Maternity Nursing- Test III

13 Questions | Total Attempts: 7192

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Maternity Nursing- Test III

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Questions and Answers
  • 1. 
    Postpartum Period:The fundus of the uterus is expected to go down normally postpartally about __ cm per day. 
    • A. 

      1.0 cm

    • B. 

      2.0 cm

    • C. 

      2.5 cm

    • D. 

      3.0 cm

  • 2. 
     The lochia on the first few days after delivery is characterized as
    • A. 

      Pinkish with some blood clots

    • B. 

      Whitish with some mucus

    • C. 

      Reddish with some mucus

    • D. 

      Serous with some brown tinged mucus

  • 3. 
    Lochia normally disappears after how many days postpartum? 
    • A. 

      .5 days

    • B. 

      .7-10 days

    • C. 

      .18-21 days

    • D. 

      .28-30 days

  • 4. 
    After an Rh(-) mother has delivered her Rh (+) baby, the mother is given RhoGam. This is done in order to:
    • A. 

      Prevent the recurrence of Rh(+) baby in future pregnancies

    • B. 

      Prevent the mother from producing antibodies against the Rh(+) antigen that she may have gotten when she delivered to her Rh(+) baby

    • C. 

      Ensure that future pregnancies will not lead to maternal illness

    • D. 

      To prevent the newborn from having problems of incompatibility when it breastfeeds

  • 5. 
     To enhance milk production, a lactating mother must do the following interventions EXCEPT:
    • A. 

      Increase fluid intake including milk

    • B. 

      Eat foods that increases lactation which are called galactagues

    • C. 

      Exercise adequately like aerobics

    • D. 

      Have adequate nutrition and rest

  • 6. 
    The nursing intervention to relieve pain in breast engorgement while the mother continues to breastfeed is
    • A. 

      Apply cold compress on the engorged breast

    • B. 

      Apply warm compress on the engorged breast

    • C. 

      Massage the breast

    • D. 

      Apply analgesic ointment

  • 7. 
     A woman who delivered normally per vagina is expected to void within ___ hours after delivery.
    • A. 

      3 hrs

    • B. 

      4 hrs.

    • C. 

      6-8 hrs

    • D. 

      12-24 hours

  • 8. 
    To ensure adequate lactation the nurse should teach the mother to:
    • A. 

      Breast feed the baby on self-demand day and night

    • B. 

      Feed primarily during the day and allow the baby to sleep through the night

    • C. 

      Feed the baby every 3-4 hours following a strict schedule

    • D. 

      Breastfeed when the breast are engorged to ensure adequate supply

  • 9. 
    An appropriate nursing intervention when caring for a postpartum mother with thrombophlebitis is:
    • A. 

      Encourage the mother to ambulate to relieve the pain in the leg

    • B. 

      Instruct the mother to apply elastic bondage from the foot going towards the knee to improve venous return flow

    • C. 

      Apply warm compress on the affected leg to relieve the pain

    • D. 

      Elevate the affected leg and keep the patient on bedrest

  • 10. 
    The nurse should anticipate that hemorrhage related to uterine atony may occur postpartally if this condition was present during the delivery: 
    • A. 

      Excessive analgesia was given to the mother

    • B. 

      Placental delivery occurred within thirty minutes after the baby was born

    • C. 

      An episiotomy had to be done to facilitate delivery of the head

    • D. 

      The labor and delivery lasted for 12 hours

  • 11. 
    According to Rubin’s theory of maternal role adaptation, the mother will go through 3 stages during the post partum period. These stages are:  
    • A. 

      Going through, adjustment period, adaptation period

    • B. 

      Taking-in, taking-hold and letting-go

    • C. 

      Attachment phase, adjustment phase, adaptation phase

    • D. 

      Taking-hold, letting-go, attachment phase

  • 12. 
    The neonate of a mother with diabetes mellitus is prone to developing hypoglycemia because:  
    • A. 

      The pancreas is immature and unable to secrete the needed insulin

    • B. 

      There is rapid diminution of glucose level in the baby’s circulating blood and his pancreas is normally secreting insulin

    • C. 

      The baby is reacting to the insulin given to the mother

    • D. 

      His kidneys are immature leading to a high tolerance for glucose

  • 13. 
    Which of the following is an abnormal vital sign in postpartum?
    • A. 

      Pulse rate between 50-60/min

    • B. 

      BP diastolic increase from 80 to 95mm Hg

    • C. 

      BP systolic between 100-120mm Hg

    • D. 

      Respiratory rate of 16-20/min

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