Keenan-Lindsay: Leifer’s Introduction to Maternity and Pediatric Nursing in Canada, 1st Edition
MULTIPLE CHOICE
1. What is the best response to a postpartum woman who tells a nurse she feels “tired and
sick all of the time since I had the baby 3 months ago”?
a. “This is a normal response for the body after pregnancy. Try to get more rest.”
b. “I’ll bet you will snap out of this funk real soon.”
c. “Why don’t you arrange for a babysitter so you and your husband can have a night
out?”
d. “Let’s talk about this further. I am concerned about how you are feeling.”
ANS: D
If a postpartum woman seems depressed, it is important to explore her feelings to
determine if they are persistent and pervasive.
DIF: Cognitive Level: Application REF: 261 OBJ: 6 | 7
TOP: Perinatal Mood Disorder KEY: Nursing Process Step:
Implementation
2. A nurse is caring for a woman who had a caesarean birth yesterday. Varicose veins are
visible on both legs. What nursing action is the most appropriate to prevent thrombus
formation?
a. Teach the woman to remain in bed with her legs elevated.
b. Monitor vital signs every 4 hours and report any changes.
c. Teach the woman to use antiembolic stockings when ambulating.
d. Assist the woman with ambulation for short periods of time.
ANS: D
Early ambulation and antiembolic stockings worn continuously are valuable aids to
prevent thrombus formation in the postpartum woman.
, DIF: Cognitive Level: Application REF: 258 OBJ: 4
TOP: Thrombus Prevention KEY: Nursing Process Step:
Implementation
3. Five days after a spontaneous vaginal birth, a woman comes to the emergency room
because she has had a fever for 2 days and persistent cramping. What does a nurse
recognize as the possible cause of these signs and symptoms?
a. Dehydration
b. Hypovolemic shock
c. Endometritis
d. Cystitis
ANS: C
Fever after 24 hours following birth is suggestive of an infection. Severe cramping
and fever are manifestations of endometritis.
DIF: Cognitive Level: Analysis REF: 259 OBJ: 2
TOP: Puerperal Infections KEY: Nursing Process Step: Data
Collection
4. At a 6-week postpartum checkup, a woman mentions to a nurse that she cannot sleep and
is not eating. She feels guilty because sometimes she believes she is not a good mother.
What does the nurse recognize as the most likely reason for this woman’s symptoms?
a. Bipolar disorder
b. Depression
c. Postpartum blues
d. Psychosis
ANS: B
Depression is a disorder characterized by deep feelings of worthlessness, guilt, serious
sleep, and appetite disturbances.
DIF: Cognitive Level: Analysis REF: 261 OBJ: 7
TOP: Perinatal Mood Disorder KEY: Nursing Process Step: Data
Collection
MULTIPLE CHOICE
1. What is the best response to a postpartum woman who tells a nurse she feels “tired and
sick all of the time since I had the baby 3 months ago”?
a. “This is a normal response for the body after pregnancy. Try to get more rest.”
b. “I’ll bet you will snap out of this funk real soon.”
c. “Why don’t you arrange for a babysitter so you and your husband can have a night
out?”
d. “Let’s talk about this further. I am concerned about how you are feeling.”
ANS: D
If a postpartum woman seems depressed, it is important to explore her feelings to
determine if they are persistent and pervasive.
DIF: Cognitive Level: Application REF: 261 OBJ: 6 | 7
TOP: Perinatal Mood Disorder KEY: Nursing Process Step:
Implementation
2. A nurse is caring for a woman who had a caesarean birth yesterday. Varicose veins are
visible on both legs. What nursing action is the most appropriate to prevent thrombus
formation?
a. Teach the woman to remain in bed with her legs elevated.
b. Monitor vital signs every 4 hours and report any changes.
c. Teach the woman to use antiembolic stockings when ambulating.
d. Assist the woman with ambulation for short periods of time.
ANS: D
Early ambulation and antiembolic stockings worn continuously are valuable aids to
prevent thrombus formation in the postpartum woman.
, DIF: Cognitive Level: Application REF: 258 OBJ: 4
TOP: Thrombus Prevention KEY: Nursing Process Step:
Implementation
3. Five days after a spontaneous vaginal birth, a woman comes to the emergency room
because she has had a fever for 2 days and persistent cramping. What does a nurse
recognize as the possible cause of these signs and symptoms?
a. Dehydration
b. Hypovolemic shock
c. Endometritis
d. Cystitis
ANS: C
Fever after 24 hours following birth is suggestive of an infection. Severe cramping
and fever are manifestations of endometritis.
DIF: Cognitive Level: Analysis REF: 259 OBJ: 2
TOP: Puerperal Infections KEY: Nursing Process Step: Data
Collection
4. At a 6-week postpartum checkup, a woman mentions to a nurse that she cannot sleep and
is not eating. She feels guilty because sometimes she believes she is not a good mother.
What does the nurse recognize as the most likely reason for this woman’s symptoms?
a. Bipolar disorder
b. Depression
c. Postpartum blues
d. Psychosis
ANS: B
Depression is a disorder characterized by deep feelings of worthlessness, guilt, serious
sleep, and appetite disturbances.
DIF: Cognitive Level: Analysis REF: 261 OBJ: 7
TOP: Perinatal Mood Disorder KEY: Nursing Process Step: Data
Collection
