Child Nursing

1. A woman gave birth to a healthy 7-lb, 13-ounce infant girl. The nurse suggests that the woman place the infant to her breast within 15 minutes after birth. The nurse knows that breastfeeding is effective during the first 30 minutes after birth because this is the: a. transition period. b. first period of reactivity. c. organizational stage. d. second period of reactivity. ANS: B The first period of reactivity is the first phase of transition and lasts up to 30 minutes after birth. The i...

1. Which statement accurately describes an event associated with an infant's physical development? a. Anterior fontanel closes by age 6 to 10 months. b. Binocularity is well established by age 8 months. c. Birth weight doubles by age 5 months and triples by age 1 year. d. Maternal iron stores persist during the first 12 months of life. ANS: C Growth is very rapid during the first year of life. The birth weight approximately doubles by age 5 to 6 months and triples by age 1 year. The ant...

1. An 18-year-old pregnant woman, gravida 1, is admitted to the labor and birth unit with moderate contractions every 5 minutes that last 40 seconds. The woman states, "My contractions are so strong that I don't know what to do with myself." The nurse should: a. assess for fetal well-being. b. encourage the woman to lie on her side. c. disturb the woman as little as possible. d. recognize that pain is personalized for each individual. ANS: D Each woman's pain during childbirth ...

1. The nurse caring for a newly pregnant woman would advise her that ideally prenatal care should begin: a. before the first missed menstrual period. b. after the first missed menstrual period. c. after the second missed menstrual period. d. after the third missed menstrual period. ANS: B Prenatal care ideally should begin soon after the first missed menstrual period. Regular prenatal visits offer opportunities to ensure the health of the expectant mother and her infant. 2. Prenatal testi...

1. A woman gave birth to an infant boy 10 hours ago. Where would the nurse expect to locate this woman's fundus? a. One centimeter above the umbilicus b. Two centimeters below the umbilicus c. Midway between the umbilicus and the symphysis pubis d. Nonpalpable abdominally ANS: A Within 12 hours after delivery the fundus may be approximately 1 cm above the umbilicus. The fundus descends about 1 to 2 cm every 24 hours. Within 12 hours after delivery the fundus may be approximately 1 cm ab...

1. A new mother recalls from prenatal class that she should try to feed her newborn daughter when she exhibits feeding readiness cues rather than waiting until her infant is crying frantically. On the basis of this information, this woman should feed her infant about every 2.5 to 3 hours when she: a. waves her arms in the air. b. makes sucking motions. c. has hiccups. d. stretches her legs out straight. ANS: B Sucking motions, rooting, mouthing, and hand-to-mouth motions are examples of fe...

1. Which statement accurately describes physical development of a child during the school-age years? a. The child's weight almost triples. b. A child grows an average of 2 inches/year. c. Few physical differences are apparent among children at the end of middle childhood. d. Fat gradually increases, which contributes to the child's heavier appearance. ANS: B In middle childhood, growth in height and weight occur at a slower pace. Between the ages of 6 and 12 years, children grow 2 in...

A primigravida asks the nurse about signs she can look for that would indicate that the onset of labor is getting closer. The nurse should describe weight gain of 1 to 3 lb. quickening. fatigue and lethargy. bloody show. bloody show. Women usually experience a weight loss of 1 to 3 lb. Quickening is the perception of fetal movement by the mother, which occurs at 16 to 20 weeks of gestation. Women usually experience a burst of energy or the nesting instinct. Passage of the mucous plug (op...

traditional hospital setting for laboring mother hospital room, then transferred to other room for delivery mom is then transferred to recovery/observation for 1-2 hrs after being in the hospital room the infant will be taken to the nursery advantage/disadvantage of hospital setting for mom and baby Considered safe and effective// Usually involves numerous room transfers that may be disruptive and separate family members LDR rooms (labor, delivery and recovery room) all the above happen...

1. A 22-year-old woman pregnant with a single fetus has a preconception body mass index (BMI) of 24. When she was seen in the clinic at 14 weeks of gestation, she had gained 1.8 kg (4 lbs) since conception. How would the nurse interpret this? a. This weight gain indicates possible gestational hypertension. b. This weight gain indicates that the woman's infant is at risk for intrauterine growth restriction (IUGR). c. This weight gain cannot be evaluated until the woman has been observed for...