answera mother who calls out stating that an employee without the MBU ID badge is going to take her
newborn for an X ray
with the completion of the THIRD stage of labor and beginning of the FOURTH stage, there are many
necessary nursing interventions. SATA - answermassage the fundus, assist the mother with
breastfeeding, administer IV oxytocin/pitocin rapidly per institution protocol
related to uterine involution, the nurse recognizes all of the following statements are true EXCEPT -
answerthe uterus should not be palpable abdominally after 2 days
a nurse is caring for a postpartum client. she notices the mother saying to the father, "she has your
beautiful eyes" this is a specific example of which of the following - answerclaiming
a couple is concerned that their four year old infant will have problems once their new baby delivers in 6
weeks. what is the best recommendation for this couple - answerencourage the parents to take their 4
year old to sibling classes
a nursery nurse is caring for a newborn infant. she has just bathed a baby boy who is laying quietly
under the warmer. the nurse uses an animated, high pitched voice and softly says, "what a big boy you
are! you are so handsome! and so strong! arent you just a cutie pie!" as she says this, the baby's eyes
widen, his head turns towards her voice, and his arms and legs begin actively moving. this is an example
of - answerentrainment
a client is 6 hours postpartum. in an ideal world, what should nursing care focus on at this time - using
reva rubin's theory as a guide - answerproviding pain medication, encouraging rest, and keeping the
mother clean, dry, and comfortable
which of the following is not a maternal or fetal indication for antepartal testing - answerincreased fetal
activity
the nurse is teaching a bottle-feeding mother how to manage engorgement when she gets home. which
of the following statements indicates a lack of understanding by the mother on this topic -
answerrunning warm water over my breasts or expressing milk will help if my breasts get overly full
reliable indicators of impending shock from early postpartum hemorrhage include all of the following
EXCEPT - answerblood pressure
if a postpartum woman complains of extreme perineal pain, especially after having received pain
medication, the FIRST action by the nurse should be - answerassess the perineum
upon examining a patient on day 2 after spontaneous vaginal delivery, a nurse finds the perineal pad to
be completely saturated with bright red blood over the last 15 minutes. the priority in this scenario is -
answermassage the fundus
blood loss of delivery is replenished by all of the following EXCEPT - answerreduction of intravascular
fluid through dehydration in labor
which of the following information regarding postpartum women's bladder and bowel patterns is FALSE
- answerrectal suppositories and enemas may be safely used by all clients in the postpartum period
which of the following types of birth control are contraindicated after hospital discharge for the
breastfeeding mother in the early postpartum period - answeroral contraceptives, mirena IUD
the nurse recognizes all of the following PP changes are normal EXCEPT - answerWBC of 40,000/mm^3
the nurse is teaching a postpartum mother about skin changes in the postpartum period. the nurse
recognizes the mother needs additional teaching when the mother states - answeri will have some hair
loss for the first 12 months postpartum
, which postpartum clients require Rhogam - answermother who is A- infant is A+, mother who is AB-
infant is unknown and father is B-, mother who is B- status post miscarriage at 8 weeks
a nurse receives report on four mother and baby couplets. which client should the nurse assess first -
answera mother who calls out stating that an employee without the MBU ID badge is going to take her
newborn for an X ray
with the completion of the THIRD stage of labor and beginning of the FOURTH stage, there are many
necessary nursing interventions. SATA - answermassage the fundus, assist the mother with
breastfeeding, administer IV oxytocin/pitocin rapidly per institution protocol
related to uterine involution, the nurse recognizes all of the following statements are true EXCEPT -
answerthe uterus should not be palpable abdominally after 2 days
a nurse is caring for a postpartum client. she notices the mother saying to the father, "she has your
beautiful eyes" this is a specific example of which of the following - answerclaiming
a couple is concerned that their four year old infant will have problems once their new baby delivers in 6
weeks. what is the best recommendation for this couple - answerencourage the parents to take their 4
year old to sibling classes
a nursery nurse is caring for a newborn infant. she has just bathed a baby boy who is laying quietly
under the warmer. the nurse uses an animated, high pitched voice and softly says, "what a big boy you
are! you are so handsome! and so strong! arent you just a cutie pie!" as she says this, the baby's eyes
widen, his head turns towards her voice, and his arms and legs begin actively moving. this is an example
of - answerentrainment
a client is 6 hours postpartum. in an ideal world, what should nursing care focus on at this time - using
reva rubin's theory as a guide - answerproviding pain medication, encouraging rest, and keeping the
mother clean, dry, and comfortable
which of the following is not a maternal or fetal indication for antepartal testing - answerincreased fetal
activity
