Nursing 4th Edition 2026 Exam
Questions and Answers |
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A primipara client gave birth vaginally to a healthy newborn girl 48 hours
ago. The nurse palpates the client's fundus, expecting it to be at which
location?
A) Two fingerbreadths above the umbilicus
B) At the level of the umbilicus
C) Two fingerbreadths below the umbilicus
,D) Four fingerbreadths below the umbilicus - ANSWER ✔✔C
During the first few days after birth, the uterus typically descends
downward from the level of the umbilicus at a rate of 1 cm (1
fingerbreadth) per day so that by day 2, it is about 2 fingerbreadths
below the umbilicus.
When caring for a mother who has had a cesarean birth, the nurse
would expect the client's lochia to be:
A) Greater than after a vaginal delivery
B) About the same as after a vaginal delivery
C) Less than after a vaginal delivery
D) Saturated with clots and mucus - ANSWER ✔✔C
Women who have had cesarean births tend to have less flow because
the uterine debris is removed manually along with delivery of the
placenta.
A client who is breastfeeding her newborn tells the nurse, I notice that
when I feed him, I feel fairly strong contraction-like pain. Labor is over.
Why am I having contractions now? Which response by the nurse would
be most appropriate?
A) Your uterus is still shrinking in size; that's why you're feeling this pain.
, B) Let me check your vaginal discharge just to make sure everything is
fine.
C) Your body is responding to the events of labor, just like after a tough
workout.
D) The baby's sucking releases a hormone that causes the uterus to
contract - ANSWER ✔✔D
The woman is describing afterpains, which are usually stronger during
breast-feeding because oxytocin released by the sucking reflex
strengthens uterine contractions. Afterpains are associated with uterine
involution, but the woman's description strongly correlates with the
hormonal events of breast-feeding. All women experience afterpains, but
they are more acute in multiparous women secondary to repeated
stretching of the uterine muscles.
The nurse interprets which of the following as evidence that a client is in
the
taking-in phase?
A) Client states, He has my eyes and nose.
B) Client shows interest in caring for the newborn.
C) Client performs self-care independently.
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