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. Postpartum breast engorgement occurs 48 to 72 hours after
giving birth.
What physiologic change influences breast
engorgement? a. An increase in blood and
lymph supply to the breasts
b. An increase in estrogen and progesterone levels
c. Colostrum production increases dramatically
d. Fluid retention in the breasts due to the intravenous fluids
given during labor -
ANSWER -A
2. In the taking-in maternal role phase described by Rubin
(1984), the nurse
would expect the woman's behavior to be characterized
as which of the
following?
a. Gaining self-
confidence
b. Adjusting to her new
relationships
,c. Being passive and
dependent
d. Resuming control over her life -
ANSWER -C
3. The nurse is explaining to a postpartum woman 48 hours
after her giving childbirth that the after-pains she is
experiencing can be the result of which of the following?
a. Abdominal cramping is a sign of endometriosis
b. A small infant weighing less than 8 lb
c. Pregnancies that were too closely spaced
d. Contractions of the uterus after birth - ANSWER -D
4. The nurse would expect a postpartum woman to demonstrate
lochia in which sequence?
a. Rubra, alba, serosa
b. Rubra, serosa, alba
c. Serosa, alba, rubra
d. Alba, rubra, serosa - ANSWER -B
5. The nurse is assessing Ms. Smith, who gave birth to her
first child 5 days ago. What findings by the nurse would be
expected? a. Cream-colored lochia; uterus above the
umbilicus
b. Bright-red lochia with clots; uterus 2 fingerbreadths below
umbilicus
c. Light pink or brown lochia; uterus 4 to 5 fingerbreadths below
umbilicus
, d. Yellow, mucousy lochia; uterus at the level of the umbilicus -
ANSWER -C
6. Prioritize the postpartum mother's needs 4 hours after giving
birth by placing a number 1, 2, 3, or 4 in the blank before each
need.
a. _________ Learn how to hold and cuddle the infant.
b. _________Watch a baby bath demonstration given by the
nurse.
c. _________ Sleep and rest without being disturbed for a few
hours.
d. _________ Interaction time (first 30 minutes) with the infant to
facilitate bonding. - ANSWER -D,C,A,B
7. Immediately after childbirth in the recovery area, the nurse
observes the mother's partner's fascination and interest in the
new son. This behavior is often termed:
a. Attachment
b. Engrossment
c. Bonding
d. Temperament - ANSWER -B
8. After the nurse provides instructions to a postpartum
woman about postpartum blues, which statement would
indicate understanding of it? I will a. "Need to take
medication daily to treat the anxiety and sadness."
b. "Call the OB support line only if I start to hear voices."
c. "Contact my doctor if I become dizzy and fell nauseated."