20.7.1: Review Questions

Review Questions

1 .

What type of lochia is bright to dark red and occurs on days 1–3 postpartum?

1. rubra
2. serosa
3. placental
4. alba

2 .

What physiologic postpartum change occurs because the uterus shrinks in size, resulting in an increase in blood flow?

1. Edema increases.
2. Cardiac output increases.
3. Temperature rises.
4. Lochia increases.

3 .

What is the term for the separation found in the midline of the abdomen after birth?

1. uterine subinvolution
2. umbilical hernia
3. striae
4. diastasis recti abdominus

4 .

The nurse assesses the fundus and finds it to be boggy, elevated >2 fingerbreadths above the umbilicus, and deviated to one side. What is the common cause of this finding?

1. uterine rupture
2. full bladder
3. perineal laceration
4. hematoma

5 .

What is the nursing intervention for unilateral edema in a lower extremity and a hot, red area on the leg?

1. Contact the health-care provider.
2. Explain this is a normal finding.
3. Massage calf.
4. Offer pain medication.

6 .

The nurse screens for risk factors such as an infant in the neonatal intensive care unit (NICU), difficulty in role transition, birth complications, unmet social and physical needs, and lack of partner support for what complication?

1. maladaptive parenting
2. psychosis
3. postpartum depression
4. bipolar disorder

7 .

The nurse assesses the breasts. What is a warning sign?

1. colostrum expressed
2. nipple everted
3. redness, pain, and heat
4. filling with milk

8 .

The postpartum person asks for only warm drinks and food. How can the nurse support this cultural tradition?

1. Explain that nurses do not have control over the food.
2. Tell the person that cold fluids are better for recovery.
3. Instruct the person to call the nurse to warm up food or drink.
4. Educate the person on culture in the United States.

9 .

The nurse assesses for signs of depression or postpartum blues. How can the nurse explain the difference?

1. PPD is less severe and resolves in a few weeks.
2. Postpartum blues can last up to a year.
3. PPD is a normal expectation of postpartum.
4. Postpartum blues symptoms include irritability and sadness.

10 .

What theory developed by Ramona Mercer focused on the process of becoming a mother?

1. Maternal Role Attainment
2. Postpartum Adapting
3. Postpartum Maternal Change
4. Maternal Encouragement

11 .

The nurse recognizes the postpartum person is in what stage of Rubin’s attachment model when the person is concerned with physical recovery and depends on the nurse or partner for help physically?

1. Taking In
2. Taking Hold
3. Postpartum Maternal Change
4. Attainment of Change

12 .

What do ineffective parenting practices put the newborn at risk for?

1. sleeplessness
2. reflux
3. lack of attachment
4. NICU admission

13 .

Postpartum persons who lack attachment with their newborn exhibit what behavior?

1. intense eye contact
2. avoid holding the newborn
3. cuddling
4. exploring the newborn

14 .

The nurse evaluates a postpartum couplet for parent-infant attachment. What finding would be concerning?

1. The postpartum person is sleepy.
2. Parents are both caring for the infant.
3. The parent is disinterested in the infant.
4. The family is involved.

15 .

The person with a cesarean birth has additional nursing concerns beyond those of a person with a vaginal birth. What concern should the nurse anticipate for the cesarean birth?

1. increased risk for DVT
2. faster recovery
3. less use of pain medication
4. less risk for infection

16 .

During the first 8 hours postpartum, the nurse will demonstrate how to perform a fundal massage and assist with breast-feeding techniques. What other assessment is important at this time?

1. assessment of partner changing a diaper
2. assessment of vaginal bleeding
3. assessment of social support
4. assessment of family dynamics

17 .

The nurse educates the non–breast-feeding person on breast discomfort caused by engorgement. What instructions would they give?

1. Massage breasts to release milk.
2. Apply cold packs and cabbage leaves.
3. Stand in the warm shower to stimulate letdown.
4. Do not wear a bra.

18 .

The nurse educates the postpartum person on bowel discomfort. What instructions would they give?

1. Limit water intake.
2. Use laxatives daily.
3. Ambulate often.
4. Avoid stool softeners.

19 .

Research has shown what intervention increases involvement of the adolescent partner postpartum?

1. involvement of the partner during the prenatal period
2. involvement of parents in decision making
3. restricting people in the labor room
4. providing newborn care in the nursery

20 .

Research has shown that with lesbian parents, the non-birthing person can feel role resentment, exclusion from health-care services, and feelings of neglect. How can the nurse include the non-birthing partner?

1. Ask the person to leave the room during the newborn assessment.
2. Educate the person to leave the feeding up to the birthing person.
3. Demonstrate newborn care to both parents.
4. Ask the person’s family how they feel about their relationship.

21 .

The nurse is caring for a birth mother who is relinquishing her newborn. What intervention is appropriate for the nurse?

1. Use words like “giving away your child” or “giving up for adoption.”
2. Tell the person not to hold the baby.
3. Ask the person why she is giving up her baby.
4. Ask about the patient’s expectations for having newborn photos or video.

22 .

The nurse reviews postpartum discharge instructions regarding sexual health. What information is important to review?

1. Place nothing in the vagina for 4–6 weeks.
2. Pregnancy cannot occur until 3 months after birth.
3. Sexual intercourse can resume after discharge from the facility.
4. Postpartum persons do not have a need for sexual intimacy.

23 .

What information about pain medication should postpartum discharge instructions include?

1. Narcotic medications can cause constipation.
2. Stop taking iron after birth.
3. Do not take NSAIDs while breast-feeding.
4. Acetaminophen should be avoided.