NURS 1102 Passpoint-postpartum | Download To Score An A.

Passpoint-postpartum. Question 1 See full question A client gives birth to a stillborn neonate at 36 weeks' gestation. When caring for this client, which strategy by the nurse would be most helpfu l? You Selected: • Provide information about possible causes of the stillbirth only if the client requests it. Correct response: • Encourage the client to see, touch, and hold the dead neonate. Explanation: Remediation: Question 2 See full question During the postpartum period, a nurse should assess for signs of normal involution. Which statement would indicate that a client is progressing normally? You Selected: • Perineal pad usage remains at 10 to 15 per day. Correct response: • The uterus is descending at the rate of one fingerbreadth per day. Explanation: Remediation: Question 3 See full question Which response would be most appropriate for the nurse when comforting a primiparous client whose critically ill neonate delivered at 25 weeks dies while the mother is present? You Selected: • "You can stay with your baby as long as you want and say anything you want." Correct response: • "You can stay with your baby as long as you want and say anything you want." Explanation: Remediation: Question 4 See full question While the nurse is caring for a primiparous client on the first postpartum day, the client asks, “How is that woman doing who lost her baby from prematurity? We were in labor together.” Which response by the nurse would be most appropriate? You Selected: • Tell the client “I’m not sure how the other woman is doing today.” Correct response: • Explain to the client that “Nurses are not allowed to discuss other clients on the unit.” Explanation: Remediation: Question 1 See full question A client gave birth to a healthy full-term girl 2 hours ago by cesarean birth. When assessing this client, which finding requires immediate nursing action? You Selected: • Tachycardia and hypotension Correct response: • Tachycardia and hypotension Explanation: Remediation: Question 2 See full question Lochia normally progresses in which pattern? You Selected: • Rubra, serosa, alba Correct response: • Rubra, serosa, alba Explanation: Remediation: Question 3 See full question A client who had a cesarean birth 1 day ago asks for pain medication when the nurse enters the room to perform her shift assessment. The client states that her pain level is an 8 on a 0-to-10-point scale. The priority of care should be for the nurse to: You Selected: • administer any ordered pain medication. Correct response: • administer any ordered pain medication. Explanation: Remediation: Question 4 See full question While the nurse is caring for a primiparous client on the first postpartum day, the client asks, “How is that woman doing who lost her baby from prematurity? We were in labor together.” Which response by the nurse would be most appropriate? You Selected: • Explain to the client that “Nurses are not allowed to discuss other clients on the unit.” Correct response: • Explain to the client that “Nurses are not allowed to discuss other clients on the unit.” Explanation: Remediation: Question 5 See full question While changing the neonate’s diaper, the client asks the nurse about some red-tinged drainage from the neonate’s vagina. Which response would be most appropriate? You Selected: • “Sometimes baby girls have this from hormones received from the mother.” Correct response: • “Sometimes baby girls have this from hormones received from the mother.” Explanation: Remediation: Question 5 See full question While making a home visit to a multigravida 2 weeks after the birth of viable twins at 38 weeks’ gestation, the nurse observes that the client looks pale, has dark circles around her eyes, and is breastfeeding one of the twins. The client’s apartment is clean, and nothing appears out of place. The client tells the nurse that she completed three loads of laundry this morning. A priority need for this client is: You Selected: • possible anemia related to large volume of blood loss and twin birth. Correct response: • fatigue related to home maintenance and caring for twins. Explanation: /.modal - - - - - - - - - - - - - - - - - - - - - - - - Footer - - - - - - - - - - - - - - - - - - - - - - - - - Question 1 See full question A client is at the end of her first postpartum day. The nurse is assessing the client's uterus. Which finding requires further evaluation? You Selected: • Fundus two fingerbreadths above the umbilicus Correct response: • Fundus two fingerbreadths above the umbilicus Explanation: Remediation: Question 2 See full question A nurse is assessing the parent-neonate attachment of postpartum clients. Which finding most indicates a need for further evaluation? You Selected: • Limited parent-neonate contact immediately after birth Correct response: • Limited parent-neonate contact immediately after birth Explanation: Remediation: Question 3 See full question A nurse encourages a postpartum client to discuss the childbirth experience. Which client outcome is most appropriate for this client? You Selected: • "The client demonstrates an understanding of the neonate's physical needs related to labor and birth." Correct response: • "The client demonstrates the ability to integrate the childbirth experience and progress to the task of maternal role attainment." Explanation: Remediation: Question 4 See full question Lochia normally progresses in which pattern? You Selected: • Rubra, serosa, alba Correct response: • Rubra, serosa, alba Explanation: Remediation: Question 5 See full question When caring for a multiparous client who is human immunodeficiency virus (HIV)–positive and asking to breastfeed her neonate as soon as possible, which information about breast milk should the nurse include in the teaching plan? You Selected: • It has been found to contain the retrovirus HIV. Correct response: • It has been found to contain the retrovirus HIV. Explanation: Remediation: A client who gave birth 24 hours ago continues to experience urine retention after several catheterizations. The physician orders bethanechol, 10 mg by mouth three times per day. The client asks, "How does bethanechol act on the bladder?" How should the nurse respond? You Selected: • "It stimulates the smooth muscle of the bladder." Correct response: • "It stimulates the smooth muscle of the bladder." Explanation: Remediation: Question 2 See full question A nurse is assessing a client on the second postpartum day. Upon palpation, the nurse discovers that the fundus is deviated to the right. To further investigate this finding, what should the nurse ask the client? You Selected: • "Are you having afterpains?" Correct response: • "Have you voided recently?" Explanation: Remediation: Question 3 See full question When caring for a client who has recently given birth, the nurse assesses the client for urinary retention with overflow. Which sign or symptom provides the most accurate picture of retention with overflow? You Selected: • A varying urge to urinate with an average output of 100 ml Correct response: • A varying urge to urinate with an average output of 100 ml Explanation: Remediation: Question 4 See full question When caring for a multiparous client who is human immunodeficiency virus (HIV)–positive and asking to breastfeed her neonate as soon as possible, which information about breast milk should the nurse include in the teaching plan? You Selected: • It has been found to contain the retrovirus HIV. Correct response: • It has been found to contain the retrovirus HIV. Explanation: Remediation: Question 5 See full question A nurse meets his/her neighbor and new baby at the local market. The neighbor states that she received outstanding nursing care from one of the nurse's colleagues during her labor and childbirth. What is the best way for the nurse to recognize her nursing colleague’s professional efforts? You Selected: • Post accolades to the nurse at the nurses’ station. Correct response: • Share the feedback with the nursing colleague directly. Explanation: /.modal - - - - - - - - - - - - - - - - - - - - - - - - Footer - - - - - - - - - - - - - - - - - - - - - - - - - Question 6 See full question An adolescent primiparous client 24 hours postpartum asks the nurse how often she can hold her baby without “spoiling” him. Which response would be most appropriate? You Selected: • “Hold him as much as you want to hold him.” Correct response: • “Hold him as much as you want to hold him.” Explanation: Remediation: Question 7 See full question While assisting a primiparous client with her first breastfeeding session, which action should the nurse instruct the mother to do to stimulate the neonate to open the mouth and grasp the nipple? You Selected: • Brush the neonate’s lips lightly with the nipple. Correct response: • Brush the neonate’s lips lightly with the nipple. Explanation: Remediation: Question 8 See full question After giving birth to a viable neonate 12 hours ago, the client’s fundus is firm at midline, and her breasts are soft. She has scant lochia and she is voiding sufficiently. The client reports pain in her lower back. What should the nurse do next? You Selected: • Administer a prescribed mild analgesic. Correct response: • Administer a prescribed mild analgesic. Explanation: Remediation: Question 9 See full question A client and her partner just experienced spontaneous bleeding at 11 weeks gestation, which resulted in the loss of the fetus. The couple wonders if the bleeding could have been caused from the client working long hours in a stressful work environment. What is the most appropriate response from the nurse? You Selected: • “I can understand your need to find an answer to what caused this. Let’s talk about this further.” Correct response: • “I can understand your need to find an answer to what caused this. Let’s talk about this further.” Explanation: Remediation: Question 10 See full question The nurse is educating an expectant mother about breastfeeding. What statement made by the mother would prevent the mother from breastfeeding the newborn? You Selected: • “I have been HIV positive for 4 years.” Correct response: • “I have been HIV positive for 4 years.” Question 1 See full question A nurse is teaching a client about hormonal contraceptive therapy. If a client misses three or more pills in a row, the nurse should instruct the client to: You Selected: • take all the missed doses as soon as she discovers the oversight. Correct response: • discard the pack, use an alternative contraceptive method until her period begins, and start a new pack on the regular schedule. Explanation: Remediation: Question 2 See full question During a home visit on the fifth postpartum day, the client begins to cry and says that she is worried about her ability to care for her baby adequately. She tells the nurse, “I wish I could just get organized—I need 8 hours of sleep!” The nurse determines that she is experiencing which condition? You Selected: • Postpartum blues phase of childbearing; she needs psychological counseling. Correct response: • Taking-hold phase of childbearing; she is feeling inadequate about neonatal care. Explanation: Remediation: Question 3 See full question A 24-year-old primipara decides to breastfeed her baby but says, “I am worried that I will not be able to breastfeed my baby because my breasts are so small.” What would the nurse include in the explanation to the client? You Selected: • The woman's motivation to breast-feed is more important than breast size. Correct response: • Breast size poses no influence on a woman's ability to breastfeed a baby. Explanation: Remediation: Question 4 See full question On the first postpartum day after a cesarean birth, the client is prescribed a full liquid diet as tolerated. Before providing a full liquid breakfast, the nurse should assess which factor? You Selected: • desire to eat Correct response: • bowel sounds Explanation: Remediation: Question 5 See full question While assisting a multiparous client to the bathroom for the first time 1 hour after a vaginal birth of a viable neonate, the nurse notes that the client’s urine has two small blood clots in the measuring container. What should the nurse do next? You Selected: • Document this observation as a normal finding. Correct response: • Document this observation as a normal finding. Explanation: Remediation: Question 6 See full question Twenty-four hours after giving birth to a term neonate, a primipara receives acetaminophen with codeine for perineal pain. One hour after administering the medication, which finding should alert the nurse to the development of a possible side effect? You Selected: • dizziness Correct response: • dizziness Explanation: Question 7 See full question Which client statement indicates effective teaching about burping a breastfed neonate? You Selected: • “Breastfed babies who are burped frequently will take more on each breast.” Correct response: • “When I switch to the other breast, I’ll burp the baby.” Explanation: Remediation: Question 8 See full question A nurse is assisting a grieving client and his/her spouse to deal with their loss of their 24-week-old infant. Which of the following actions would be most appropriate from the nurse? Select all that apply. You Selected: • Provide an early opportunity for the couple to see their child if they desire. • Answer the parents’ questions accurately. • Offer to stay with the grieving parents. Correct response: • Provide an early opportunity for the couple to see their child if they desire. • Offer to stay with the grieving parents. • Answer the parents’ questions accurately. Explanation: Remediation: Question 9 See full question A postpartum client tells the nurse that she and her husband had an argument about continuing breastfeeding before he left for work in the morning. He was up all night, not able to sleep with the baby crying, and he wants the client to give the baby formula. What is the most appropriate immediate response from the nurse? You Selected: • “What are your feelings about breastfeeding?” Correct response: • “What are your feelings about breastfeeding?” Explanation: Remediation: Question 1 See full question A client with cardiac disease gives birth. Afterward, the nurse assesses the client for signs and symptoms of cardiac decompensation. During the postpartum period, which assessment finding indicates a need for further investigation? You Selected: • Diuresis Correct response: • Tachycardia Explanation: Remediation: Question 2 See full question Rho (D) immune globulin (RhoGAM) is prescribed for a client before she is discharged after a spontaneous abortion. The nurse instructs the client that this drug is used to prevent which condition? You Selected: • development of Rh-positive antibodies Correct response: • development of Rh-positive antibodies Explanation: Remediation: Question 3 See full question Three hours postpartum, a primiparous client’s fundus is firm and midline. On perineal inspection, the nurse observes a small, constant trickle of blood. Which condition should the nurse assess further? You Selected: • perineal lacerations Correct response: • perineal lacerations Explanation: Remediation: Question 4 See full question The nurse is evaluating the client who gave birth vaginally 2 hours ago and is experiencing postpartum pain rated 8 on scale of 1 to 10. The client is a multigravida breastfeeding mother who would like medication to decrease the pain in her uterus. Which of the medications listed on the prescriptions sheet would be the most appropriate for this client? You Selected: • ibuprofen 800 mg PO every 6 to 8 hour PRN Correct response: • acetaminophen and hydrocodone 10 mg 1 tab PO every 4 to 6 hour PRN Explanation: Remediation: Question 5 See full question A nurse is assisting a grieving client and his/her spouse to deal with their loss of their 24-week-old infant. Which of the following actions would be most appropriate from the nurse? Select all that apply. You Selected: • Answer the parents’ questions accurately. • Offer to stay with the grieving parents. • Provide an early opportunity for the couple to see their child if they desire. Correct response: • Provide an early opportunity for the couple to see their child if they desire. • Offer to stay with the grieving parents. • Answer the parents’ questions accurately. Explanation: question 1 See full question As she tries to decide on a birth control method, a client requests information about medroxyprogesterone. Which statement represents the nurse's best response? You Selected: • Medroxyprogesterone needs to be administered every 12 weeks. Correct response: • Medroxyprogesterone needs to be administered every 12 weeks. Explanation: Remediation: Question 2 See full question A client whose blood type is A− gives birth to a neonate whose blood type is A+. The client is scheduled to have Rho(D) immune globulin administered. Before administering the medication, which action by the nurse is most important? You Selected: • Ensuring that the client understands the procedure and signs a consent for the vaccination Correct response: • Ensuring that the client understands the procedure and signs a consent for the vaccination Explanation: Remediation: Question 3 See full question While assessing the fundus of a multiparous client on the first postpartum day, the nurse performs handwashing and dons clean gloves. What should the nurse do next? You Selected: • Place the nondominant hand above the symphysis pubis and the dominant hand at the umbilicus. Correct response: • Place the nondominant hand above the symphysis pubis and the dominant hand at the umbilicus. Explanation: Remediation: Question 4 See full question During the immediate postpartum period after giving birth to twins, the client experiences uterine atony. What should the nurse do first? You Selected: • Gently massage the fundus. Correct response: • Gently massage the fundus. Explanation: Remediation: Question 5 See full question A postpartum client tells the nurse that she and her husband had an argument about continuing breastfeeding before he left for work in the morning. He was up all night, not able to sleep with the baby crying, and he wants the client to give the baby formula. What is the most appropriate immediate response from the nurse? You Selected: • “What are your feelings about breastfeeding?” Correct response: • “What are your feelings about breastfeeding?” Explanation: Remediatio Question 1 See full question Which statement summarizes the underlying principle for the development of a parent-child relationship? You Selected: • The relationship is part of the adult maturational process. Correct response: • The relationship is based on the need for early and frequent parent-infant contact. Explanation: Remediation: Question 2 See full question Four hours after cesarean birth of a neonate weighing 8 lb, 13 oz (4,000 g), the primiparous client asks, “If I get pregnant again, will I need to have a cesarean?” When responding to the client, the nurse should base the response to the client about vaginal birth after cesarean (VBAC) on which standard of practice? You Selected: • VBAC may be possible if the client has not had a classic uterine incision. Correct response: • VBAC may be possible if the client has not had a classic uterine incision. Explanation: Remediation: Question 3 See full question The community health nurse has a student nurse with him/her for the day. The RN asks the parents at the home visit if the student can be present for the breastfeeding assessment. The husband declines this opportunity. What is the nurse’s most appropriate response? You Selected: • Honor the father's preference. Correct response: • Honor the father's preference. Explanation: Remediation: Question 4 See full question A client and her partner just experienced spontaneous bleeding at 11 weeks gestation, which resulted in the loss of the fetus. The couple wonders if the bleeding could have been caused from the client working long hours in a stressful work environment. What is the most appropriate response from the nurse? You Selected: • “I can understand your need to find an answer to what caused this. Let’s talk about this further.” Correct response: • “I can understand your need to find an answer to what caused this. Let’s talk about this further.” Explanation: Remediation: Question 5 See full question The nurse is caring for a woman in the fourth stage of labor who continues to hemorrhage after fundal massage. Which of the following interventions should the nurse provide to decrease the bleeding? You Selected: • Increase the rate of oxytocin Correct response: • Have the client empty her bladder Explanation: Remediation: /.modal - - - - - - - - - - - - - - - - - - - - - - - - Footer - - - - - - - - - - - - - - - - - - - - - - - - - Question 10 See full question A client is breastfeeding her newborn infant. The client’s nipples are red and bruised, and a small crack is visible on the right nipple. Which of the following interventions should the nurse do next? You Selected: • Assist the client to have the infant create a correct latch to the breast. Correct response: • Assist the client to have the infant create a correct latch to the breast. COMPLETED IN4m 20s CORRECTLY ANSWERED8 of 10 questions • Take a Practice Quiz • See your Overall Performance • See your Quiz History Performance by nursing topic What's this? Postpartum Period 3 quizzes taken 2 Your mastery 7.29 Class average View performance for all nursing topics Answer Key Question 1 See full question Normal lochial findings in the first 24 hours after birth include: You Selected: • bright red blood. Correct response: • bright red blood. Explanation: Remediation: Question 2 See full question In the maternal attachment process, which statement best describes the anticipated actions in the taking-hold phase? You Selected: • Talking about the neonate Correct response: • Kissing, embracing, and caring for the neonate Explanation: Remediation: Question 3 See full question A primiparous client, who has just given birth to a healthy term neonate after 12 hours of labor, holds and looks at her neonate and begins to cry. The nurse interprets this behavior as a sign of which response? You Selected: • a normal response to the birth Correct response: • a normal response to the birth Explanation: Remediation: Question 4 See full question After the first breastfeeding, the client asks the nurse, “How often should I try to breastfeed?” What frequency should the nurse recommend? You Selected: • every 2 to 3 hours for the first 48 hours Correct response: • every 2 to 3 hours for the first 48 hours Explanation: Remediation: Question 5 See full question The nurse is caring for a 22-year-old G2, P2 client who has disseminated intravascular coagulation after delivering a dead fetus. Which finding is the highest priority to report to the health care provider (HCP)? You Selected: • urinary output of 25 mL in the past hour Correct response: • urinary output of 25 mL in the past hour Explanation: Remediation: Question 6 See full question Prophylactic heparin therapy is prescribed to treat thrombophlebitis in a multiparous client who gave birth 24 hours ago. After instructing the client about the medication, the nurse determines that the client understands the instructions when she states which as the purpose of the drug? You Selected: • to prevent further blood clot formation Correct response: • to prevent further blood clot formation Explanation: Remediation: Question 7 See full question A primigravid client at 41 weeks' gestation is admitted to the hospital's labor and birth unit in active labor. After 25 hours of labor with membranes ruptured for 24 hours, the client gives birth to a healthy neonate vaginally with a midline episiotomy. Which problem should the nurse identify as the priority for the client? You Selected: • risk for infection Correct response: • risk for infection Explanation: Remediation: Question 1 See full question A client who has received a new prescription for oral contraceptives asks the nurse how to take them. Which symptom should the nurse instruct the client to report to her primary caregiver? You Selected: • Decreased menstrual flow Correct response: • Blurred vision and headache Explanation: Remediation: Question 2 See full question The health care provider (HCP) prescribes an intramuscular injection of vitamin K for a term neonate. The nurse explains to the mother that this medication is used to prevent which problem? You Selected: • hypoglycemia Correct response: • hemorrhage Explanation: Remediation: Question 3 See full question The community health nurse has a student nurse with him/her for the day. The RN asks the parents at the home visit if the student can be present for the breastfeeding assessment. The husband declines this opportunity. What is the nurse’s most appropriate response? You Selected: • Honor the father's preference. Correct response: • Honor the father's preference. Explanation: Remediation: Question 4 See full question A nurse assesses a client who is 16 days postpartum. The nurse finds that the client’s left nipple is cracked and bleeding slightly. Her left breast is sore to touch, and an area under the breast is firm, painful, and red. The client is also experiencing chills. What is likely causing this breastfeeding problem? You Selected: • Mastitis Correct response: • Mastitis Explanation: Remediation: Question 5 See full question The clinic nurse is assessing a postpartum client’s fundus at the umbilicus 2 weeks after giving birth. Which of the following would the nurse include in the client’s plan of care? You Selected: • Assess the client’s legs for thrombophlebitis Correct response: • Assess the client’s bleeding flow and color Explanation: Remediation: /.modal - - - - - - - - - - - - - - - - - - - - - - - - Footer - - - - - - - - - - - - - - - - - - - - - - - - - Question 8 See full question A nurse assesses a client who is 16 days postpartum. The nurse finds that the client’s left nipple is cracked and bleeding slightly. Her left breast is sore to touch, and an area under the breast is firm, painful, and red. The client is also experiencing chills. What is likely causing this breastfeeding problem? You Selected: • Mastitis Correct response: • Mastitis Explanation: Remediation: Question 9 See full question The nurse is assessing a client who is 4 hours postpartum. Based on the findings documented by the nurse, which action is most appropriate at this time? You Selected: • Ask the client to empty her bladder. Correct response: • Ask the client to empty her bladder. Explanation: Remediation: Question 1 See full question A nurse is preparing to perform a postpartum assessment on a client who gave birth 5 hours ago. Which precaution should the nurse plan to take for this procedure? You Selected: • Washing the hands and wearing latex gloves Correct response: • Washing the hands and wearing latex gloves Explanation: Remediation: Question 1 See full question A client who gave birth 24 hours ago continues to experience urine retention after several catheterizations. The physician orders bethanechol, 10 mg by mouth three times per day. The client asks, "How does bethanechol act on the bladder?" How should the nurse respond? You Selected: • "It stimulates the smooth muscle of the bladder." Correct response: • "It stimulates the smooth muscle of the bladder." Explanation: Remediation: Question 2 See full question The nurse is caring for a client on her second postpartum day. The nurse should expect the client's lochia to be: You Selected: • red and moderate. Correct response: • red and moderate. Explanation: Remediation: Question 3 See full question Which response would be most appropriate for the nurse when comforting a primiparous client whose critically ill neonate delivered at 25 weeks dies while the mother is present? You Selected: • "You can stay with your baby as long as you want and say anything you want." Correct response: • "You can stay with your baby as long as you want and say anything you want." Explanation: Remediation: Question 4 See full question Prophylactic heparin therapy is prescribed to treat thrombophlebitis in a multiparous client who gave birth 24 hours ago. After instructing the client about the medication, the nurse determines that the client understands the instructions when she states which as the purpose of the drug? You Selected: • to prevent further blood clot formation Correct response: • to prevent further blood clot formation Explanation: Remediation: Question 5 See full question Which instructions about breastfeeding should the nurse include when counseling the client? You Selected: • Wrap breasts with ace bandages. Correct response: • Use a water-based lubricant when having intercourse. Explanation: Remediation: Question 2 See full question While the nurse is caring for a primiparous client with cephalopelvic disproportion 4 hours after a cesarean birth, the client requests assistance in breastfeeding. To promote maximum maternal comfort, which position would be most appropriate for the nurse to suggest? You Selected: • scissors hold Correct response: • football hold Explanation: Remediation: Question 3 See full question On the second postpartum day after a cesarean birth, the client reports having gas pains. What should the nurse should instruct the client to do? You Selected: • Ambulate more often. Correct response: • Ambulate more often. Explanation: Remediation: Question 4 See full question A postpartum client calls the nurse and informs the nurse that the client “had a baby 1 week ago and still having a pink discharge.” Which of the following is the nurse's best response? You Selected: • “You should not be having any discharge after the third day.” Correct response: • “This is called lochia serosa and is a normal finding for approximately 3–10 days.” Explanation: Remediation: Question 5 See full question The nurse is assessing a client who is 4 hours postpartum. Based on the findings documented by the nurse, which action is most appropriate at this time? You Selected: • Ask the client to empty her bladder. Correct response: • Ask the client to empty her bladder. Explanation: Remediation: /.modal - - - - - - - - - - - - - - - - - - - - - - - - Footer - - - - - - - - - - - - - - - - - - - - - - - - - Question 1 See full question A client gave birth to a healthy full-term girl 2 hours ago by cesarean birth. When assessing this client, which finding requires immediate nursing action? You Selected: • Gush of vaginal blood when she stands up Correct response: • Tachycardia and hypotension Explanation: Remediation: Question 2 See full question A nurse is teaching a client how to perform perineal care to reduce the risk of puerperal infection. Which activity indicates that the client understands proper perineal care? You Selected: • Using a peri bottle to clean the perineum after each voiding or bowel movement Correct response: • Using a peri bottle to clean the perineum after each voiding or bowel movement Explanation: Remediation: Question 3 See full question A client who had a cesarean birth 1 day ago asks for pain medication when the nurse enters the room to perform her shift assessment. The client states that her pain level is an 8 on a 0-to-10-point scale. The priority of care should be for the nurse to: You Selected: • start the postpartum assessment. Correct response: • administer any ordered pain medication. Explanation: Remediation: Question 4 See full question While assisting a multiparous client to the bathroom for the first time 1 hour after a vaginal birth of a viable neonate, the nurse notes that the client’s urine has two small blood clots in the measuring container. What should the nurse do next? You Selected: • Document this observation as a normal finding. Correct response: • Document this observation as a normal finding. Explanation: Remediation: Question 5 See full question A 34-year-old client birthed a healthy baby boy 5 days ago. The client is experiencing insomnia and weepiness, lasting for short periods of time each day. Which of the following factors/conditions does the nurse believe is causing this experience? You Selected: • Postpartum reaction Correct response: • Postpartum baby blues Explanation: Remediation: Question 10 See full question The nurse assesses a client, who delivered vaginally 6 days ago, during a home visit. Which finding should the nurse report immediately to the health care provider (HCP)? Select all that apply. You Selected: • temperature of 100.8° F (38.2° C) • soaking 1 peripad every 3 to 4 hours • foul-smelling lochia Correct response: • foul-smelling lochia • temperature of 100.8° F (38.2° C) Question 1 See full question The nurse is caring for a client on her second postpartum day. The nurse should expect the client's lochia to be: You Selected: • brown and scant. Correct response: • red and moderate. Explanation: Remediation: Question 2 See full question Staff nurses on the postpartum floor are concerned that discharge teaching is consuming a large portion of their time. How can the nurses teach their clients in a more efficient manner? You Selected: • Conduct a class for clients who require the same discharge teaching. Correct response: • Conduct a class for clients who require the same discharge teaching. Explanation: Remediation: Question 3 See full question Antenatal laboratory testing revealed a negative rubella antibody for a client admitted to the postpartum unit. Which action takes priority for this client during early puerperium? You Selected: • Rubella counseling and instruction to obtain live rubella virus vaccine during her first postpartum examination Correct response: • Rubella counseling and immunization with live rubella virus vaccine Explanation: Remediation: Question 4 See full question During the immediate postpartum period after giving birth to twins, the client experiences uterine atony. What should the nurse do first? You Selected: • Gently massage the fundus. Correct response: • Gently massage the fundus. Explanation: Remediation: Question 5 See full question The nurse has provided health teaching about physiologic changes that can be expected during the postpartum period to a postpartum client who is bottle-feeding her neonate. Which client statement indicates that this teaching has been effective? You Selected: • “My menstrual flow should resume in approximately 6 to 10 weeks." Correct response: • “My menstrual flow should resume in approximately 6 to 10 weeks." Explanation: Question 6 See full question The nurse makes a home visit to a primigravida on the fourth postpartum day after birth of a viable neonate. When the nurse enters the house, the nurse finds the client sitting in a chair, crying inconsolably, while the neonate is crying in another room. The client tells the nurse that she has not been sleeping well and has been hearing voices. The nurse determines that the client is most likely experiencing: You Selected: • postpartum psychosis. Correct response: • postpartum psychosis. Explanation: Remediation: Question 7 See full question Four hours after cesarean birth of a neonate weighing 8 lb, 13 oz (4,000 g), the primiparous client asks, “If I get pregnant again, will I need to have a cesarean?” When responding to the client, the nurse should base the response to the client about vaginal birth after cesarean (VBAC) on which standard of practice? You Selected: • A history of rapid labor is a necessary criterion for VBAC. Correct response: • VBAC may be possible if the client has not had a classic uterine incision. Explanation: Remediation: Question 8 See full question A primiparous client 3 days postpartum is to be discharged on heparin therapy. After teaching her about possible adverse effects of heparin therapy, the nurse determines that the client needs further instruction when she states that the adverse effects include which symptom? You Selected: • bleeding gums Correct response: • slow pulse Explanation: Remediation: Question 9 See full question A diabetic postpartum client plans to breastfeed. The nurse determines that the client’s understanding of breastfeeding instructions is sufficient when she states: You Selected: • “Insulin will be transferred to the baby through breast milk.” Correct response: • “Breastfeeding will assist in lowering maternal blood glucose.” Explanation: Remediation: Question 2 See full question A primiparous client planning to breastfeed her term neonate born vaginally asks, “When will my ‘real’ milk come in?” The nurse explains to the client that after childbirth, breasts begin to produce milk within what time period? You Selected: • 2 to 4 days Correct response: • 2 to 4 days Explanation: Remediation: Question 3 See full question A primiparous client who is bottle-feeding her neonate asks, “When should I start giving the baby solid foods?” The nurse instructs the client to introduce solid foods no sooner than at which age? You Selected: • 6 months Correct response: • 6 months Explanation: Remediation: Question 4 See full question The nurse is caring for a postpartum client. Which of the following are appropriate nursing interventions for the prevention of a urinary tract infection (UTI)? Select all that apply. You Selected: • Collaborate with the physician or primary care provider for antibiotic therapy. Correct response: • Encourage the client to drink at least eight 8-ounce glasses of water daily. • Encourage the client to empty her bladder completely every 2-4 hours. Explanation: Question 5 See full question A client two days postpartum was given a shot of RhoGAM. At the postpartum home visit, the client asks the nurse why she needed RhoGAM. Which of the following is the most appropriate response by the nurse? You Selected: • “RhoGAM suppresses antibody formation in women with Rh negative blood after giving birth to an Rh positive baby.” Correct response: • “RhoGAM suppresses antibody formation in women with Rh negative blood after giving birth to an Rh positive baby.” Explanation: Remediation: Question 2 See full question A primiparous client planning to breastfeed her term neonate born vaginally asks, “When will my ‘real’ milk come in?” The nurse explains to the client that after childbirth, breasts begin to produce milk within what time period? You Selected: • 2 to 4 days Correct response: • 2 to 4 days Explanation: Remediation: Question 3 See full question A primiparous client who is bottle-feeding her neonate asks, “When should I start giving the baby solid foods?” The nurse instructs the client to introduce solid foods no sooner than at which age? You Selected: • 6 months Correct response: • 6 months Explanation: Remediation: Question 4 See full question The nurse is caring for a postpartum client. Which of the following are appropriate nursing interventions for the prevention of a urinary tract infection (UTI)? Select all that apply. You Selected: • Collaborate with the physician or primary care provider for antibiotic therapy. Correct response: • Encourage the client to drink at least eight 8-ounce glasses of water daily. • Encourage the client to empty her bladder completely every 2-4 hours. Explanation: Question 5 See full question A client two days postpartum was given a shot of RhoGAM. At the postpartum home visit, the client asks the nurse why she needed RhoGAM. Which of the following is the most appropriate response by the nurse? You Selected: • “RhoGAM suppresses antibody formation in women with Rh negative blood after giving birth to an Rh positive baby.” Correct response: • “RhoGAM suppresses antibody formation in women with Rh negative blood after giving birth to an Rh positive baby.” Explanation: Remediation: Question 10 See full question A client two days postpartum was given a shot of RhoGAM. At the postpartum home visit, the client asks the nurse why she needed RhoGAM. Which of the following is the most appropriate response by the nurse? You Selected: • “RhoGAM suppresses antibody formation in women with Rh positive blood after giving birth to an Rh negative baby.” Correct response: • “RhoGAM suppresses antibody formation in women with Rh negative blood after giving birth to an Rh positive baby.” Question 1 See full question Which practice should a nurse recommend to a client who has had a cesarean birth? You Selected: • Coughing and deep-breathing exercises Correct response: • Coughing and deep-breathing exercises Explanation: Remediation: Question 2 See full question A nurse visits a client at home on the 10th postpartum day. When assessing the client's uterus, which finding requires further evaluation? You Selected: • Minimal afterpains when nursing Correct response: • A fundus palpable at the umbilicus Explanation: Remediation: Question 3 See full question A client who gave birth to her first child 6 weeks ago seems overwhelmed by her new role as a mother. She tells the nurse, "I can't keep up with my housework any more because I spend so much time caring for the baby." The nurse should: You Selected: • help the client break down large tasks into smaller ones. Correct response: • help the client break down large tasks into smaller ones. Explanation: Remediation: Question 4 See full question Following a precipitous birth, examination of the client's vagina reveals a fourth-degree laceration. Which intervention is appropriate when caring for this client? You Selected: • Instructing the client to avoid using sitz baths if ordered Correct response: • Instructing the client about the importance of perineal (Kegel) exercises Explanation: Remediation: Question 5 See full question A primiparous client planning to breastfeed her term neonate born vaginally asks, “When will my ‘real’ milk come in?” The nurse explains to the client that after childbirth, breasts begin to produce milk within what time period? You Selected: • 24 hours Correct response: • 2 to 4 days Explanation: Remediation: Question 6 See full question During the immediate postpartum period, the nurse is caring for a primipara who gave birth to a postterm neonate after an oxytocin induction. When developing the client’s plan of care, which problem should the nurse expect to assess for frequently? You Selected: • increased pulse rate Correct response: • uterine atony Explanation: Remediation: Question 7 See full question Which client statement indicates effective teaching about burping a breastfed neonate? You Selected: • “When I switch to the other breast, I’ll burp the baby.” Correct response: • “When I switch to the other breast, I’ll burp the baby.” Explanation: Remediation: Question 8 See full question A breastfeeding primiparous client with a midline episiotomy is prescribed ibuprofen 200 mg orally. The nurse instructs the client to take the medication: You Selected: • immediately after a feeding. Correct response: • immediately after a feeding. Explanation: Question 9 See full question The community health nurse has a student nurse with him/her for the day. The RN asks the parents at the home visit if the student can be present for the breastfeeding assessment. The husband declines this opportunity. What is the nurse’s most appropriate response? You Selected: • Honor the father's preference. Correct response: • Honor the father's preference. Explanation: Remediation: Question 10 See full question Which of the following behaviors would indicate to the nurse that follow-up is needed for a client having difficulty attaching to her newborn? You Selected: • Lets the baby cry to get to sleep Correct response: • Lets the baby cry to get to sleep Question 1 See full question The nurse is caring for a primigravida who gave birth to a viable neonate 2 hours ago under epidural anesthesia. The new mother has a midline episiotomy. Which finding by the nurse would warrant further assessment? You Selected: • two perineal pads soaked with blood within 30 minutes Correct response: • two perineal pads soaked with blood within 30 minutes Explanation: Remediation: Question 2 See full question When teaching a primipara who gave birth to a term male neonate 1 hour ago about the characteristics of her neonate, what characteristic should the nurse include? You Selected: • kidneys typically nonpalpable Correct response: • obligatory nose breather Explanation: Remediation: Question 3 See full question A postpartum multiparous client diagnosed with endometritis is to receive intravenous antibiotic therapy with ampicillin. Before administering this drug, the nurse must take which action? You Selected: • Place the client in a side-lying position. Correct response: • Ask the client if she has any drug allergies. Explanation: Remediation: Question 4 See full question Which of the following behaviors would indicate to the nurse that follow-up is needed for a client having difficulty attaching to her newborn? You Selected: • Lets the baby cry to get to sleep Correct response: • Lets the baby cry to get to sleep Explanation: Remediation: Question 5 See full question A 2-day postpartum client tells the nurse that she is experiencing abdominal cramps whenever she breastfeeds her baby. Which of the following is the most appropriate response from the nurse? You Selected: • “Oxytocin is released when the baby sucks, which causes the uterus to contract.” Correct response: • “Oxytocin is released when the baby sucks, which causes the uterus to contract.” Explanation: Remediation: /.modal - - - - - - - - - - - - - - - - - - - - - - - - Footer - - - - - - - - - - - - - - - - - - - - - - - - - Question 1 See full question A nurse is preparing to perform a physical examination on a postpartum client. The client asks the nurse why gloves are necessary for the examination. What is the nurse's best response? You Selected: • "Gloves are required for standard precautions." Correct response: • "Gloves are required for standard precautions." Explanation: Remediation: On a client's first postpartum day, nursing assessment reveals vital signs within normal limits, a boggy uterus, and saturation of the perineal pad with lochia rubra. Which nursing intervention takes highest priority? You Selected: • Administering oxytocin as ordered Correct response: • Massaging the uterus gently Explanation: Remediation: Question 2 See full question A client has just given birth to her first child, a healthy, full-term girl. The client is Rho(D)-negative and her neonate is Rh-positive. What intervention will be performed to reduce the risk of Rh incompatibility? You Selected: • Injection of Rho(D) immune globulin to the mother during her 6 week follow-up visit Correct response: • Administration of Rho(D) immune globulin I.M. to the mother within 72 hours Explanation: Remediation: Question 3 See full question A nurse is teaching a client how to perform perineal care to reduce the risk of puerperal infection. Which activity indicates that the client understands proper perineal care? You Selected: • Spraying water from peri bottle into the vagina Correct response: • Using a peri bottle to clean the perineum after each voiding or bowel movement Explanation: Remediation: Question 4 See full question A primiparous client who is bottle-feeding her neonate asks, “When should I start giving the baby solid foods?” The nurse instructs the client to introduce solid foods no sooner than at which age? You Selected: • 10 months Correct response: • 6 months Explanation: Remediation: Question 5 See full question A client questions the nurse about the amount of her postpartum lochia flow. The client is 22 hours postpartum and is saturating a pad after 2 hours. Which of the following should the nurse do first? You Selected: • Begin a pad count and weigh each pad. Correct response: • Remind the client to drink fluids and rest between active periods. Explanation: Question 2 See full question A nurse is teaching a group of clients about birth control methods. When providing instruction about subdermal contraceptive implants, the nurse should cite which feature as the main advantage of this method? You Selected: • The implants provide effective, continuous contraception that isn't user dependent. Correct response: • The implants provide effective, continuous contraception that isn't user dependent. Explanation: Remediation: Question 3 See full question A nurse coming onto the night shift assesses a client who gave birth vaginally that morning. The nurse finds that the client's vaginal bleeding has saturated two perineal pads within 30 minutes. What is the first action the nurse should take? You Selected: • Call the physician for a methylergonovine order. Correct response: • Assess the fundus and massage it if it's boggy. Explanation: Remediation: Question 4 See full question A woman who is breastfeeding tells the nurse that she plans to return to work in 6 months and will probably wean her baby then. The client asks the nurse, “How will I stop producing milk when I want to wean the baby?” What information should the nurse give the client? You Selected: • gradual decrease in milk supply as the baby nurses less Correct response: • gradual decrease in milk supply as the baby nurses less Explanation: Remediation: Question 5 See full question Twenty-four hours after giving birth to a term neonate, a primipara receives acetaminophen with codeine for perineal pain. One hour after administering the medication, which finding should alert the nurse to the development of a possible side effect? You Selected: • dizziness Correct response: • dizziness Explanation: Question 6 See full question A client has admitted use of cocaine prior to beginning labor. After the infant is born, the nurse should anticipate the need to include which action in the infant’s plan of care? You Selected: • urine toxicology screening Correct response: • urine toxicology screening Explanation: Remediation: Question 7 See full question The nurse assigns an unlicensed assistive personnel (UAP) to care for a client who is 1 day postpartum. Which tasks would be appropriate to delegate to this person? Select all that apply. You Selected: • assisting the client with ambulation shortly after birth • changing the perineal pad and reporting the drainage • reinforcing good hygiene while assisting the client with washing the perineum Correct response: • changing the perineal pad and reporting the drainage • reinforcing good hygiene while assisting the client with washing the perineum • assisting the client with ambulation shortly after birth Explanation: Question 8 See full question After giving birth to a viable neonate 12 hours ago, the client’s fundus is firm at midline, and her breasts are soft. She has scant lochia and she is voiding sufficiently. The client reports pain in her lower back. What should the nurse do next? You Selected: • Administer a prescribed mild analgesic. Correct response: • Administer a prescribed mild analgesic. Explanation: Remediation: Question 9 See full question A 30-year-old multigravida with prolonged rupture of membranes is diagnosed with endometritis 36 hours after birth of a viable neonate. While assessing the client after intravenous antibiotic therapy is initiated, the nurse notes that the client’s temperature is 100° F (37.8° C), pulse rate is 124 bpm, and respirations are 24 breaths/minute. The nurse should: You Selected: • contact the primary care provider. Correct response: • contact the primary care provider. Explanation: Remediation: Question 10 See full question During a postpartum examination, the mother of a 2-week-old infant tearfully tells the nurse she feels very tired and thinks she is not a good mother to her baby. Which statement by the nurse would be best? You Selected: • "I am concerned about what you are experiencing. Tell me more about what you are thinking and feeling." Correct response: • "I am concerned about what you are experiencing. Tell me more about what you are thinking and feeling." Question 1 See full question Which measure included in the care plan for a client in the fourth stage of labor requires revision? You Selected: • Obtain an order for catheterization to protect the bladder from trauma. Correct response: • Obtain an order for catheterization to protect the bladder from trauma. Explanation: Remediation: Question 2 See full question A client whose blood type is A− gives birth to a neonate whose blood type is A+. The client is scheduled to have Rho(D) immune globulin administered. Before administering the medication, which action by the nurse is most important? You Selected: • Ensuring that the client understands the procedure and signs a consent for the vaccination Correct response: • Ensuring that the client understands the procedure and signs a consent for the vaccination Explanation: Remediation: Question 3 See full question A client tells a nurse that she's going to breast-feed her neonate, but she isn't sure what she should eat. Which client statement requires further teaching? You Selected: • "I'll take all the same medications I was taking before my pregnancy." Correct response: • "I'll take all the same medications I was taking before my pregnancy." Explanation: Remediation: Question 4 See full question A client is 24 hours postpartum. The nurse anticipates that the client's body is returning to homeostasis. Which assessment finding requires immediate intervention? You Selected: • Elevated temperature Correct response: • Positive Homans' sign Explanation: Remediation: Question 5 See full question A primiparous client, who has just given birth to a healthy term neonate after 12 hours of labor, holds and looks at her neonate and begins to cry. The nurse interprets this behavior as a sign of which response? You Selected: • a normal response to the birth Correct response: • a normal response to the birth Explanation: Remediation: Question 6 See full question A primiparous client who is breastfeeding develops endometritis on the third postpartum day. What instructions should the nurse give to the mother? You Selected: • The condition typically is treated with IV antibiotic therapy. Correct response: • The condition typically is treated with IV antibiotic therapy. Explanation: Remediation: Question 7 See full question On a client's second postpartum visit, a physician reviews the chart. What's the best term for the lochia described? You Selected: • Serosa Correct response: • Rubra Explanation: Remediation: Question 8 See full question A primiparous client who was diagnosed with hydramnios and breech presentation while in early labor is diagnosed with early postpartum hemorrhage at 1 hour after a cesarean birth. The client asks, “Why am I bleeding so much?” The nurse responds based on the understanding that the most likely cause of uterine atony in this client is which factor? You Selected: • lengthy and prolonged second stage of labor Correct response: • overdistention of the uterus from hydramnios Explanation: Remediation: Question 9 See full question A client two days postpartum was given a shot of RhoGAM. At the postpartum home visit, the client asks the nurse why she needed RhoGAM. Which of the following is the most appropriate response by the nurse? You Selected: • “RhoGAM suppresses antibody formation in women with Rh negative blood after giving birth to an Rh positive baby.” Correct response: • “RhoGAM suppresses antibody formation in women with Rh negative blood after giving birth to an Rh positive baby.” Explanation: Remediation: Question 10 See full question The nurse is teaching a new parent about the feeding patterns of a newborn infant. Which of the following statements by the parent would the nurse recognize as the correct description of a feeding pattern for a formula-fed infant? You Selected: • “Formula-fed infants usually feed every 3 to 4 hours.” Correct response: • “Formula-fed infants usually feed every 3 to 4 hours.” Question 1 See full question A nurse encourages a postpartum client to discuss the childbirth experience. Which client outcome is most appropriate for this client? You Selected: • "The client demonstrates the ability to integrate the childbirth experience and progress to the task of maternal role attainment." Correct response: • "The client demonstrates the ability to integrate the childbirth experience and progress to the task of maternal role attainment." Explanation: Remediation: Question 2 See full question A nurse is providing teaching to a client who's being discharged after delivering a hydatidiform mole. Which expected outcome takes highest priority for this client? You Selected: • "Client will schedule her first follow-up Papanicolaou (Pap) test and gynecologic examination for 6 months after discharge." Correct response: • "Client will use a reliable contraceptive method until her follow-up care is complete in 1 year and her hCG level is negative." Explanation: Remediation: Question 3 See full question In the fourth stage of labor, a full bladder increases the risk of what postpartum complication? You Selected: • Hemorrhage Correct response: • Hemorrhage Explanation: Remediation: Question 4 See full question At the beginning of the shift on the postpartum unit, a charge nurse notices that the licensed practical nurse (LPN) she's working with is acting inappropriately and smells of alcohol. When the charge nurse confronts the LPN, the LPN apologizes and promises that she'll never report to work in this condition again. Which step should the charge nurse take next? You Selected: • Notify the shift supervisor and rearrange the client care assignment. Correct response: • Notify the shift supervisor and rearrange the client care assignment. Explanation: Question 5 See full question A registered nurse is staff-shared to the maternal-neonatal unit where she has never worked before. How can this nurse be best employed? You Selected: • Assign her a client care assignment in the postpartum unit. Correct response: • Assign her a client care assignment in the postpartum unit. Explanation: Question 6 See full question After the first breastfeeding, the client asks the nurse, “How often should I try to breastfeed?” What frequency should the nurse recommend? You Selected: • every 2 to 3 hours for the first 48 hours Correct response: • every 2 to 3 hours for the first 48 hours Explanation: Remediation: Question 7 See full question While assisting a multiparous client to the bathroom for the first time 1 hour after a vaginal birth of a viable neonate, the nurse notes that the client’s urine has two small blood clots in the measuring container. What should the nurse do next? You Selected: • Document this observation as a normal finding. Correct response: • Document this observation as a normal finding. Explanation: Remediation: Question 8 See full question After instructing a primiparous client about episiotomy care, which client statement indicates successful teaching? You Selected: • “I wipe the area from front to back using a blotting motion." Correct response: • “I wipe the area from front to back using a blotting motion." Explanation: Remediation: Question 9 See full question Which measure would the nurse expect to include in the teaching plan for a multiparous client who gave birth 24 hours ago and is receiving intravenous antibiotic therapy for cystitis? You Selected: • emptying the bladder every 2 to 4 hours while awake Correct response: • emptying the bladder every 2 to 4 hours while awake Explanation: Remediation: Question 10 See full question During the second day postpartum, the nurse notices that a client is initiating breastfeeding with her infant and changing her infant's diapers with a little assistance from her partner. According to Reva Rubin's "phases of bonding," which of the following is the appropriate phase the woman is experiencing? You Selected: • The taking-in phase Correct response: • The taking-hold phase Question 1 See full question A postpartum client requires teaching about breast-feeding. Which client statement indicates understanding of how to prevent breast engorgement? You Selected: • "I will use an electric breast pump." Correct response: • "I will breast-feed as often as the infant is hungry — typically every 1 to 3 hours." Explanation: Remediation: Question 2 See full question A client takes a hormonal contraceptive to prevent pregnancy. The nurse should instruct her to use an alternative contraceptive method when receiving which drug concomitantly? You Selected: • Hydrocortisone Correct response: • Primidone Explanation: Remediation: Question 3 See full question During an annual checkup, a client tells the nurse that she and her partner have decided to start a family. Ideally, when should the nurse plan for childbirth education to begin and end? You Selected: • It should begin before conception and end 3 months after childbirth. Correct response: • It should begin before conception and end 3 months after childbirth. Explanation: Remediation: Question 4 See full question A client recently gave birth to a boy. Two minutes before breast-feeding the baby, she administers one nasal spray (40 units/ml) of oxytocin into each nostril. Why is the client using this drug? You Selected: • To stimulate lactation Correct response: • To stimulate lactation Explanation: Remediation: Question 5 See full question A nurse is caring for a client during the first postpartum day. The client asks the nurse how to relieve pain from her episiotomy. What should the nurse instruct the woman to do? You Selected: • Take a sitz bath. Correct response: • Apply an ice pack to her perineum. Explanation: Remediation: Question 6 See full question During a home visit to a primiparous client who gave birth vaginally 14 days ago, the client says, “I have been crying a lot the last few days. I just feel so awful. I am a rotten mother. I just do not have any energy. Plus, my husband just got laid off from his job.” The nurse observes that the client’s appearance is disheveled. What would be the nurse’s best response? You Selected: • “It is not unusual for some mothers to feel depressed after the birth of a baby. I think I should contact your health care provider.” Correct response: • “It is not unusual for some mothers to feel depressed after the birth of a baby. I think I should contact your health care provider.” Explanation: Remediation: Question 7 See full question A postpartum primiparous client is having difficulty breastfeeding her infant. The infant latches on to the breast, but the mother’s nipples are extremely sore during and after each feeding. The client needs further instruction about breastfeeding when she states: You Selected: • “The baby needs to have as much of the nipple and areola in his mouth as possible to prevent sore and cracked nipples.” Correct response: • “As long as some of my nipple is in the baby’s mouth, the baby will receive enough milk.” Explanation: Remediation: Question 8 See full question A nurse is walking down the hall in the main corridor of a hospital when the infant security alert system sounds and a code for an infant abduction is announced. The first responsibility of the nurse when this situation occurs is to take which action? You Selected: • Move to the entrance of the hospital and check each person leaving. Correct response: • Observe individuals in the area for large bags or oversized coats. Explanation: Remediation: Question 9 See full question A couple in the antenatal unit is not satisfied with the care they are receiving. They have spent the past 15 minutes expressing dissatisfaction to the nurse about the care the client is receiving today. What is the most appropriate response by the nurse? You Selected: • Encourage the family to identify their frustrations and fears. Correct response: • Encourage the family to identify their frustrations and fears. Explanation: Remediation: Question 10 See full question A nurse is caring for a postpartum client suspected of developing postpartum psychosis. Which statements accurately characterize this dis