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Maternity NCLEX Questions 5.0 (1 review) Students also studied Terms in this set (50) Science MedicineNursing Save New Born 85 terms sasha_henagan Preview Saunders maternity 73 terms Jaclyn_SweetPreview Maternity Nclex questions 68 terms crystalrose_rivera Preview MATER 47 terms Bru The nurse is assigned to care for a client 1 hour after delivery. The nurse palpates a firm, uterine fundus 2 cm above the umbilicus and displaced to the right. The nurse recognizes that this finding indicates which?
1.Uterine atony 2.Bladder distention 3.Endometrial infection 4.Retained placental fragments
- Bladder distention
- I should take sitz baths 3 or 4 times a day and test the water temperature to be
- Pain, redness, or swelling in the breasts
The nurse is reinforcing instructions to a client who had an episiotomy during the birthing process. Which statement by the client would indicate a need for further teaching?
1."I can apply ice to the area." 2."I can apply a local anesthetic spray to the area." 3."I should tighten the perineum before I sit and then relax it slowly after being seated." 4."I should take sitz baths 3 or 4 times a day and test the water temperature to be sure that it is at 115° F."
sure that it is at 115 F The nurse is about to reinforce discharge instructions to a postpartum client who delivered a healthy newborn infant. The occurrence of which event should be reported to the health care provider?
1.Uterine cramping while breast-feeding 2.Pain, redness, or swelling in the breasts 3.Diaphoresis that occurs during the night 4.Existence of a serosanguineous vaginal drainage
The nurse has reinforced instructions to a new mother about how to perform postpartum exercises. The nurse determines that the client understands the instructions when she makes which statement?1."Strenuous exercises should be started while in the hospital." 2."Exercise should be delayed for 4 weeks to allow healing time." 3."The use of postpartum exercises can result in stress urinary incontinence." 4."I should alternately contract and relax the muscles of the perineal area."
- I should alternately contract and relax the muscles of the perineal area.
- Have the mother place the infant in the bassinet and assist the mother in
- Provide breast shells and assist the mother with using a breast pump before
- I don't need birth control because I will be breastfeeding
The nurse enters a new mother's room and finds that the mother is crying and that the infant is undressed on the bed in front of the mother. The mother looks at the nurse and says, "I can't even dress this baby!" After reassuring the client, which nursing action would be the most appropriate?
1.Place the infant back in the bassinet.
2.Diaper the infant while it is lying on the bed.
3.Place the infant in the bassinet and take the baby back to the nursery.
4.Have the mother place the infant in the bassinet and assist the mother in dressing the baby.
dressing the baby A new mother is attempting to breast-feed for the first time. The nurse notices that the client has inverted nipples. What nursing action can the nurse take to assist the client in breast-feeding the newborn?
1.Massage the breast, applying gentle pressure on the areola.
2.Have the mother grasp the nipples between the thumb and forefinger and tug firmly to get the nipple to protrude.
3.Have the mother take a cool shower, allowing the water to run over the breasts because this will encourage the nipples to protrude.
4.Provide breast shells and assist the mother with using a breast pump before each feeding to make the nipples easier for the newborn to grasp.
each feeding to make the nipples easier for the newborn to grasp A postpartum client is getting ready for discharge. The nurse suspects that the client needs further teaching related to breastfeeding when she makes which statement?
1."I don't need birth control because I will be breastfeeding." 2."I need to increase my caloric intake by 500 calories a day." 3."I shouldn't use soap to wash my breasts because I will be breastfeeding." 4."I need to be sure that I increase my fluid intake and take my prenatal vitamins while breastfeeding."
The nurse caring for a breast-feeding postpartum client plans to include avoidance of soaps on the nipples, frequent changing of breast pads, and intermittent exposure of nipples to the air. These interventions are implemented to prevent which complication?
1.Mastitis 2.Engorgement 3.Newborn colic 4.Let-down reflex
- Mastitis
- At the level of the umbilicus
- postpartum hemorrhage
- Check the uterine fundus and locia
- Clean around the cord with plain water as needed until the cord falls off
A delivery room nurse collects data on a mother who just delivered a healthy newborn infant. The nurse checks the uterine fundus, expecting to note which uterine fundus position?
1.To the left of the abdomen 2.To the right of the abdomen 3.At the level of the umbilicus 4.Two fingerbreadths above the symphysis pubis
The nurse is caring for a woman who has delivered a baby after a pregnancy with a placenta previa. Which complication would the client be at risk for?
1.Coagulopathy 2.Postpartum infection 3.Chronic hypertension 4.Postpartum hemorrhage
The nurse is caring for a client during the immediate recovery phase or fourth stage of labor. Which action is important for the nurse to take at this time?
1.Assist the client to breast-feed.
2.Encourage food and fluid intake.
3.Check the uterine fundus and lochia.
4.Provide privacy for the parents and their newborn.
The nurse is assisting in providing a class to new mothers on newborn care. In teaching cord care, the nurse makes which suggestion to the new mothers?
1.If triple dye has been applied to the cord, it is not necessary to do anything else to it.
2.All that is necessary is to wash the cord with antibacterial soap, allowing it to air dry once a day.
3.Clean around the cord with plain water as needed until the cord falls off 4.Gently apply alcohol to the cord, being careful not to move the cord because it will cause the newborn pain.
The nurse is assigned to care for the client during the postpartum period. The client asks the nurse what the term involution means. Which description should the nurse give to the client?
1.The inverted uterus returning to normal 2.The gradual reversal of the uterine muscle into the abdominal cavity 3.The descent of the uterus into the pelvic cavity, which occurs at a rate of 2 cm/day 4.The progressive descent of the uterus into the pelvic cavity, which occurs at a rate of approximately 1 cm/day
- The progressive descent of the uterus into the pelvic cavity, which occurs at a
- . The process of keeping the cord clean and dry will decrease bacterial growth
- Wrapping the crib pad before placing the newborn in the crib
- Position the newborn infant with the ear, shoulder, and hip in straight alignment
rate of approximately 1cm/day The nurse is planning to reinforce instructions about cord care to a new mother. The nurse should plan to tell the mother which about cord care?
1.Alcohol is the only agent used to clean the cord.
2.It takes 21 days for the cord to dry up and fall off.
3.Cord care is done only at birth to control bleeding.
4.The process of keeping the cord clean and dry will decrease bacterial growth.
The nurse in the delivery room is assisting with the delivery of a newborn. The nurse prepares to prevent heat loss in the newborn due to conduction by initiating which action?1 .Wrapping the newborn in a blanket 2.Closing the doors to the delivery room 3.Drying the newborn with a warm blanket 4.Warming the crib pad before placing the newborn in the crib
A mother is breastfeeding her newborn. The mother complains to the nurse that she is experiencing severe nipple soreness. The nurse should provide which suggestion to the client?
1.Avoid rotating breastfeeding positions so that the nipple will toughen.
2.Stop nursing during the period of nipple soreness to allow the nipples to heal.
3.Nurse the newborn infant less frequently and substitute a bottle feeding until the nipples become less sore.
4.Position the newborn infant with the ear, shoulder, and hip in straight alignment and with the baby's stomach against the mother's.
and with the baby's stomach against the mother's
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