OB Chapter 9 Nclex Questions And Answers Most Recent Reviewed.
A breastfeeding mother reports that she has cramping after every time she feeds her baby. The
nurse informs her that these are afterpains, intermittent uterine contractions similar to menstrual
cramps. The best physician-ordered pharmacological nursing intervention is to administer a(n): -
ansmild analgesic
A new mother asks how often she should nurse her infant. The nurse should tell her to feed the
infant: - ansOn demand, about every 2 to 3 hours
A new mother has decided not to breastfeed her newborn. The nurse planning to teach the mother
about formula feeding would include:
a. positioning the bottle so that the nipple is full of formula during the entire feeding.
b. heating infant formula in a microwave.
c. burping the infant after 4 ounces and again when the bottle is empty.
d. propping a bottle for a feeding. - ansA. Position the bottle so that the nipple is full of formula
during the entire feeding.
Rationale:
The nipple of the bottle should be kept full of formula to reduce the amount of air the baby
swallows.
A new mother states her preference to formula-feed her newborn. The nurse planning discharge
instructions would tell her about a measure to help suppress lactation and promote comfort,
which is:
a. wear a well-fitting bra continuously 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. - ansA. Wear a well-fitting bra continuously for several
days.
Rationale:
When a mother does not wish to breastfeed, a snug bra worn around the clock can help alleviate
discomfort from engorgement.
, OB Chapter 9 Nclex Questions And Answers Most Recent Reviewed.
A primipara tells the nurse, "My afterpains get worse when I am breastfeeding." The most
appropriate nursing response would be:
a. "I'll 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 you're breastfeeding might help." - ansC. "Breastfeeding releases
a hormone that causes your uterus to contract."
Rationale:
Breastfeeding mothers may have more afterpains because infant suckling cause the posterior
pituitary to release oxytocin, which is a hormone that contracts the uterus.
A woman will be discharged 48 hours after a vaginal delivery. When planning discharge
teaching, the information the nurse would include about lochia is:
a. lochia should disappear 2 to 4 weeks postpartum.
b. it is normal for the lochia to have a slightly foul odor.
c. a change in lochia from pink to bright red should be reported.
d. a decrease in flow will be noticed with ambulation and activity. - ansC. A change in lochia
from pink to bright red should be reported.
Rationale:
A return to bright red lochia rubra may indicate a late postpartum hemorrhage.
After birth, the nurse quickly dries and wraps the newborn in a blanket to prevent heat loss by:
a. conduction.
b. radiation.
c. evaporation.
d. convection. - ansC. Evaporation
A breastfeeding mother reports that she has cramping after every time she feeds her baby. The
nurse informs her that these are afterpains, intermittent uterine contractions similar to menstrual
cramps. The best physician-ordered pharmacological nursing intervention is to administer a(n): -
ansmild analgesic
A new mother asks how often she should nurse her infant. The nurse should tell her to feed the
infant: - ansOn demand, about every 2 to 3 hours
A new mother has decided not to breastfeed her newborn. The nurse planning to teach the mother
about formula feeding would include:
a. positioning the bottle so that the nipple is full of formula during the entire feeding.
b. heating infant formula in a microwave.
c. burping the infant after 4 ounces and again when the bottle is empty.
d. propping a bottle for a feeding. - ansA. Position the bottle so that the nipple is full of formula
during the entire feeding.
Rationale:
The nipple of the bottle should be kept full of formula to reduce the amount of air the baby
swallows.
A new mother states her preference to formula-feed her newborn. The nurse planning discharge
instructions would tell her about a measure to help suppress lactation and promote comfort,
which is:
a. wear a well-fitting bra continuously 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. - ansA. Wear a well-fitting bra continuously for several
days.
Rationale:
When a mother does not wish to breastfeed, a snug bra worn around the clock can help alleviate
discomfort from engorgement.
, OB Chapter 9 Nclex Questions And Answers Most Recent Reviewed.
A primipara tells the nurse, "My afterpains get worse when I am breastfeeding." The most
appropriate nursing response would be:
a. "I'll 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 you're breastfeeding might help." - ansC. "Breastfeeding releases
a hormone that causes your uterus to contract."
Rationale:
Breastfeeding mothers may have more afterpains because infant suckling cause the posterior
pituitary to release oxytocin, which is a hormone that contracts the uterus.
A woman will be discharged 48 hours after a vaginal delivery. When planning discharge
teaching, the information the nurse would include about lochia is:
a. lochia should disappear 2 to 4 weeks postpartum.
b. it is normal for the lochia to have a slightly foul odor.
c. a change in lochia from pink to bright red should be reported.
d. a decrease in flow will be noticed with ambulation and activity. - ansC. A change in lochia
from pink to bright red should be reported.
Rationale:
A return to bright red lochia rubra may indicate a late postpartum hemorrhage.
After birth, the nurse quickly dries and wraps the newborn in a blanket to prevent heat loss by:
a. conduction.
b. radiation.
c. evaporation.
d. convection. - ansC. Evaporation
