Ricci, Kyle & Carman: Maternity and Pediatric Nursing, Second Edition: Ch
ter 16: Nursing Management During the Postpartum Period; prep u
Study online at https://quizlet.com/_34i35p
1. A mother who just given crying baby
birth has difficulty sleep- inability to get adequate pain relief
ing despite her exhaus- frequent trips to the bathroom due to diuresis
tion from labor. What are excess fatigue and overstimulation by visitors
the causes of this inabil-
ity to rest? Select all that The period before labor and birth can be uncomfortable for the mother,
apply. thus preventing adequate rest and creating a sleep hunger. The early
postpartum period involves many adjustments that can take a toll on
the mother's sleep.
2. A nurse finds the uterus atony
of a postpartum woman
to be boggy and some- The uterus in a postpartum client should be midline and firm. A boggy
what relaxed. This a sign or relaxed uterus signifies uterine atony, which can predispose the
of which condition? woman to hemorrhage.
3. Which nursing interven- encouraging the woman to empty her bladder completely every 2 to 4
tion is appropriate for hours
prevention of a urinary
tract infection (UTI) in The nurse should advise the woman to urinate every 2 to 4 hours while
the postpartum woman? awake to prevent overdistention and trauma to the bladder. Maintaining
a good fluid intake is also important, but it is not necessary to increase
fluids if the woman is consuming enough. Screening for bacteria in
the urine would require a primary care provider's order and is not
necessary as a prevention measure.
4. A nurse is assessing Instruct the client to empty her bladder before the examination.
a postpartum client.
Which measure is appro- An empty bladder facilitates examination of the fundus. The client
priate? should be supine with arms at her sides and her knees bent. The
arms-overhead position is unnecessary. Clean gloves should be used
when assessing the perineum; sterile gloves are not necessary. The
, Ricci, Kyle & Carman: Maternity and Pediatric Nursing, Second Edition: Ch
ter 16: Nursing Management During the Postpartum Period; prep u
Study online at https://quizlet.com/_34i35p
postpartum examination should not be done quickly. The nurse can take
this time to teach the client about the changes in her body after birth.
5. The LVN/LPN will be as- fever more than 100.4° F (38° C)
sessing a postpartum
client for danger signs A fever more than 100.4° F (38° C) is a danger sign that the client
after a vaginal birth. may be developing a postpartum infection. Lochia rubra is a normal
What assessment find- finding as is a firm uterine fundus. A uterine fundus above the umbilicus
ing would the nurse as- may indicate that the client has a full bladder but does not indicate a
sess as a danger sign for postpartum infection.
this client?
6. Many clients experience dehydration
a slight fever after birth
especially during the
Many women experience a slight fever (100.4° F [38° C]) during the
first 24 hours. To what
first 24 hours after birth. This results from dehydration because of
should the nurse at-
fluid loss during labor. With the replacement of fluids the temperature
tribute this elevated tem-
should return to normal after 24 hours.
perature?
7. A new mother tells the attachment
nurse at the baby's 3 Attachment is the development of strong affection between an infant
month check-up, "When and a significant other. It does not occur overnight. It occurs through
she cries, it seems like I mutually satisfying experiences. Attachment behaviors include seeking,
am the only one who can staying close to, and exchanging gratifying experiences with the infant.
calm her down." This is Bonding is the close emotional attraction to a newborn by the parents
an example of which be- that develops in the first 30 to 60 minutes after birth. This is not an
havior? example of being spoiled.
8. A client who gave birth "It's not uncommon after birth for you to have a full bladder even
vaginally 16 hours ago though you can't sense the fullness."
states she does not need After a vaginal birth, the client should be encouraged to void every 4
ter 16: Nursing Management During the Postpartum Period; prep u
Study online at https://quizlet.com/_34i35p
1. A mother who just given crying baby
birth has difficulty sleep- inability to get adequate pain relief
ing despite her exhaus- frequent trips to the bathroom due to diuresis
tion from labor. What are excess fatigue and overstimulation by visitors
the causes of this inabil-
ity to rest? Select all that The period before labor and birth can be uncomfortable for the mother,
apply. thus preventing adequate rest and creating a sleep hunger. The early
postpartum period involves many adjustments that can take a toll on
the mother's sleep.
2. A nurse finds the uterus atony
of a postpartum woman
to be boggy and some- The uterus in a postpartum client should be midline and firm. A boggy
what relaxed. This a sign or relaxed uterus signifies uterine atony, which can predispose the
of which condition? woman to hemorrhage.
3. Which nursing interven- encouraging the woman to empty her bladder completely every 2 to 4
tion is appropriate for hours
prevention of a urinary
tract infection (UTI) in The nurse should advise the woman to urinate every 2 to 4 hours while
the postpartum woman? awake to prevent overdistention and trauma to the bladder. Maintaining
a good fluid intake is also important, but it is not necessary to increase
fluids if the woman is consuming enough. Screening for bacteria in
the urine would require a primary care provider's order and is not
necessary as a prevention measure.
4. A nurse is assessing Instruct the client to empty her bladder before the examination.
a postpartum client.
Which measure is appro- An empty bladder facilitates examination of the fundus. The client
priate? should be supine with arms at her sides and her knees bent. The
arms-overhead position is unnecessary. Clean gloves should be used
when assessing the perineum; sterile gloves are not necessary. The
, Ricci, Kyle & Carman: Maternity and Pediatric Nursing, Second Edition: Ch
ter 16: Nursing Management During the Postpartum Period; prep u
Study online at https://quizlet.com/_34i35p
postpartum examination should not be done quickly. The nurse can take
this time to teach the client about the changes in her body after birth.
5. The LVN/LPN will be as- fever more than 100.4° F (38° C)
sessing a postpartum
client for danger signs A fever more than 100.4° F (38° C) is a danger sign that the client
after a vaginal birth. may be developing a postpartum infection. Lochia rubra is a normal
What assessment find- finding as is a firm uterine fundus. A uterine fundus above the umbilicus
ing would the nurse as- may indicate that the client has a full bladder but does not indicate a
sess as a danger sign for postpartum infection.
this client?
6. Many clients experience dehydration
a slight fever after birth
especially during the
Many women experience a slight fever (100.4° F [38° C]) during the
first 24 hours. To what
first 24 hours after birth. This results from dehydration because of
should the nurse at-
fluid loss during labor. With the replacement of fluids the temperature
tribute this elevated tem-
should return to normal after 24 hours.
perature?
7. A new mother tells the attachment
nurse at the baby's 3 Attachment is the development of strong affection between an infant
month check-up, "When and a significant other. It does not occur overnight. It occurs through
she cries, it seems like I mutually satisfying experiences. Attachment behaviors include seeking,
am the only one who can staying close to, and exchanging gratifying experiences with the infant.
calm her down." This is Bonding is the close emotional attraction to a newborn by the parents
an example of which be- that develops in the first 30 to 60 minutes after birth. This is not an
havior? example of being spoiled.
8. A client who gave birth "It's not uncommon after birth for you to have a full bladder even
vaginally 16 hours ago though you can't sense the fullness."
states she does not need After a vaginal birth, the client should be encouraged to void every 4
