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Case Study 1
Questions 1-5 refer to this study
Andrea is a 20-year-old multipara who is on the late discharge program.
1. The nurse advises Andrea that her colostrum is the first nutrient the newborn
will receive. Why is colostrum very important to the newborn?
A. It contains large amounts of fat needed to help the newborn gain weight
B. It contains high levels of antibodies for the newborn's protection
C. It contains hormones that will help the mother's uterus return to normal
D. It contains laxatives to remove bacteria from the newborn's G.I. system -
ANSWER C. It contains hormones that will help the mother's uterus return to
normal
, 2. Andrea is discharged 24 hours after the delivery of her first child. She will be
followed by the community care nurses at home. For her safety, the LPN must
ensure that Andrea is aware of how to monitor for various signs and symptoms
before the community nurses visit. Andrea is directed to contact her care provider
immediately about all of the following signs and symptoms except which one?
A. Fever above 38' C
B. Foul-smelling vaginal discharge
C. Leaking of yellowish fluid from her breasts
D. Bright red heavy lochia - ANSWER A. Fever above 38' C
3. The LPN is hindering Andrea unpack up her belongings before admission when
her boyfriend Larry arrives to leave her home. He looks at the baby and states,
"You better keep that kid quiet at night." What immediate safety concerns does
the nurse think of for the baby?
A. Poor social development
B. Lack of love and attention
C. Delayed physical development
D. Shaken baby syndrome - ANSWER C. Delayed physical development
4. You are concerned about Andrea leaving with Larry and her new baby, a
cautious nurse would do which of the following?
A. Contact the police immediately and insist they arrest Larry
B. Ignore the situation as the patient is discharged
C. Contact the community care nurse and advise her of the situation
D. Discuss your concerns with the RN on duty. - ANSWER The nurse's initial
action when Julie has not voided after vaginal delivery. By palpating the
, suprapubic area, the nurse assesses for any bladder distension, which can be a
sign of urinary retention.
5. Two days later, you see Andrea with her newborn baby girl standing beside the
road crying. The weather is warm, and it is sunny. You approach her; she states
she must leave the apartment whenever Larry is sleeping for fear he will be angry
at the baby. What action do you take?
A. Tell her she should leave Larry
B. Walk away. She is no longer your patient, and this is not your business
C. As she was discharged into the care of community care nurses, offer to leave
her at their office.
D. Take her to the community center and show her the list of safe houses for
mothers - ANSWER D. Take her to the community center and show her the list
of safe houses for mothers
6. Sperm can fertilize an ovum up to 7 days after ejaculation. The ovum remains
fertile for 24 hours after ovulation. What is the fertile period where intercourse
can result in conception?
A. For two weeks after ovulation
B. 60 days after menses
C. 5 days before until 1 day after ovulation
D. The same day as ovulation occurs. - ANSWER D. The same day as ovulation
occurs.
7. The pregnant woman is monitored for signs and symptoms of preeclampsia
during pregnancy. The following are signs of preeclampsia, except: