Test Bank Ricci Essentials of Maternity Page 1 of 16
Chapter
Test Bank - Essentials of Maternity, Newborn, and D) Bromocriptine (Parlodel)
Women's Health Nursing (4th Edition)
Answer: C
Chapter 16: Nursing Management during the
Postpartum Period
1. A woman who is 12 hours postpartum had a
pulse rate around 80 bpm during pregnancy.
Now, the nurse finds a pulse of 60 bpm. Which of
these actions should the nurse take?
A) Document the finding, as it is a normal
finding at this time.
B) Contact the physician, as it indicates early DIC.
C) Contact the physician, as it is a first
sign of postpartum eclampsia.
D) Obtain an order for a CBC, as it suggests
postpartum anemia.
Answer: A
Explanation: Pulse rates of 60 to 80 beats per minute
(bpm) at rest are normal during the first week after birth.
This pulse rate is called puerperal bradycardia.
Tachycardia in the postpartum woman can suggest
anxiety, excitement, fatigue, pain, excessive blood loss
or delayed hemorrhage, infection, or underlying cardiac
problems. Any pulse rate higher than 100 bpm warrants
further investigation to rule out complications. p. 524
2. To decrease the pain associated with an
episiotomy immediately after birth, which action
by the nurse would be most appropriate?
A) Offer warm blankets.
B) Encourage the woman to void.
C) Apply an ice pack to the site.
D) Offer a warm sits bath.
Answer: C
Explanation: During the early postpartum period, the
perineal tissue surrounding the episiotomy is typically
edematous and slightly bruised. The normal episiotomy
site should not have redness, discharge, or edema.
Commonly, an ice pack is the first measure used after a
vaginal birth to relieve perineal discomfort from edema,
an episiotomy, or a laceration. An ice pack seems to
minimize edema, reduce inflammation, decrease
capillary permeability, and reduce nerve conduction to
the site. p. 528, 536
3. A postpartum client has a fourth-degree
perineal laceration. The nurse would expect
which of the following medications to be
ordered?
A) Ferrous sulfate (Feosol)
B) Methylergonovine (Methergine)
C) Docusate (Colace)
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, Test Bank Ricci Essentials of Maternity Page 2 of 16
Chapter
Explanation: Usually a stool softener, such as C) Apply ice packs to your breasts to reduce the
docusate, with or without a laxative might be helpful if amount of milk being produced.
the client has difficulty with bowel elimination. D) Take several warm showers daily to stimulate
Methylergonovine (Methergine) is used after childbirth the milk let-down reflex.
to help stop bleeding from the uterus. Ferrous sulfate
(Feosol) is an iron supplement used to treat or prevent Answer: C
low blood levels of iron (e.g., for anemia or during
pregnancy). Bromocriptine (Parlodel) can treat
menstrual problems, growth hormone overproduction,
Parkinson's disease, and pituitary tumors. It can also
stop breast milk production.p. 537
4. Which statement would alert the nurse to the
potential for impaired bonding between mother
and newborn?
A) You have your daddy’s eyes.
B) He looks like a frog to me.
C) Where did you get all that hair?
D) He seems to sleep a lot.
Answer: B
Explanation
:
5. After a normal labor and birth, a client is
discharged from the hospital 12 hours later.
When the community health nurse makes a
home visit 2 days later, which finding would
alert the nurse to the need for further
intervention?
A) Presence of lochia serosa
B) Frequent scant voiding
C) Fundus firm, below umbilicus
D) Milk filling in both breasts
Answer: B
Explanation: Urinary retention as a result of
decreased bladder tone and emptying can lead to
urinary tract infections. It is imperative that nurses
monitor clients for signs of urinary tract infections,
including fever, urinary frequency and/or urgency,
difficult or painful urination, and tenderness over the
costovertebral angle. Fundus firm, below umbilicus and
milk filling in both breasts are normal findings. Lochia
serosa is pinkish brown and is expelled 3 to 10 days
postpartum.p. 526
6. A primipara client who is bottle feeding her
baby begins to experience breast
engorgement on her third postpartum day.
Which instruction would be most appropriate
to aid in relieving her discomfort?
A) Express some milk from your breasts every
so often to relieve the distention.
B) Remove your bra to relieve the pressure
on your sensitive nipples and breasts.
This study source was downloaded by 100000832558064 from CourseHero.com on 04-06-2022 03:33:20 GMT -05:00
https://www.coursehero.com/file/41468364/Test-Bank-Ricci-Essentials-of-Maternity-Chapter-16docx/
Chapter
Test Bank - Essentials of Maternity, Newborn, and D) Bromocriptine (Parlodel)
Women's Health Nursing (4th Edition)
Answer: C
Chapter 16: Nursing Management during the
Postpartum Period
1. A woman who is 12 hours postpartum had a
pulse rate around 80 bpm during pregnancy.
Now, the nurse finds a pulse of 60 bpm. Which of
these actions should the nurse take?
A) Document the finding, as it is a normal
finding at this time.
B) Contact the physician, as it indicates early DIC.
C) Contact the physician, as it is a first
sign of postpartum eclampsia.
D) Obtain an order for a CBC, as it suggests
postpartum anemia.
Answer: A
Explanation: Pulse rates of 60 to 80 beats per minute
(bpm) at rest are normal during the first week after birth.
This pulse rate is called puerperal bradycardia.
Tachycardia in the postpartum woman can suggest
anxiety, excitement, fatigue, pain, excessive blood loss
or delayed hemorrhage, infection, or underlying cardiac
problems. Any pulse rate higher than 100 bpm warrants
further investigation to rule out complications. p. 524
2. To decrease the pain associated with an
episiotomy immediately after birth, which action
by the nurse would be most appropriate?
A) Offer warm blankets.
B) Encourage the woman to void.
C) Apply an ice pack to the site.
D) Offer a warm sits bath.
Answer: C
Explanation: During the early postpartum period, the
perineal tissue surrounding the episiotomy is typically
edematous and slightly bruised. The normal episiotomy
site should not have redness, discharge, or edema.
Commonly, an ice pack is the first measure used after a
vaginal birth to relieve perineal discomfort from edema,
an episiotomy, or a laceration. An ice pack seems to
minimize edema, reduce inflammation, decrease
capillary permeability, and reduce nerve conduction to
the site. p. 528, 536
3. A postpartum client has a fourth-degree
perineal laceration. The nurse would expect
which of the following medications to be
ordered?
A) Ferrous sulfate (Feosol)
B) Methylergonovine (Methergine)
C) Docusate (Colace)
This study source was downloaded by 100000832558064 from CourseHero.com on 04-06-2022 03:33:20 GMT -05:00
https://www.coursehero.com/file/41468364/Test-Bank-Ricci-Essentials-of-Maternity-Chapter-16docx/
, Test Bank Ricci Essentials of Maternity Page 2 of 16
Chapter
Explanation: Usually a stool softener, such as C) Apply ice packs to your breasts to reduce the
docusate, with or without a laxative might be helpful if amount of milk being produced.
the client has difficulty with bowel elimination. D) Take several warm showers daily to stimulate
Methylergonovine (Methergine) is used after childbirth the milk let-down reflex.
to help stop bleeding from the uterus. Ferrous sulfate
(Feosol) is an iron supplement used to treat or prevent Answer: C
low blood levels of iron (e.g., for anemia or during
pregnancy). Bromocriptine (Parlodel) can treat
menstrual problems, growth hormone overproduction,
Parkinson's disease, and pituitary tumors. It can also
stop breast milk production.p. 537
4. Which statement would alert the nurse to the
potential for impaired bonding between mother
and newborn?
A) You have your daddy’s eyes.
B) He looks like a frog to me.
C) Where did you get all that hair?
D) He seems to sleep a lot.
Answer: B
Explanation
:
5. After a normal labor and birth, a client is
discharged from the hospital 12 hours later.
When the community health nurse makes a
home visit 2 days later, which finding would
alert the nurse to the need for further
intervention?
A) Presence of lochia serosa
B) Frequent scant voiding
C) Fundus firm, below umbilicus
D) Milk filling in both breasts
Answer: B
Explanation: Urinary retention as a result of
decreased bladder tone and emptying can lead to
urinary tract infections. It is imperative that nurses
monitor clients for signs of urinary tract infections,
including fever, urinary frequency and/or urgency,
difficult or painful urination, and tenderness over the
costovertebral angle. Fundus firm, below umbilicus and
milk filling in both breasts are normal findings. Lochia
serosa is pinkish brown and is expelled 3 to 10 days
postpartum.p. 526
6. A primipara client who is bottle feeding her
baby begins to experience breast
engorgement on her third postpartum day.
Which instruction would be most appropriate
to aid in relieving her discomfort?
A) Express some milk from your breasts every
so often to relieve the distention.
B) Remove your bra to relieve the pressure
on your sensitive nipples and breasts.
This study source was downloaded by 100000832558064 from CourseHero.com on 04-06-2022 03:33:20 GMT -05:00
https://www.coursehero.com/file/41468364/Test-Bank-Ricci-Essentials-of-Maternity-Chapter-16docx/
