Test Bank For Essentials of Maternity, Newborn, and Women's
Health Nursing 4th Edition by Susan Ricci
1. Immediately after birth, the nurse can anticipate the fundus to be located
A. at the umbilicus
B. 2cm above the umbilicus
C. 1cm below the umbilicus
D. midway between the symphysis pubis and umbilicus - ANSWER: D. midway
between the symphysis pubis and umbilicus
2. When reading the postpartum chart the nurse notices that the patient's fundus is
recorded as "u+1." The nurse understands that this means the fundus is
A. 1cm above the umbilicus
B. 1cm below the umbilicus
C. 1in. above the umbilicus
D. 1in. below the umbilicus - ANSWER: A. 1cm above the umbilicus
3. During the second postpartum day, a woman asks the nurse, "Why are my
afterpains so much worse this time than after the birth of my other child?" The best
answer by the nurse would be:
A. "Most women forget how strong the afterpains can be."
B."They should not be strong with you because you are breastfeeding."
C."You should not be feeling the pains now; I will notify the physician for you."
D. "Afterpains are more severe for women who have already given birth." - ANSWER:
D. "Afterpains are more severe for women who have already given birth."
4. The nurse is assessing the patient's vaginal discharge. It is red and has about a 2-
inch stain on the peripad. The nurse will record this finding as a
A. light amount of lochia rubra
B. scant amount of lochia alba.
C. moderate amount of lochia rubra.
D. heavy amount of lochia alba. - ANSWER: A. light amount of lochia rubra
Lochia rubra is red in color and occurs the first 3 or 4 days after birth. A light amount
of discharge is classified as a 1- to 4-inch stain on the peripad.
5. The new mother is complaining of pain at the episiotomy site; however, because
she is breastfeeding, she does not want any medication. What other alternatives can
the nurse offer this mother to help relieve the pain?
A. Ambulation
B. Topical Anesthetics
,C. hot fluids to drink
D. stool softeners - ANSWER: B. Topical Anesthetics
6. A mother who is 3 days postpartum calls the clinic and complains of "night
sweats." She is afraid that she is going into early menopause. The nurse should base
her answer on the fact that
A. Birth may put some women into early menopause; an appointment is needed to
have this checked out.
B. night sweats may be an indication of many other problems; an appointment is
needed to assess the problem.
C. diaphoresis is normal during the postpartum period, and comfort measures can be
suggested to the mother.
D. diaphoresis is normal only if the mother is breastfeeding. - ANSWER: C.
diaphoresis is normal during the postpartum period, and comfort measures can be
suggested to the mother.
7. On the first postpartum day a patient's white blood cell count is 25,000/mm3. The
nurse's next action should be to
A. notify the physician for an antibiotic order.
B. assess the patient's temperature and blood pressure.
C. request the count be repeated.
D. note the results in the chart. - ANSWER: D. note the results in the chart.
8. One nursing measure that can help prevent postpartum hemorrhage and urinary
tract infections is
A. forcing fluids.
B. perineal care.
C. encouraging voiding every 2 to 3 hours.
D. encouraging the use of stool softeners. - ANSWER: C. encouraging voiding every 2
to 3 hours.
9. While doing patient teaching, the woman tells the nurse, "I don't have to worry
about contraception because I am breastfeeding." The nurse should base her answer
on the fact that
A. breastfeeding can be considered a reliable system of birth control.
B. breastfeeding can be used as a contraceptive method if strict guidelines are
followed through
C.breastfeeding is not a reliable contraceptive method. - ANSWER: C.breastfeeding is
not a reliable contraceptive method.
10. A woman was admitted to the ED with her newborn baby. The baby was born 4
days ago at home. The woman had no prenatal care. The nurse is assessing the lab
work and sees that the mother has an O-negative blood type, the baby is O-positive,
, and the Coombs test shows that the mother is not sensitized to the positive blood.
The nurse's next action should be
A. order Rho(D) immune globulin to be given to the mother.
B. order Rho(D) immune globulin to be given to the baby.
C. record the findings of the lab work and not plan on any further action at this time.
- ANSWER: C. record the findings of the lab work and not plan on any further action
at this time.
11. The first time a woman ambulates after the birth of the newborn, she has a
nursing diagnosis of Risk for injury because of the
A. risk for developing orthostatic hypotension.
B. development of bradycardia.
C. increase in cardiac output.
D. increase in circulatory volume - ANSWER: A. risk for developing orthostatic
hypotension.
13. During the early post-cesarean section phase, it is important for the woman to
turn, cough, and deep breathe. The rationale for this is to prevent
A. pooling of secretions in the airway.
B. thrombus formation in the lower legs.
C. gas formation in the intestinal tract.
D. urinary retention. - ANSWER: A. pooling of secretions in the airway.
14. As part of the postpartum assessment, the nurse examines the breasts of a
primiparous breastfeeding woman who is 1 day postpartum. An expected finding
would be
A. Soft, nontender; colostrum is present.
B. Leakage of milk at let-down.
C. Swollen, warm, and tender on palpation.
D. A few blisters and a bruise on each areola. - ANSWER: A. Soft, nontender;
colostrum is present.
16. The new mother comments that the newborn "has his father's eyes." The nurse
recognizes this as
A. part of the bonding process termed claiming.
B. the mother trying to find signs of the baby's paternity.
C. the mother trying to include the father in the bonding process.
D. part of the letting-go phase of maternal adaptation. - ANSWER: A. part of the
bonding process termed claiming
Claiming or binding-in begins when the mother begins to identify specific features of
the newborn. She then begins to relate features to family members.
Health Nursing 4th Edition by Susan Ricci
1. Immediately after birth, the nurse can anticipate the fundus to be located
A. at the umbilicus
B. 2cm above the umbilicus
C. 1cm below the umbilicus
D. midway between the symphysis pubis and umbilicus - ANSWER: D. midway
between the symphysis pubis and umbilicus
2. When reading the postpartum chart the nurse notices that the patient's fundus is
recorded as "u+1." The nurse understands that this means the fundus is
A. 1cm above the umbilicus
B. 1cm below the umbilicus
C. 1in. above the umbilicus
D. 1in. below the umbilicus - ANSWER: A. 1cm above the umbilicus
3. During the second postpartum day, a woman asks the nurse, "Why are my
afterpains so much worse this time than after the birth of my other child?" The best
answer by the nurse would be:
A. "Most women forget how strong the afterpains can be."
B."They should not be strong with you because you are breastfeeding."
C."You should not be feeling the pains now; I will notify the physician for you."
D. "Afterpains are more severe for women who have already given birth." - ANSWER:
D. "Afterpains are more severe for women who have already given birth."
4. The nurse is assessing the patient's vaginal discharge. It is red and has about a 2-
inch stain on the peripad. The nurse will record this finding as a
A. light amount of lochia rubra
B. scant amount of lochia alba.
C. moderate amount of lochia rubra.
D. heavy amount of lochia alba. - ANSWER: A. light amount of lochia rubra
Lochia rubra is red in color and occurs the first 3 or 4 days after birth. A light amount
of discharge is classified as a 1- to 4-inch stain on the peripad.
5. The new mother is complaining of pain at the episiotomy site; however, because
she is breastfeeding, she does not want any medication. What other alternatives can
the nurse offer this mother to help relieve the pain?
A. Ambulation
B. Topical Anesthetics
,C. hot fluids to drink
D. stool softeners - ANSWER: B. Topical Anesthetics
6. A mother who is 3 days postpartum calls the clinic and complains of "night
sweats." She is afraid that she is going into early menopause. The nurse should base
her answer on the fact that
A. Birth may put some women into early menopause; an appointment is needed to
have this checked out.
B. night sweats may be an indication of many other problems; an appointment is
needed to assess the problem.
C. diaphoresis is normal during the postpartum period, and comfort measures can be
suggested to the mother.
D. diaphoresis is normal only if the mother is breastfeeding. - ANSWER: C.
diaphoresis is normal during the postpartum period, and comfort measures can be
suggested to the mother.
7. On the first postpartum day a patient's white blood cell count is 25,000/mm3. The
nurse's next action should be to
A. notify the physician for an antibiotic order.
B. assess the patient's temperature and blood pressure.
C. request the count be repeated.
D. note the results in the chart. - ANSWER: D. note the results in the chart.
8. One nursing measure that can help prevent postpartum hemorrhage and urinary
tract infections is
A. forcing fluids.
B. perineal care.
C. encouraging voiding every 2 to 3 hours.
D. encouraging the use of stool softeners. - ANSWER: C. encouraging voiding every 2
to 3 hours.
9. While doing patient teaching, the woman tells the nurse, "I don't have to worry
about contraception because I am breastfeeding." The nurse should base her answer
on the fact that
A. breastfeeding can be considered a reliable system of birth control.
B. breastfeeding can be used as a contraceptive method if strict guidelines are
followed through
C.breastfeeding is not a reliable contraceptive method. - ANSWER: C.breastfeeding is
not a reliable contraceptive method.
10. A woman was admitted to the ED with her newborn baby. The baby was born 4
days ago at home. The woman had no prenatal care. The nurse is assessing the lab
work and sees that the mother has an O-negative blood type, the baby is O-positive,
, and the Coombs test shows that the mother is not sensitized to the positive blood.
The nurse's next action should be
A. order Rho(D) immune globulin to be given to the mother.
B. order Rho(D) immune globulin to be given to the baby.
C. record the findings of the lab work and not plan on any further action at this time.
- ANSWER: C. record the findings of the lab work and not plan on any further action
at this time.
11. The first time a woman ambulates after the birth of the newborn, she has a
nursing diagnosis of Risk for injury because of the
A. risk for developing orthostatic hypotension.
B. development of bradycardia.
C. increase in cardiac output.
D. increase in circulatory volume - ANSWER: A. risk for developing orthostatic
hypotension.
13. During the early post-cesarean section phase, it is important for the woman to
turn, cough, and deep breathe. The rationale for this is to prevent
A. pooling of secretions in the airway.
B. thrombus formation in the lower legs.
C. gas formation in the intestinal tract.
D. urinary retention. - ANSWER: A. pooling of secretions in the airway.
14. As part of the postpartum assessment, the nurse examines the breasts of a
primiparous breastfeeding woman who is 1 day postpartum. An expected finding
would be
A. Soft, nontender; colostrum is present.
B. Leakage of milk at let-down.
C. Swollen, warm, and tender on palpation.
D. A few blisters and a bruise on each areola. - ANSWER: A. Soft, nontender;
colostrum is present.
16. The new mother comments that the newborn "has his father's eyes." The nurse
recognizes this as
A. part of the bonding process termed claiming.
B. the mother trying to find signs of the baby's paternity.
C. the mother trying to include the father in the bonding process.
D. part of the letting-go phase of maternal adaptation. - ANSWER: A. part of the
bonding process termed claiming
Claiming or binding-in begins when the mother begins to identify specific features of
the newborn. She then begins to relate features to family members.
