Ricci, Kyle & Carman: Maternity and Pediatric Nursing, Second Edition: Ch
ter 15: Postpartum Adaptations; PrepU
Study online at https://quizlet.com/_3026hd
1. A woman who inability of infant to empty breasts
is breastfeeding
her newborn re- For the breastfeeding mother, engorgement is often the result of vascular con-
ports that her gestion and milk stasis, primarily caused by the infant not fully emptying the
breasts seem quite mother's breasts at each feeding. Cracking of the nipple could lead to infection.
full. Assessment Improper positioning may lead to nipple tenderness or pain. Inadequate secre-
reveals that her tion of prolactin causes a decrease in the production of milk.
breasts are en-
gorged. Which fac-
tor would the
nurse identify as
the most likely
cause for this de-
velopment?
2. The nurse is caring urinary tract infection
for a client in the
postpartum peri- The nurse would need to monitor the client for signs and symptoms of a
od. The client has urinary tract infection, a risk associated with catheterization. Stress incontinence
difficulty in void- is caused due to loss of pelvic muscle tone after birth. Increased urinary output is
ing and is catheter- observed in diuresis. Catheterization does not cause loss of pelvic muscle tone,
ized. The nurse increased urine output, or stress incontinence.
then would moni-
tor the client for
which condition?
3. A nurse is caring Wear a well-fitting bra.
for a nonbreast-
feeding client in The nurse should suggest the client wear a well-fitting bra to provide sup-
the postpartum port and help alleviate breast discomfort. Application of warm compresses and
period. The client expressing milk frequently is suggested to alleviate breast engorgement in
, Ricci, Kyle & Carman: Maternity and Pediatric Nursing, Second Edition: Ch
ter 15: Postpartum Adaptations; PrepU
Study online at https://quizlet.com/_3026hd
reports engorge- breastfeeding clients. Hydrogel dressings are used prophylactically in treating
ment. What sug- nipple pain.
gestion should the
nurse provide to al-
leviate breast dis-
comfort?
4. A client in her hypovolemia
sixth week post-
partum reports The nurse should assess the client for hypovolemia as the client must have
general weakness. had hemorrhage during birth and puerperium. Additionally, the client also has
The client has discontinued iron supplements. Hyperglycemia can be considered if the client
stopped taking has a history of diabetes. Hypertension and hyperthyroidism are not related to
iron supplements discontinuation of iron supplements.
that were pre-
scribed to her dur-
ing pregnancy. The
nurse would as-
sess the client for
which condition?
5. A concerned client Hold the baby frequently.
tells the nurse that
her husband, who The nurse should suggest that the father care for the newborn by holding and
was very excited talking to the child. Reading up on parental care and speaking to his friends or
about the baby be- the primary care provider will not help the father resolve his fears about caring
fore its birth, is ap- for the child.
parently happy but
seems to be afraid
of caring for the
baby. What sug-
, Ricci, Kyle & Carman: Maternity and Pediatric Nursing, Second Edition: Ch
ter 15: Postpartum Adaptations; PrepU
Study online at https://quizlet.com/_3026hd
gestion should the
nurse give to the
client's husband to
resolve the issue?
6. During a post- Place an ice pack.
partum exam on
the day of birth, The labia and perineum may be edematous after birth and bruised; the use of
the woman reports ice would assist in decreasing the pain and swelling. Applying a warm washcloth
that she is still would bring more blood as well as fluid to the sore area, thereby increasing the
so sore that she edema and the soreness. Applying a witch hazel pad needs the order of the
cannot sit comfort- primary care provider. Notifying a care provider is not necessary at this time as
ably. The nurse ex- this is considered a normal finding.
amines her per-
ineum and find
the edges of
the episiotomy ap-
proximated with-
out signs of a
hematoma. Which
intervention will be
most beneficial at
this point?
7. A woman who "You might try using a water-soluble lubricant to ease the discomfort."
gave birth to a
healthy newborn 2 Coital discomfort and localized dryness usually plague most postpartum women
months ago comes until menstruation returns. Water-soluble lubricants can reduce discomfort dur-
to the clinic and ing intercourse. Although it may take some time for the woman's body to return
reports discomfort to its prepregnant state, telling the woman this does not address her concern.
during sexual in- Telling her that dyspareunia is normal and that it takes time to resolve also
ter 15: Postpartum Adaptations; PrepU
Study online at https://quizlet.com/_3026hd
1. A woman who inability of infant to empty breasts
is breastfeeding
her newborn re- For the breastfeeding mother, engorgement is often the result of vascular con-
ports that her gestion and milk stasis, primarily caused by the infant not fully emptying the
breasts seem quite mother's breasts at each feeding. Cracking of the nipple could lead to infection.
full. Assessment Improper positioning may lead to nipple tenderness or pain. Inadequate secre-
reveals that her tion of prolactin causes a decrease in the production of milk.
breasts are en-
gorged. Which fac-
tor would the
nurse identify as
the most likely
cause for this de-
velopment?
2. The nurse is caring urinary tract infection
for a client in the
postpartum peri- The nurse would need to monitor the client for signs and symptoms of a
od. The client has urinary tract infection, a risk associated with catheterization. Stress incontinence
difficulty in void- is caused due to loss of pelvic muscle tone after birth. Increased urinary output is
ing and is catheter- observed in diuresis. Catheterization does not cause loss of pelvic muscle tone,
ized. The nurse increased urine output, or stress incontinence.
then would moni-
tor the client for
which condition?
3. A nurse is caring Wear a well-fitting bra.
for a nonbreast-
feeding client in The nurse should suggest the client wear a well-fitting bra to provide sup-
the postpartum port and help alleviate breast discomfort. Application of warm compresses and
period. The client expressing milk frequently is suggested to alleviate breast engorgement in
, Ricci, Kyle & Carman: Maternity and Pediatric Nursing, Second Edition: Ch
ter 15: Postpartum Adaptations; PrepU
Study online at https://quizlet.com/_3026hd
reports engorge- breastfeeding clients. Hydrogel dressings are used prophylactically in treating
ment. What sug- nipple pain.
gestion should the
nurse provide to al-
leviate breast dis-
comfort?
4. A client in her hypovolemia
sixth week post-
partum reports The nurse should assess the client for hypovolemia as the client must have
general weakness. had hemorrhage during birth and puerperium. Additionally, the client also has
The client has discontinued iron supplements. Hyperglycemia can be considered if the client
stopped taking has a history of diabetes. Hypertension and hyperthyroidism are not related to
iron supplements discontinuation of iron supplements.
that were pre-
scribed to her dur-
ing pregnancy. The
nurse would as-
sess the client for
which condition?
5. A concerned client Hold the baby frequently.
tells the nurse that
her husband, who The nurse should suggest that the father care for the newborn by holding and
was very excited talking to the child. Reading up on parental care and speaking to his friends or
about the baby be- the primary care provider will not help the father resolve his fears about caring
fore its birth, is ap- for the child.
parently happy but
seems to be afraid
of caring for the
baby. What sug-
, Ricci, Kyle & Carman: Maternity and Pediatric Nursing, Second Edition: Ch
ter 15: Postpartum Adaptations; PrepU
Study online at https://quizlet.com/_3026hd
gestion should the
nurse give to the
client's husband to
resolve the issue?
6. During a post- Place an ice pack.
partum exam on
the day of birth, The labia and perineum may be edematous after birth and bruised; the use of
the woman reports ice would assist in decreasing the pain and swelling. Applying a warm washcloth
that she is still would bring more blood as well as fluid to the sore area, thereby increasing the
so sore that she edema and the soreness. Applying a witch hazel pad needs the order of the
cannot sit comfort- primary care provider. Notifying a care provider is not necessary at this time as
ably. The nurse ex- this is considered a normal finding.
amines her per-
ineum and find
the edges of
the episiotomy ap-
proximated with-
out signs of a
hematoma. Which
intervention will be
most beneficial at
this point?
7. A woman who "You might try using a water-soluble lubricant to ease the discomfort."
gave birth to a
healthy newborn 2 Coital discomfort and localized dryness usually plague most postpartum women
months ago comes until menstruation returns. Water-soluble lubricants can reduce discomfort dur-
to the clinic and ing intercourse. Although it may take some time for the woman's body to return
reports discomfort to its prepregnant state, telling the woman this does not address her concern.
during sexual in- Telling her that dyspareunia is normal and that it takes time to resolve also
