Keenan-Lindsay: Leifer’s Introduction to Maternity and Pediatric Nursing in Canada, 1st Edition
MULTIPLE CHOICE
1. A woman asks about resumption of her menstrual cycle after childbirth. How should a
nurse respond?
a. A woman will not ovulate in the absence of menstrual flow.
b. Most nonlactating women resume menstruation about 2 months postpartum.
c. A woman does not ovulate until after she has a menstrual period.
d. The return of menstruation is delayed when a woman does not breastfeed.
ANS: B
Menstrual periods resume in about 6 to 8 weeks if the woman is not breastfeeding.
Ovulation can occur prior to resumption of menstrual cycle, which means women do
need to use a method of birth control.
DIF: Cognitive Level: Comprehension REF: 223 | 224 OBJ: 4 | 18
TOP: Return of Menses KEY: Nursing Process Step:
Implementation
2. In what situation will the health care provider order Rho(D) immune globulin?
a. An unsensitized Rh-negative mother has an Rh-positive infant.
b. An Rh-negative mother has become sensitized.
c. A sensitized infant has a rising bilirubin level.
d. An unsensitized infant exhibits no outward signs.
ANS: A
The Rh-negative woman should receive Rho(D) immune globulin within 72 hours
after the birth of an Rh-positive infant.
DIF: Cognitive Level: Analysis REF: 226 OBJ: 2
TOP: Rho(D) immune globulin KEY: Nursing Process Step:
, Implementation
3. Three days after birth a nurse visits a woman at home. The woman is crying and states
she feels overwhelmed. What should the nurse do at this point?
a. Teach her that this is normal.
b. Tell her this is abnormal and she needs more help.
c. Tell her partner that she needs more support.
d. Document the findings in the woman’s chart.
ANS: A
The postpartum blues are normal and temporary. The woman needs teaching
regarding this.
DIF: Cognitive Level: Application REF: 228 OBJ: 6
TOP: Postpartum Blues KEY: Nursing Process Step:
Implementation
4. A breastfeeding mother of a 1-week-old newborn asks a nurse how she will know the
baby is getting enough to drink. What will the nurse teach the woman regarding this?
a. The newborn is feeding every 3 to 4 hours.
b. The newborn has 4 to 5 wet diapers every day.
c. The newborn has frequent audible swallows while feeding.
d. The newborn is gaining 10 g per day.
ANS: C
Frequent audible swallowing ensures the newborn is feeding well. The newborn
should void 6–8 times per day and gain at least 20 g per day. The newborn should
feed on demand and not on a timed schedule.
DIF: Cognitive Level: Application REF: 238 OBJ: 10
TOP: Breastfeeding KEY: Nursing Process Step: Evaluation
5. A new mother states her preference to formula feed her newborn. What should the nurse
planning discharge tell her to help suppress lactation and promote comfort?
a. Wear a well-fitting bra continuously for several days.
b. Stand in a warm shower, letting the water spray over the breasts.
MULTIPLE CHOICE
1. A woman asks about resumption of her menstrual cycle after childbirth. How should a
nurse respond?
a. A woman will not ovulate in the absence of menstrual flow.
b. Most nonlactating women resume menstruation about 2 months postpartum.
c. A woman does not ovulate until after she has a menstrual period.
d. The return of menstruation is delayed when a woman does not breastfeed.
ANS: B
Menstrual periods resume in about 6 to 8 weeks if the woman is not breastfeeding.
Ovulation can occur prior to resumption of menstrual cycle, which means women do
need to use a method of birth control.
DIF: Cognitive Level: Comprehension REF: 223 | 224 OBJ: 4 | 18
TOP: Return of Menses KEY: Nursing Process Step:
Implementation
2. In what situation will the health care provider order Rho(D) immune globulin?
a. An unsensitized Rh-negative mother has an Rh-positive infant.
b. An Rh-negative mother has become sensitized.
c. A sensitized infant has a rising bilirubin level.
d. An unsensitized infant exhibits no outward signs.
ANS: A
The Rh-negative woman should receive Rho(D) immune globulin within 72 hours
after the birth of an Rh-positive infant.
DIF: Cognitive Level: Analysis REF: 226 OBJ: 2
TOP: Rho(D) immune globulin KEY: Nursing Process Step:
, Implementation
3. Three days after birth a nurse visits a woman at home. The woman is crying and states
she feels overwhelmed. What should the nurse do at this point?
a. Teach her that this is normal.
b. Tell her this is abnormal and she needs more help.
c. Tell her partner that she needs more support.
d. Document the findings in the woman’s chart.
ANS: A
The postpartum blues are normal and temporary. The woman needs teaching
regarding this.
DIF: Cognitive Level: Application REF: 228 OBJ: 6
TOP: Postpartum Blues KEY: Nursing Process Step:
Implementation
4. A breastfeeding mother of a 1-week-old newborn asks a nurse how she will know the
baby is getting enough to drink. What will the nurse teach the woman regarding this?
a. The newborn is feeding every 3 to 4 hours.
b. The newborn has 4 to 5 wet diapers every day.
c. The newborn has frequent audible swallows while feeding.
d. The newborn is gaining 10 g per day.
ANS: C
Frequent audible swallowing ensures the newborn is feeding well. The newborn
should void 6–8 times per day and gain at least 20 g per day. The newborn should
feed on demand and not on a timed schedule.
DIF: Cognitive Level: Application REF: 238 OBJ: 10
TOP: Breastfeeding KEY: Nursing Process Step: Evaluation
5. A new mother states her preference to formula feed her newborn. What should the nurse
planning discharge tell her to help suppress lactation and promote comfort?
a. Wear a well-fitting bra continuously for several days.
b. Stand in a warm shower, letting the water spray over the breasts.
