Question 1

What should be included when discussing the care of a circumcised infant after discharge from the hospital?

Accepted Answer

A)  Gently remove the yellow exudate from the foreskin. 
B)  Apply sterile petroleum gauze after each diaper change. 
C)  Wipe the circumcision with alcohol each day. 
D)  Avoid the use of cloth diapers until the foreskin has healed. 
A)  Gently remove the yellow exudate from the foreskin. 
B)  Apply sterile petroleum gauze after each diaper change. 
C)  Wipe the circumcision with alcohol each day. 
D)  Avoid the use of cloth diapers until the foreskin has healed. B

Question 2

The new mother has decided not to breastfeed the baby.How should the nurse correctly instruct the mother to suppress her milk supply?

Accepted Answer

A)  Pump the breasts to remove milk 
B)  Apply warm,moist compresses 
C)  Restrict oral fluids 
D)  Apply a firm bra and ice packs 
A)  Pump the breasts to remove milk 
B)  Apply warm,moist compresses 
C)  Restrict oral fluids 
D)  Apply a firm bra and ice packs D

Question 3

What is the first secretion produced by the breast?

Accepted Answer

A)  Prolactin 
B)  Colostrum 
C)  False milk 
D)  Whey 
A)  Prolactin 
B)  Colostrum 
C)  False milk 
D)  Whey B

Question 4

The nurse is observing a new mother interact with her infant.Which observation would indicate that bonding is occurring? (Select all that apply. )

Accepted Answer

A)  The mother is making eye contact with the infant. 
B)  The mother is sending the infant to the nursery for feedings. 
C)  The mother is cuddling with the infant and napping. 
D)  The mother is requesting that the mother-in-law change all diapers. 
E)  The mother states that her favorite thing to do with her baby is to breastfeed. 
A)  The mother is making eye contact with the infant. 
B)  The mother is sending the infant to the nursery for feedings. 
C)  The mother is cuddling with the infant and napping. 
D)  The mother is requesting that the mother-in-law change all diapers. 
E)  The mother states that her favorite thing to do with her baby is to breastfeed.

Question 5

Within the first hour following a vaginal delivery,the nurse assesses the mother and finds the fundus is firm and there is a trickle of bright red blood.What should be the nurse's reaction to the assessment?

Accepted Answer

A)  This is a normal occurrence. 
B)  This is abnormal and should be reported. 
C)  The patient should be administered a blood thinner. 
D)  The patient should be restricted to bed rest. 
A)  This is a normal occurrence. 
B)  This is abnormal and should be reported. 
C)  The patient should be administered a blood thinner. 
D)  The patient should be restricted to bed rest.

Question 6

Why is vitamin K given by injection to the newborn?

Accepted Answer

A)  Most mothers have a vitamin K deficiency that develops during pregnancy. 
B)  Bacteria that synthesize vitamin K are not present in newborns. 
C)  Vitamin K prevents the synthesis of prothrombin. 
D)  The newborn does not store vitamin K. 
A)  Most mothers have a vitamin K deficiency that develops during pregnancy. 
B)  Bacteria that synthesize vitamin K are not present in newborns. 
C)  Vitamin K prevents the synthesis of prothrombin. 
D)  The newborn does not store vitamin K.

Question 7

The new mother tells the home health nurse that she is concerned about her 5-day-old infant's hard,dried umbilical stump.What time frame should the nurse give the mother for the umbilical stump to fall off? 10 to 14 ___________.

Accepted Answer

The answer of The new mother tells the home health...

Question 8

A new mother had spinal anesthesia during a cesarean delivery.She now has a desire to void and can wiggle her toes.What should be the nurse's response when the mother asks to go the bathroom?

Accepted Answer

A)  Assess her blood pressure. 
B)  Obtain a wheelchair. 
C)  Palpate her bladder. 
D)  Put slippers on her feet. 
A)  Assess her blood pressure. 
B)  Obtain a wheelchair. 
C)  Palpate her bladder. 
D)  Put slippers on her feet.

Question 9

What is the appropriate way to assess the fundus of the postpartum patient?

Accepted Answer

A)  Using the side of one hand moving down from the umbilicus 
B)  Using one hand over the lower segment of the uterus 
C)  Using one hand pushing upward from the lower uterus 
D)  Using one hand on the lower uterine segment while the other hand locates the fundus of the uterus 
A)  Using the side of one hand moving down from the umbilicus 
B)  Using one hand over the lower segment of the uterus 
C)  Using one hand pushing upward from the lower uterus 
D)  Using one hand on the lower uterine segment while the other hand locates the fundus of the uterus

Question 10

Which statement would be a correct description of colostrum?

Accepted Answer

A)  Slightly yellow and low in protein 
B)  Slightly yellow and provides antibodies 
C)  Creamy and high in fat and protein 
D)  Colorless and high in fat and carbohydrates 
A)  Slightly yellow and low in protein 
B)  Slightly yellow and provides antibodies 
C)  Creamy and high in fat and protein 
D)  Colorless and high in fat and carbohydrates

Question 11

Following delivery of the newborn,which nursing intervention should be carried out immediately?

Accepted Answer

A)  Weigh the infant. 
B)  Warm the infant. 
C)  Bathe the infant. 
D)  Inoculate the infant. 
A)  Weigh the infant. 
B)  Warm the infant. 
C)  Bathe the infant. 
D)  Inoculate the infant.

Question 12

A new Native American mother tells the nurse that when she goes home,her mother-in-law will be caring for the baby while she rests.The nurse has concerns.What should the nurse do?

Accepted Answer

A)  Explain the importance of ambulating to recover. 
B)  Explain the importance of maternal-infant bonding. 
C)  Explore ways to blend this with safe health teaching. 
D)  Encourage this cultural behavior. 
A)  Explain the importance of ambulating to recover. 
B)  Explain the importance of maternal-infant bonding. 
C)  Explore ways to blend this with safe health teaching. 
D)  Encourage this cultural behavior.

Question 13

What should be included in a teaching plan regarding breast engorgement?

Accepted Answer

A)  It typically occurs on the first postpartum day. 
B)  It is usually first observed in the axillary region. 
C)  It occurs only in women who are not breastfeeding. 
D)  It occurs near the nipple on the third postpartum day. 
A)  It typically occurs on the first postpartum day. 
B)  It is usually first observed in the axillary region. 
C)  It occurs only in women who are not breastfeeding. 
D)  It occurs near the nipple on the third postpartum day.

Question 14

Before initially feeding an infant,what reflex should the nurse assess?

Accepted Answer

A)  Moro reflex 
B)  Rooting reflex 
C)  Babinski reflex 
D)  Swallow reflex 
A)  Moro reflex 
B)  Rooting reflex 
C)  Babinski reflex 
D)  Swallow reflex

Question 15

During the immediate postpartum period,the mother has a temperature of 100.2°F (37.8°C),pulse 52,respirations 18,BP 138/84.What should the nurse do?

Accepted Answer

A)  Report the temperature as abnormal. 
B)  Continue to monitor every 15 minutes. 
C)  Report the pulse as abnormal. 
D)  Nothing as the vital signs are normal. 
A)  Report the temperature as abnormal. 
B)  Continue to monitor every 15 minutes. 
C)  Report the pulse as abnormal. 
D)  Nothing as the vital signs are normal.

Question 16

What is the term for the cream cheese-like substance that protects the infant's skin from amniotic fluid?

Accepted Answer

A)  Lanugo 
B)  Meconium 
C)  Desquamation 
D)  Vernix caseosa 
A)  Lanugo 
B)  Meconium 
C)  Desquamation 
D)  Vernix caseosa

Question 17

A mother delivered her baby at midnight and it is now 9 a.m.She wants to sleep and asks the nurse to take care of the baby.What is this considered?

Accepted Answer

A)  Fatigue from labor 
B)  Normal "taking in" response 
C)  Abnormal "taking in" response 
D)  Risk for altered maternal-infant bonding 
A)  Fatigue from labor 
B)  Normal "taking in" response 
C)  Abnormal "taking in" response 
D)  Risk for altered maternal-infant bonding

Question 18

Which newborn assessment finding can suggest a chromosomal disorder?

Accepted Answer

A)  Epstein pearls 
B)  Gynecomastia 
C)  Babinski reflex 
D)  Simian crease 
A)  Epstein pearls 
B)  Gynecomastia 
C)  Babinski reflex 
D)  Simian crease

Question 19

Where would acrocyanosis be assessed on a newborn?

Accepted Answer

A)  Circumoral area 
B)  Brow 
C)  Feet 
D)  Mucous membrane 
A)  Circumoral area 
B)  Brow 
C)  Feet 
D)  Mucous membrane

Question 20

Which of the following would be considered a normal assessment finding in a 1-day postpartum patient?

Accepted Answer

A)  Pinkish to brown lochia 
B)  Voiding frequently 50 to 75 mL of urine 
C)  Complaining of "after pains" 
D)  Fundus 1 cm above the umbilicus 
A)  Pinkish to brown lochia 
B)  Voiding frequently 50 to 75 mL of urine 
C)  Complaining of "after pains" 
D)  Fundus 1 cm above the umbilicus

Exam 28: Care of the Mother and Newborn

What should be included when discussing the care of a circumcised infant after discharge from the hospital?

The new mother has decided not to breastfeed the baby.How should the nurse correctly instruct the mother to suppress her milk supply?

What is the first secretion produced by the breast?

The nurse is observing a new mother interact with her infant.Which observation would indicate that bonding is occurring? (Select all that apply. )

Within the first hour following a vaginal delivery,the nurse assesses the mother and finds the fundus is firm and there is a trickle of bright red blood.What should be the nurse's reaction to the assessment?

Why is vitamin K given by injection to the newborn?

The new mother tells the home health nurse that she is concerned about her 5-day-old infant's hard,dried umbilical stump.What time frame should the nurse give the mother for the umbilical stump to fall off? 10 to 14 ___________.

A new mother had spinal anesthesia during a cesarean delivery.She now has a desire to void and can wiggle her toes.What should be the nurse's response when the mother asks to go the bathroom?

What is the appropriate way to assess the fundus of the postpartum patient?

Which statement would be a correct description of colostrum?

Following delivery of the newborn,which nursing intervention should be carried out immediately?

A new Native American mother tells the nurse that when she goes home,her mother-in-law will be caring for the baby while she rests.The nurse has concerns.What should the nurse do?

What should be included in a teaching plan regarding breast engorgement?

Before initially feeding an infant,what reflex should the nurse assess?

During the immediate postpartum period,the mother has a temperature of 100.2°F (37.8°C),pulse 52,respirations 18,BP 138/84.What should the nurse do?

What is the term for the cream cheese-like substance that protects the infant's skin from amniotic fluid?

A mother delivered her baby at midnight and it is now 9 a.m.She wants to sleep and asks the nurse to take care of the baby.What is this considered?

Which newborn assessment finding can suggest a chromosomal disorder?

Where would acrocyanosis be assessed on a newborn?

Which of the following would be considered a normal assessment finding in a 1-day postpartum patient?

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