Maternal health care| Chapter 27: Care of the Mother and
Newborn
1. 1. When assessing a mother 12 hours following the delivery of a baby, where should the nurse
expect to palpate the fundus?
a. 2 cm below the umbilicus
b. At the umbilicus
c. 1 cm below the umbilicus
d. Halfway between the umbilicus and the symphysis pubis: ANS: B
Within 12 hours, the fundus rises to the level of the umbilicus. The fundus should be firm.
Immediately following delivery, the fundus will be felt halfway between the umbilicus and the
symphysis.
PTS: 1 DIF: Cognitive Level: Application REF: Page 835 OBJ: 1 TOP: Postpartum KEY: Nursing
Process Step: Assessment
2. 2. What is the name of the vaginal discharge that occurs immediately following delivery?
a. Lochia serosa
b. Lochia rubra
c. Lochia palatine
d. Lochia alba: ANS: B
The vaginal discharge that occurs immediately following discharge is known as lochia rubra and
made up mostly of blood. As the placenta heals, the draining turns pink to dark brown in color an
is known as lochia serosa. After about 7 days, the discharge turns slight yellow to white and is
called lochia alba.
PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 835 OBJ: 1 TOP: Lochia KEY: Nursing
Process Step: Assessment
3. 3. What is the first secretion produced by the breast?
a. Prolactin
b. Colostrum
c. False milk
d. Whey: ANS: B
The first secretion to be produced by the breast is colostrum.
PTS: 1 DIF: Cognitive Level: Knowledge REF: Page 837
OBJ: 2 TOP: Lactation KEY: Nursing Process Step: Implementation
4. 4. What should be included in a teaching plan regarding breast engorge- ment?
a. It typically occurs on the first postpartum day
, Maternal health care| Chapter 27: Care of the Mother and
Newborn
b. It is usually first observed in the axillary region
, Maternal health care| Chapter 27: Care of the Mother and
Newborn
c. It occurs only in women who are not breastfeeding
d. It occurs near the nipple on the third postpartum day: ANS: B
Filling of the breast with milk (engorgement) usually begins in the axillary region on the third
postpartum day when the milk comes in. It occurs regardless of whether the mother is
breastfeeding or bottle-feeding.
PTS: 1 DIF: Cognitive Level: Application REF: Page 851 OBJ: 2 TOP: Engorgement KEY: Nursing
Process Step: Implementation
5. 5. When is breast engorgement most likely to occur?
a. When the infant's mouth surrounds the areola when feeding
b. When the breast tissue becomes congested
c. When the breast is emptied completely at each feeding
d. When the infant's mouth grasps the nipple firmly: ANS: B
Engorgement is the result of venous and lymphatic stasis (congestion). Emptying the breast at
each feeding, the infant grasping the nipple firmly, and the infant's mouth surrounding the areol
when feeding are all measures that will aid in decreasing engorgement.
PTS: 1 DIF: Cognitive Level: Application REF: Page 851 OBJ: 2 TOP: Engorgement KEY: Nursing
Process Step: Implementation
6. 6. Which statement would be a correct description of colostrum?
a. Slightly yellow and low in protein
b. Slightly yellow and provides antibodies
c. Creamy and high in fat and protein
d. Colorless and high in fat and carbohydrates: ANS: B Colostrum is
slightly yellow in color and is rich in antibodies.
PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 866
OBJ: 13 TOP: Colostrum KEY: Nursing Process Step: Implementation
7. 7. The new mother has decided not to breastfeed the baby. How should the nurse correctly instruct
the mother to suppress her milk supply?
a. Pump the breasts to remove milk
b. Apply warm, moist compresses
c. Restrict oral fluids
d. Apply a firm bra and ice packs: ANS: D
If a patient is not breastfeeding, compress the breasts with a firm bra and wrapped ice packs to
Newborn
1. 1. When assessing a mother 12 hours following the delivery of a baby, where should the nurse
expect to palpate the fundus?
a. 2 cm below the umbilicus
b. At the umbilicus
c. 1 cm below the umbilicus
d. Halfway between the umbilicus and the symphysis pubis: ANS: B
Within 12 hours, the fundus rises to the level of the umbilicus. The fundus should be firm.
Immediately following delivery, the fundus will be felt halfway between the umbilicus and the
symphysis.
PTS: 1 DIF: Cognitive Level: Application REF: Page 835 OBJ: 1 TOP: Postpartum KEY: Nursing
Process Step: Assessment
2. 2. What is the name of the vaginal discharge that occurs immediately following delivery?
a. Lochia serosa
b. Lochia rubra
c. Lochia palatine
d. Lochia alba: ANS: B
The vaginal discharge that occurs immediately following discharge is known as lochia rubra and
made up mostly of blood. As the placenta heals, the draining turns pink to dark brown in color an
is known as lochia serosa. After about 7 days, the discharge turns slight yellow to white and is
called lochia alba.
PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 835 OBJ: 1 TOP: Lochia KEY: Nursing
Process Step: Assessment
3. 3. What is the first secretion produced by the breast?
a. Prolactin
b. Colostrum
c. False milk
d. Whey: ANS: B
The first secretion to be produced by the breast is colostrum.
PTS: 1 DIF: Cognitive Level: Knowledge REF: Page 837
OBJ: 2 TOP: Lactation KEY: Nursing Process Step: Implementation
4. 4. What should be included in a teaching plan regarding breast engorge- ment?
a. It typically occurs on the first postpartum day
, Maternal health care| Chapter 27: Care of the Mother and
Newborn
b. It is usually first observed in the axillary region
, Maternal health care| Chapter 27: Care of the Mother and
Newborn
c. It occurs only in women who are not breastfeeding
d. It occurs near the nipple on the third postpartum day: ANS: B
Filling of the breast with milk (engorgement) usually begins in the axillary region on the third
postpartum day when the milk comes in. It occurs regardless of whether the mother is
breastfeeding or bottle-feeding.
PTS: 1 DIF: Cognitive Level: Application REF: Page 851 OBJ: 2 TOP: Engorgement KEY: Nursing
Process Step: Implementation
5. 5. When is breast engorgement most likely to occur?
a. When the infant's mouth surrounds the areola when feeding
b. When the breast tissue becomes congested
c. When the breast is emptied completely at each feeding
d. When the infant's mouth grasps the nipple firmly: ANS: B
Engorgement is the result of venous and lymphatic stasis (congestion). Emptying the breast at
each feeding, the infant grasping the nipple firmly, and the infant's mouth surrounding the areol
when feeding are all measures that will aid in decreasing engorgement.
PTS: 1 DIF: Cognitive Level: Application REF: Page 851 OBJ: 2 TOP: Engorgement KEY: Nursing
Process Step: Implementation
6. 6. Which statement would be a correct description of colostrum?
a. Slightly yellow and low in protein
b. Slightly yellow and provides antibodies
c. Creamy and high in fat and protein
d. Colorless and high in fat and carbohydrates: ANS: B Colostrum is
slightly yellow in color and is rich in antibodies.
PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 866
OBJ: 13 TOP: Colostrum KEY: Nursing Process Step: Implementation
7. 7. The new mother has decided not to breastfeed the baby. How should the nurse correctly instruct
the mother to suppress her milk supply?
a. Pump the breasts to remove milk
b. Apply warm, moist compresses
c. Restrict oral fluids
d. Apply a firm bra and ice packs: ANS: D
If a patient is not breastfeeding, compress the breasts with a firm bra and wrapped ice packs to
