Chapter 15 Postpartum Adaptations

Chapter 15 Postpartum Adaptations Test Bank for Maternity and Pediatric Nursing, 4th Edition by Ricci, Kyle, And Carman

1. A primipara client gave birth vaginally to a healthy newborn girl 12 hours ago. The nurse palpates the client's fundus. Which finding would the nurse identify as expected? A. two fingerbreadths above the umbilicus B. at the level of the umbilicus C. two fingerbreadths below the umbilicus D. four fingerbreadths below the umbilicus Answer: B Rationale: During the first 12 hours postpartum, the fundus of theabuirbte.croums/teisst located at the level of the umbilicus. Over the first few days after birth, the uterus typically descends from the level of the umbilicus at a rate of 1 cm (one fingerbreadth) per day. By 3 days, the fundus lies two to three fingerbreadths below the umbilicus (or slightly higher in multiparous women). By the end of 10 days, the fundus usually cannot be palpated because it has d abe i r s bc . ce on md / te ed s t into the true pelvis. Question format: Multiple Choice Chapter 15: Postpartum Adaptations Cognitive Level: Apply Client Needs: Health Promotion and Maintenance Reference: p. 516 2. When caring for a mother who has had a cesarean birth, the nu a r b s ire b.wcomou/te ld st expect the client's lochia to be: A. greater than after a vaginal birth. B. about the same as after a vaginal birth. C. less than after a vaginal birth. D. saturated with clots and mucus. Answer: C Rationale: Women who have had cesarean births tend to have less flow because the uterine debris is removed manually along with delivery of the placenta. Question format: Multiple Choice Chapter 15: Postpartum Adaptations Cognitive Level: Apply Client Needs: Health Promotion and Maintenance Reference: p. 517 3. The nurse is developing a teaching plan for a client who has deabciirdb.ecodmt/otesbt ottle-feed her newborn. Which information would the nurse include in the teaching plan to facilitate suppression of lactation? A. encouraging the woman to manually express milk B. suggesting that she take frequent warm showers to soothe her ab b r ire ba .cs o t ms C. telling her to limit the amount of fluids that she drinks D. instructing her to apply ice packs to both breasts every other hour Answer: D Rationale: If the woman is not breastfeeding, relief measures for engorgement include wearing a tight supportive bra 24 hours daily, applying ice to her breasts foarbairpb.pcormox/teismt ately 15 to 20 minutes every other hour, and not stimulating her breasts by squeezing or manually expressing milk. Warm showers enhance the let-down reflex and would be appropriate if the woman was breastfeeding. Limiting fluid intake is inappropriate. Fluid intake is important for all postpartum women, regardless of the feeding method chosen. Question format: Multiple Choice Chapter 15: Postpartum Adaptations Cognitive Level: Apply Client Needs: Health Promotion and Maintenance Reference: p. 526 4. The nurse is making a follow-up home visit to a woman who i a s b1 irb2 .cd omay /te s stpostpartum. Which finding would the nurse expect when assessing the client's fundus?