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30 Cards in this Set
- Front
- Back
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Discharge instruction, or teaching the woman what she needs to know to care for herself and her newborn, officially begins:
a. At the time of admission to the nurse’s unit. b. When the infant is presented to the mother at birth. c. During the first visit with the physician in the unit. d. When the take-home information packet is given to the couple.
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a. At the time of admission to the nurse’s unit. |
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Excessive blood loss after childbirth can have several causes; the most common is:
a. Vaginal or vulvar hematomas. b. Unrepaired lacerations of the vagina or cervix. c. Failure of the uterine muscle to contract firmly. d. Retained placental fragments. |
c. Failure of the uterine muscle to contract firmly. |
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Under the Newborns’ and Mothers’ Health Protection Act, all health plans are required to allow new mothers and newborns to remain in the hospital for a minimum of _____ hours after a normal vaginal birth and for _____ hours after a cesarean birth.
a. 24, 73 b. 24, 96 c. 48, 96 d. 48, 120 |
c. 48, 96 |
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In the recovery room, if a woman is asked either to raise her legs (knees extended) off the bed or to flex her knees, place her feet flat on the bed, and raise her buttocks well off the bed, most likely she is being tested to see whether she:
a. Has recovered from epidural or spinal anesthesia. b. Has hidden bleeding underneath her. c. Has regained some flexibility. d. Is a candidate to go home after 6 hours. |
a. Has recovered from epidural or spinal anesthesia. |
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A 25-year-old gravida 2, para 2-0-0-2 gave birth 4 hours ago to a 9-pound, 7-ounce boy after augmentation of labor with Pitocin. She puts on her call light and asks for her nurse right away, stating, “I’m bleeding a lot.” The most likely cause of postpartum hemorrhage in this woman is:
a. Retained placental fragments. b. Unrepaired vaginal lacerations. c. Uterine atony. d. Puerperal infection. |
c. Uterine atony. |
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With regard to the condition and reconditioning of the urinary system after childbirth, nurses should be aware that:
a. Kidney function returns to normal a few days after birth. b. Diastasis recti abdominis is a common condition that alters the voiding reflex. c. Fluid loss through perspiration and increased urinary output accounts for a weight loss of over 2 kg during the puerperium. d. With adequate emptying of the bladder, bladder tone usually is restored 2 to 3 weeks after childbirth. |
c. Fluid loss through perspiration and increased urinary output accounts for a weight loss of over 2 kg during the puerperium. |
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Childbirth may result in injuries to the vagina and uterus. Pelvic floor exercises also known as Kegel exercises will help to strengthen the perineal muscles and encourage healing. The nurse knows that the client understands the correct process for completing these conditioning exercises when she reports:
a. “I contract my thighs, buttocks, and abdomen.” b. “I do 10 of these exercises every day.” c. “I stand while practicing this new exercise routine.” d. “I pretend that I am trying to stop the flow of urine midstream.” |
d. “I pretend that I am trying to stop the flow of urine midstream.” |
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Several changes in the integumentary system that appear during pregnancy disappear after birth, although not always completely. What change is almost certain to be completely reversed?
a. Nail brittleness b. Darker pigmentation of the areolae and linea nigra c. Striae gravidarum on the breasts, abdomen, and thighs d. Spider nevi |
a. Nail brittleness |
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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 |
a. One centimeter above the umbilicus |
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Which woman is most likely to experience strong afterpains?
a. A woman who experienced oligohydramnios b. A woman who is a gravida 4, para 4-0-0-4 c. A woman who is bottle-feeding her infant d. A woman whose infant weighed 5 pounds, 3 ounces |
b. A woman who is a gravida 4, para 4-0-0-4 |
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Two days ago a woman gave birth to a full-term infant. Last night she awakened several times to urinate and noted that her gown and bedding were wet from profuse diaphoresis. One mechanism for the diaphoresis and diuresis that this woman is experiencing during the early postpartum period is:
a. Elevated temperature caused by postpartum infection. b. Increased basal metabolic rate after giving birth. c. Loss of increased blood volume associated with pregnancy. d. Increased venous pressure in the lower extremities. |
c. Loss of increased blood volume associated with pregnancy. |
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Knowing that the condition of the new mother’s breasts will be affected by whether she is breastfeeding, nurses should be able to tell their clients all of the following statements except:
a. Breast tenderness is likely to persist for about a week after the start of lactation. b. As lactation is established, a mass may form that can be distinguished from cancer by its position shift from day to day. c. In nonlactating mothers colostrum is present for the first few days after childbirth. d. If suckling is never begun (or is discontinued), lactation ceases within a few days to a week. |
a. Breast tenderness is likely to persist for about a week after the start of lactation. |
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With regard to postpartum ovarian function, nurses should be aware that:
a. Almost 75% of women who do not breastfeed resume menstruating within a month after birth. b. Ovulation occurs slightly earlier for breastfeeding women. c. Because of menstruation/ovulation schedules, contraception considerations can be postponed until after the puerperium. d. The first menstrual flow after childbirth usually is heavier than normal. |
d. The first menstrual flow after childbirth usually is heavier than normal. |
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A woman gave birth to a 7-pound, 6-ounce infant girl 1 hour ago. The birth was vaginal, and the estimated blood loss (EBL) was approximately 1500 ml. When assessing the woman’s vital signs, the nurse would be concerned to see:
a. Temperature 37.9° C, heart rate 120, respirations 20, blood pressure (BP) 90/50. b. Temperature 37.4° C, heart rate 88, respirations 36, BP 126/68. c. Temperature 38° C, heart rate 80, respirations 16, BP 110/80. d. Temperature 36.8° C, heart rate 60, respirations 18, BP 140/90. |
a. Temperature 37.9° C, heart rate 120, respirations 20, blood pressure (BP) 90/50. |
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A woman gave birth to a 7-pound, 3-ounce infant boy 2 hours ago. The nurse determines that the woman’s bladder is distended because her fundus is now 3 cm above the umbilicus and to the right of the midline. In the immediate postpartum period, the most serious consequence likely to occur from bladder distention is:
a. Urinary tract infection. b. Excessive uterine bleeding. c. A ruptured bladder. d. Bladder wall atony.
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b. Excessive uterine bleeding. |
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With regard to work and travel during pregnancy, nurses should be aware that:
a. Women should sit for as long as possible and cross their legs at the knees from time to time for exercise. b. Women should avoid seat belts and shoulder restraints in the car, because they press on the fetus. c. Metal detectors at airport security checkpoints can harm the fetus if the woman passes through them a number of times. d. While working or traveling in a car or on a plane, women should arrange to walk around at least every hour or so. |
d. While working or traveling in a car or on a plane, women should arrange to walk around at least every hour or so. |
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A 3-year-old girl’s mother is 6 months pregnant. What concern is this child likely to verbalize?
a. How the baby will “get out” b. What the baby will eat c. Whether her mother will die d. What color eyes the baby has |
b. What the baby will eat |
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For what reason would breastfeeding be contraindicated?
a. Hepatitis B b. Everted nipples c. History of breast cancer 3 years ago d. Human immunodeficiency virus (HIV) positive |
d. Human immunodeficiency virus (HIV) positive |
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A pregnant woman at 18 weeks of gestation calls the clinic to report that she has been experiencing occasional backaches of mild-to-moderate intensity. The nurse would recommend that she:
a. Do Kegel exercises. b. Do pelvic rock exercises. c. Use a softer mattress. d. Stay in bed for 24 hours. |
b. Do pelvic rock exercises. |
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A woman is 3 months pregnant. At her prenatal visit she tells the nurse that she doesn’t know what is happening; one minute she’s happy that she is pregnant, and the next minute she cries for no reason. Which response by the nurse is most appropriate?
a. "Don’t worry about it; you’ll feel better in a month or so.” b. “Have you talked to your husband about how you feel?” c. “Perhaps you really don’t want to be pregnant.” d. “Hormonal changes during pregnancy commonly result in mood swings.”
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d. “Hormonal changes during pregnancy commonly result in mood swings.” |
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A woman arrives at the clinic for a pregnancy test. The first day of her last menstrual period (LMP) was February 14, 2010. Her expected date of birth (EDB) would be:
a. September 17, 2010. b. November 7, 2010. c. November 21, 2010. d. December 17, 2010. |
c. November 21, 2010. |
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In understanding and guiding a woman through her acceptance of pregnancy, a maternity nurse should be aware that:
a. Nonacceptance of the pregnancy very often equates to rejection of the child. b. Mood swings most likely are the result of worries about finances and a changed lifestyle, as well as profound hormonal changes. c. Ambivalent feelings during pregnancy usually are seen only in emotionally immature or very young mothers. d. Conflicts such as not wanting to be pregnant or childrearing and career-related decisions need not be addressed during pregnancy, because they will resolve themselves naturally after birth. |
b. Mood swings most likely are the result of worries about finances and a changed lifestyle, as well as profound hormonal changes. |
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During the first trimester a woman can expect which of the following changes in her sexual desire?
a. An increase, because of enlarging breasts b. A decrease, because of nausea and fatigue c. No change d. An increase, because of increased levels of female hormones
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b. A decrease, because of nausea and fatigue |
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With regard to dental care during pregnancy, maternity nurses should be aware that:
a. Dental care can be dropped from the priority list because the woman has enough to worry about and is getting a lot of calcium anyway. b. Dental surgery, in particular, is contraindicated because of the psychologic stress it engenders. c. If dental treatment is necessary, the woman will be most comfortable with it in the second trimester. d. Dental care interferes with the expectant mother’s need to practice conscious relaxation. |
c. If dental treatment is necessary, the woman will be most comfortable with it in the second trimester. |
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With regard to a woman’s reordering of personal relationships during pregnancy, the maternity nurse should be aware that:
a. Because of the special motherhood bond, a woman’s relationship with her mother is even more important than with the father of the child. b. Nurses need not get involved in any sexual issues the couple has during pregnancy, particularly if they have trouble communicating them to each other. c. Women usually express two major relationship needs during pregnancy: feeling loved and valued and having the child accepted by the father. d. The woman’s sexual desire is likely to be highest in the first trimester because of the excitement and because intercourse is physically easier. |
c. Women usually express two major relationship needs during pregnancy: feeling loved and valued and having the child accepted by the father. |
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An unmarried young woman describes her sex life as "active" and involving "many" partners. She wants a contraceptive method that is reliable and does not interfere with sex. She requests an intrauterine device (IUD). The nurse’s most appropriate response is:
a. “The IUD does not interfere with sex.” b. “The IUD will protect you from sexually transmitted infections (STIs).” c. “The risk of pelvic inflammatory disease (PID) will be higher for you.” d. “Pregnancy rates are high with the IUDs.” |
c. “The risk of pelvic inflammatory disease (PID) will be higher for you.” |
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With regard to the noncontraceptive medical effects of combined oral contraceptive pills (COCs), nurses should be aware that:
a. The effectiveness of COCs can be altered by some over-the-counter medications and herbal supplements. b. COCs can cause toxic shock syndrome if the prescription is wrong. c. COCs increase the risk of endometrial and ovarian cancer. d. Hormonal withdrawal bleeding usually is a bit more profuse than in normal menstruation and lasts a week. |
a. The effectiveness of COCs can be altered by some over-the-counter medications and herbal supplements. |
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While instructing a couple regarding birth control, the nurse should be aware that the method called natural family planning:
a. Is the same as coitus interruptus, or “pulling out.” b. Relies on barrier methods during fertility phases. c. Is the only contraceptive practice acceptable to the Roman Catholic church. d. Uses the calendar method to align the woman’s cycle with the natural phases of the moon. |
c. Is the only contraceptive practice acceptable to the Roman Catholic church. |
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Which contraceptive method has a failure rate of less than 25%?
a. Coitus interruptus b. Postovulation c. Periodic abstinence d. Standard days |
d. Standard days |
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With regard to the use of intrauterine devices (IUDs), nurses should be aware that:
a. Return to fertility can take several weeks after the device is removed. b. IUDs offer the same protection against sexually transmitted infections as the diaphragm. c. Consent forms are not needed for IUD insertion. d. IUDs containing copper can provide an emergency contraception option if inserted within a few days of unprotected intercourse. |
d. IUDs containing copper can provide an emergency contraception option if inserted within a few days of unprotected intercourse. |
