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CH. 15: POSTPARTUM ADAPTATIONS
1. Postpartum breast engorgement occurs 48-72 hours after giving birth. What physiologic
change influences breast engorgement?
a. An increase in blood and lymph supply to the breasts
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. Being passive and dependent
3. The nurse is explaining to a postpartum woman 48 hours after her giving childbirth that
the afterpains she is experiencing can be the result of which of the following?
a. Contractions of the uterus after birth
4. The nurse would expect a postpartum woman to demonstrate lochia in which sequence?
a. Rubra, serosa, alba
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. Light pink or brown lochia; uterus 4-5 fingerbreadths below umbilicus
6. Immediately after childbirth in the recovery area, the nurse observes the mother’s
partner’s fascination and interest in the new son. This is behavior is often termed:
a. Engrossment
7. After the nurse provides instructions to a postpartum woman about postpartum blues,
which statement would indicate understanding of it? I will
a. “Feel like laughing 1 minute and crying the next minute”
CH. 16: NURSING MANAGEMENT DURING THE POSTPARTUM PERIOD
1. When assessing a postpartum woman, which of the following would lead the nurse to
suspect postpartum blues?
a. Periodic crying and insomnia
2. Which of these activities would best help the postpartum nurse to provide culturally
sensitive care for the childbreaing family?
a. Educating himself or herself about diverse cultural practices
3. Which of the following suggestions would be most appropriate to include in the teaching
plan for postpartum women who needs to lose weight?
a. Avoid empty-calorie foods, brest-feed, increase exercise
4. After teaching a group of breast-feeding women about nutritional needs, the nurse
determines that the teaching was successful when the woman states that they need to
This study source was downloaded by 100000869267694 from CourseHero.com on 08-02-2023 16:27:29 GMT -05:00
https://www.coursehero.com/file/58019393/OB-EXAM-2-EOC-Questions/
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increase their intake of which nutrients?
a. Calories and protein
5. Which of the following would lead the nurse to suspect that the postpartum woman was
developing a complication?
a. Swollen, tender, hot area on breast
6. Which of the following would the nurse assess as indicating positive bonding between
the parents and their newborn?
a. Holding the infant close to the body
7. Which of the activities would the nurse include in the teaching plan for parents with a
newborn and an older child to reduce sibling rivalry when the newborn is brought home?
a. Planning a daily “special time” for the older sibling
8. The major purpose of the first postpartum homecare visit is to:
a. Identify complications that require interventions
9. The nurse is instructing the postpartum client who plans to bottle-feed her newborn about
measures to prevent breast engorgement when she is discharged. Which of the following
measures should the nurse include in the teaching plan?
a. Wearing a tight-fitting supportive bra 24 hours daily
10. A new mother was brought to the postpartum unit who gave birth 12 hours ago. Because
this is her first child, which of the following goals by the nurse is most appropriate?
a. Effective education of both parents before discharge
CH. 17: NEWBORN TRANSITIONING
1. When assessing the term newborn, the following are observed: newborn is alert, heart
and respiratory rates have stabilized, and meconium has been passed. The nurse
determines that the newborn is exhibiting behaviors indicating:
a. Second period of reactivity
2. A nurse observes a 3-day-old term newborn that is starting to appear mildly jaundiced.
What might explain this condition?
a. Physiologic jaundice secondary to breast-feeding
3. After teaching a group of nursing students about thermoregulation and appropriate
measures to prevent heat loss by evaporation, which of the following student behaviors
would indicate successful teaching?
a. Drying the newborn immediately after birth
4. After birth, the nurse would expect which fetal structure to close as a result of increases
This study source was downloaded by 100000869267694 from CourseHero.com on 08-02-2023 16:27:29 GMT -05:00
https://www.coursehero.com/file/58019393/OB-EXAM-2-EOC-Questions/
CH. 15: POSTPARTUM ADAPTATIONS
1. Postpartum breast engorgement occurs 48-72 hours after giving birth. What physiologic
change influences breast engorgement?
a. An increase in blood and lymph supply to the breasts
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. Being passive and dependent
3. The nurse is explaining to a postpartum woman 48 hours after her giving childbirth that
the afterpains she is experiencing can be the result of which of the following?
a. Contractions of the uterus after birth
4. The nurse would expect a postpartum woman to demonstrate lochia in which sequence?
a. Rubra, serosa, alba
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. Light pink or brown lochia; uterus 4-5 fingerbreadths below umbilicus
6. Immediately after childbirth in the recovery area, the nurse observes the mother’s
partner’s fascination and interest in the new son. This is behavior is often termed:
a. Engrossment
7. After the nurse provides instructions to a postpartum woman about postpartum blues,
which statement would indicate understanding of it? I will
a. “Feel like laughing 1 minute and crying the next minute”
CH. 16: NURSING MANAGEMENT DURING THE POSTPARTUM PERIOD
1. When assessing a postpartum woman, which of the following would lead the nurse to
suspect postpartum blues?
a. Periodic crying and insomnia
2. Which of these activities would best help the postpartum nurse to provide culturally
sensitive care for the childbreaing family?
a. Educating himself or herself about diverse cultural practices
3. Which of the following suggestions would be most appropriate to include in the teaching
plan for postpartum women who needs to lose weight?
a. Avoid empty-calorie foods, brest-feed, increase exercise
4. After teaching a group of breast-feeding women about nutritional needs, the nurse
determines that the teaching was successful when the woman states that they need to
This study source was downloaded by 100000869267694 from CourseHero.com on 08-02-2023 16:27:29 GMT -05:00
https://www.coursehero.com/file/58019393/OB-EXAM-2-EOC-Questions/
, 2
increase their intake of which nutrients?
a. Calories and protein
5. Which of the following would lead the nurse to suspect that the postpartum woman was
developing a complication?
a. Swollen, tender, hot area on breast
6. Which of the following would the nurse assess as indicating positive bonding between
the parents and their newborn?
a. Holding the infant close to the body
7. Which of the activities would the nurse include in the teaching plan for parents with a
newborn and an older child to reduce sibling rivalry when the newborn is brought home?
a. Planning a daily “special time” for the older sibling
8. The major purpose of the first postpartum homecare visit is to:
a. Identify complications that require interventions
9. The nurse is instructing the postpartum client who plans to bottle-feed her newborn about
measures to prevent breast engorgement when she is discharged. Which of the following
measures should the nurse include in the teaching plan?
a. Wearing a tight-fitting supportive bra 24 hours daily
10. A new mother was brought to the postpartum unit who gave birth 12 hours ago. Because
this is her first child, which of the following goals by the nurse is most appropriate?
a. Effective education of both parents before discharge
CH. 17: NEWBORN TRANSITIONING
1. When assessing the term newborn, the following are observed: newborn is alert, heart
and respiratory rates have stabilized, and meconium has been passed. The nurse
determines that the newborn is exhibiting behaviors indicating:
a. Second period of reactivity
2. A nurse observes a 3-day-old term newborn that is starting to appear mildly jaundiced.
What might explain this condition?
a. Physiologic jaundice secondary to breast-feeding
3. After teaching a group of nursing students about thermoregulation and appropriate
measures to prevent heat loss by evaporation, which of the following student behaviors
would indicate successful teaching?
a. Drying the newborn immediately after birth
4. After birth, the nurse would expect which fetal structure to close as a result of increases
This study source was downloaded by 100000869267694 from CourseHero.com on 08-02-2023 16:27:29 GMT -05:00
https://www.coursehero.com/file/58019393/OB-EXAM-2-EOC-Questions/
