Question 1

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. B

Question 2

After delivery of a 9-lb baby, the nurse assesses a perineal laceration extending through the muscles of the perineum. The nurse records this as a ________-degree laceration.

Accepted Answer

second
A second-degree laceration extends through the superficial tissues into the muscles of the perineum.

Question 3

When assessing a mother 12 hours following the delivery of a baby, where should the nurse expect to palpate the fundus?

Accepted Answer

A)  2 cm below the umbilicus 
B)  At the umbilicus 
C)  1 cm below the umbilicus 
D)  Halfway between the umbilicus and the symphysis pubis 
A)  2 cm below the umbilicus 
B)  At the umbilicus 
C)  1 cm below the umbilicus 
D)  Halfway between the umbilicus and the symphysis pubis B

Question 4

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 5

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 mL 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 mL to 75 mL of urine 
C)  Complaining of "after pains" 
D)  Fundus 1 cm above the umbilicus

Question 6

The nurse is caring for a newborn who was circumcised earlier in the day. What should be included in the plan of care?

Accepted Answer

A)  Administration of a topical anesthetic to the site 
B)  Application of ice to stop bleeding 
C)  Retraction of any remaining foreskin 
D)  Observation for bleeding for the first 12 hours 
A)  Administration of a topical anesthetic to the site 
B)  Application of ice to stop bleeding 
C)  Retraction of any remaining foreskin 
D)  Observation for bleeding for the first 12 hours

Question 7

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

Question 8

The nurse identifies that the newborn is jaundiced within the first 24 hours of birth, with jaundice occurring over bony prominences of the face and the mucous membrane. What type of jaundice does this represent?

Accepted Answer

A)  Physiological 
B)  Normal 
C)  Pathologic 
D)  Transitory 
A)  Physiological 
B)  Normal 
C)  Pathologic 
D)  Transitory

Question 9

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.

Question 10

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 11

Which of the following measures could help prevent infant abduction? (Select all that apply.)

Accepted Answer

A)  Only transport infants by carrying them 
B)  Require staff members to wear appropriate identification badges 
C)  Respond immediately when an alarm sounds 
D)  Never leave infants unattended at any time 
E)  Take all the infants to their mothers at the same time 
A)  Only transport infants by carrying them 
B)  Require staff members to wear appropriate identification badges 
C)  Respond immediately when an alarm sounds 
D)  Never leave infants unattended at any time 
E)  Take all the infants to their mothers at the same time

Question 12

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 13

What is characteristic of a normal breastfed infant's stool?

Accepted Answer

A)  Green and loose 
B)  Dark green and sticky 
C)  Pale yellow and frequent 
D)  Light brown and pasty 
A)  Green and loose 
B)  Dark green and sticky 
C)  Pale yellow and frequent 
D)  Light brown and pasty

Question 14

A mother delivered her baby at midnight and it is now 9 AM. 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 15

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 16

What is the name of the vaginal discharge that occurs immediately following delivery?

Accepted Answer

A)  Lochia serosa 
B)  Lochia rubra 
C)  Lochia palatine 
D)  Lochia alba 
A)  Lochia serosa 
B)  Lochia rubra 
C)  Lochia palatine 
D)  Lochia alba

Question 17

The nurse describes the return of the postpartum patient's uterus to a pregravid state as ________________.

Accepted Answer

involution
Involutio

Question 18

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 19

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 20

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

Exam 27: Care of the Mother and Newborn

Why is vitamin K given by injection to the newborn?

After delivery of a 9-lb baby, the nurse assesses a perineal laceration extending through the muscles of the perineum. The nurse records this as a ________-degree laceration.

When assessing a mother 12 hours following the delivery of a baby, where should the nurse expect to palpate the fundus?

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?

The nurse is caring for a newborn who was circumcised earlier in the day. What should be included in the plan of care?

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

The nurse identifies that the newborn is jaundiced within the first 24 hours of birth, with jaundice occurring over bony prominences of the face and the mucous membrane. What type of jaundice does this represent?

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

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?

Which of the following measures could help prevent infant abduction? (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?

What is characteristic of a normal breastfed infant's stool?

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

Which statement would be a correct description of colostrum?

What is the name of the vaginal discharge that occurs immediately following delivery?

The nurse describes the return of the postpartum patient's uterus to a pregravid state as ________________.

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

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

Which newborn assessment finding can suggest a chromosomal disorder?

Evolution of Nursing

Legal and Ethical Aspects of Nursing

Documentation

Communication

Nursing Process and Critical Thinking

Cultural and Ethnic Considerations

Asepsis and Infection Control

Body Mechanics and Patient Mobility

Hygiene and Care of the Patient’s Environment

Safety

Vital Signs

Physical Assessment

Admission, Transfer, and Discharge

Surgical Wound Care

Specimen Collection and Diagnostic Testing

Care of Patients Experiencing Urgent Alterations in Health

Complementary and Alternative Therapies

Pain Management, Comfort, Rest, and Sleep

Nutritional Concepts and Related Therapies

Fluids and Electrolytes

Mathematics and Medication Administration

Care of Patients with Alterations in Health

Life Span Development

Loss, Grief, Dying, and Death

Health Promotion and Pregnancy

Labor and Delivery

Care of the High-Risk Mother, Newborn, and Family with Special Needs

Health Promotion for the Infant, Child, and Adolescent

Basic Pediatric Nursing Care

Care of the Child with a Physical and Mental or Cognitive Disorder

Health Promotion and Care of the Older Adult

Concepts of Mental Health

Care of the Patient with a Psychiatric Disorder

Care of the Patient with an Addictive Personality

Home Health Nursing

Long-Term Care

Rehabilitation Nursing

Hospice Care

Introduction to Anatomy and Physiology

Care of the Surgical Patient

Care of the Patient with an Integumentary Disorder

Care of the Patient with a Musculoskeletal Disorder

Care of the Patient with a Gastrointestinal Disorder

Care of the Patient with a Gallbladder, Liver, Biliary Tract, or Exocrine Pancreatic Disorder

Care of the Patient with a Blood or Lymphatic Disorder

Care of the Patient with a Cardiovascular or a Peripheral Vascular Disorder

Care of the Patient with a Respiratory Disorder

Care of the Patient with a Urinary Disorder

Care of the Patient with an Endocrine Disorder

Care of the Patient with a Reproductive Disorder

Care of the Patient with a Sensory Disorder

Care of the Patient with a Neurologic Disorder

Care of the Patient with an Immune Disorder

Care of the Patient with HIV/AIDS

Care of the Patient with Cancer

Professional Roles and Leadership

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