C HAPTER 09: T HE F AMILY A FTER B IRTH
Introduction to Maternity and Pediatric Nursing , 8th Edition ; Leifer
MULTIPLE CHOICE
1. A new mother states her preference to formula feed her newborn. What
will the nurse planning discharge instructions tell her to help suppress
lactation and promote com fort?
a. Wear a well-fitting bra continuousl y for several days.
b. Stand in a warm shower, letting the water spray over the breasts.
c. Express small amounts of milk from the breasts several times a day.
d. Massage the breasts when they ache.
ANS: A
When a mother do es not wish to breastfeed, a snug bra worn around the
clock can help alleviate discomfort from engorgement.
DIF: Cognitive Level: Application REF: Page 239 TOP:
Suppression of Lactation KEY: Nursing Process Step:
Planning MSC: NC LEX: Health Promotion and Maintenance:
Prevention and Earl y Detection of Disease
2. On the second postpartum day, a mother bathed her newborn for the first
time. She tells the nurse, I dont think I did it right. What postpartum
ps ychological stage is this woman most likel y in ba sed on this comment?
a. Taking in
b. Taking hold
, c. Letting go
d. Settling down
ANS: B
In phase 2, taking hold, the mother begins to initiate action and
becomes interested in caring for the infant. In doing so, she may
become critical of her performance.
DIF: Cognitive Level: Anal ysis REF: Page 221 OBJ: 6
TOP: Postpartum Psychological Stages KEY: Nursing
Process Step: Data Collection MSC: NC LEX:
Psychosocial Integrity: Physiological Adaptation
3. A primipara tells the nurse, My afterpains get worse when I am
breastfeeding. What is the most appropriate nursing response?
a. Ill get you some aspirin to relieve the cramping that you feel.
b. Afterpains are more intense with your first baby.
c. Breastfeeding releases a hormone that causes your uterus to
contract.
d. A change of position when youre breastfeeding might help.
ANS: C
Breastfeeding mothers may have more afterpains because infant
suckling causes the posterior pituitary to release ox ytocin, which is a
hormone that contracts the uterus.
, DIF: Cognitive Level: Applicati on REF: Page 210 TOP:
Afterpains with Breastfeeding KEY: Nursing Process Step:
Implementation MSC: NC LEX: Physiological Integrit y:
Physiological Adaptation
4. A new mother has decided not to breastfeed her newborn. What
information will the nurse includ e when planning to teach the mother
about formula feeding?
a. Positioning the bottle so that the nipple is full of formula during the
entire feeding
b. Heating the infant formula in a microwave
c. Burping the infant after 4 ounces and again when the bottle is empt y
d. Propping a bottle for a feeding
ANS: A
The nipple of the bottle should be kept full of formula to reduce the
amount of air the infant swallows.
DIF: Cognitive Level: Comprehension REF: Page 241
OBJ: 17 TOP: Formula Feeding KEY: Nursing
Process Step: Planning MSC: NC LEX: Physiological
Integrit y: Reduction of Risk
5. In the recovery room, the nurse checks the newl y delivered womans
fundus following a cesarean section. How would the nurse proceed with
this assessment?
a. Palpate from the midline to the si de of the body.
b. Palpate from the symphysis to the umbilicus.
c. Palpate from the side of the uterus to the midline.
Introduction to Maternity and Pediatric Nursing , 8th Edition ; Leifer
MULTIPLE CHOICE
1. A new mother states her preference to formula feed her newborn. What
will the nurse planning discharge instructions tell her to help suppress
lactation and promote com fort?
a. Wear a well-fitting bra continuousl y for several days.
b. Stand in a warm shower, letting the water spray over the breasts.
c. Express small amounts of milk from the breasts several times a day.
d. Massage the breasts when they ache.
ANS: A
When a mother do es not wish to breastfeed, a snug bra worn around the
clock can help alleviate discomfort from engorgement.
DIF: Cognitive Level: Application REF: Page 239 TOP:
Suppression of Lactation KEY: Nursing Process Step:
Planning MSC: NC LEX: Health Promotion and Maintenance:
Prevention and Earl y Detection of Disease
2. On the second postpartum day, a mother bathed her newborn for the first
time. She tells the nurse, I dont think I did it right. What postpartum
ps ychological stage is this woman most likel y in ba sed on this comment?
a. Taking in
b. Taking hold
, c. Letting go
d. Settling down
ANS: B
In phase 2, taking hold, the mother begins to initiate action and
becomes interested in caring for the infant. In doing so, she may
become critical of her performance.
DIF: Cognitive Level: Anal ysis REF: Page 221 OBJ: 6
TOP: Postpartum Psychological Stages KEY: Nursing
Process Step: Data Collection MSC: NC LEX:
Psychosocial Integrity: Physiological Adaptation
3. A primipara tells the nurse, My afterpains get worse when I am
breastfeeding. What is the most appropriate nursing response?
a. Ill get you some aspirin to relieve the cramping that you feel.
b. Afterpains are more intense with your first baby.
c. Breastfeeding releases a hormone that causes your uterus to
contract.
d. A change of position when youre breastfeeding might help.
ANS: C
Breastfeeding mothers may have more afterpains because infant
suckling causes the posterior pituitary to release ox ytocin, which is a
hormone that contracts the uterus.
, DIF: Cognitive Level: Applicati on REF: Page 210 TOP:
Afterpains with Breastfeeding KEY: Nursing Process Step:
Implementation MSC: NC LEX: Physiological Integrit y:
Physiological Adaptation
4. A new mother has decided not to breastfeed her newborn. What
information will the nurse includ e when planning to teach the mother
about formula feeding?
a. Positioning the bottle so that the nipple is full of formula during the
entire feeding
b. Heating the infant formula in a microwave
c. Burping the infant after 4 ounces and again when the bottle is empt y
d. Propping a bottle for a feeding
ANS: A
The nipple of the bottle should be kept full of formula to reduce the
amount of air the infant swallows.
DIF: Cognitive Level: Comprehension REF: Page 241
OBJ: 17 TOP: Formula Feeding KEY: Nursing
Process Step: Planning MSC: NC LEX: Physiological
Integrit y: Reduction of Risk
5. In the recovery room, the nurse checks the newl y delivered womans
fundus following a cesarean section. How would the nurse proceed with
this assessment?
a. Palpate from the midline to the si de of the body.
b. Palpate from the symphysis to the umbilicus.
c. Palpate from the side of the uterus to the midline.
