The nurse assessing a newborn recognizes a sign of hypoglycemia,

which is:
high-pitched cry.
The nurse assessing the fundus of the uterus immediately after delivery
would expect to find the uterus:
well-contracted with its upper border at or just below the umbilicus.
The statement made by a new mother that indicates she needs additional
information about breastfeeding is:
"If the baby gets fussy between feedings, I give her a bottle of water."
Following delivery, the nurse's assessment reveals a soft, boggy uterus
located above the level of the umbilicus. The appropriate intervention is
to:
massage the fundus.
The nurse assesses the initial lochia postdelivery, which is known as:
rubra.
A woman will be discharged 48 hours after a vaginal delivery. When
planning discharge teaching, the information the nurse would include
about lochia is that: a change in lochia from pink to bright red should be
reported.
The nurse should teach the postpartum woman about perineal self-care
by instructing her to: cleanse with warm water in a squeeze bottle from
front to back.
The nurse can expect which intervention to be ordered if the postpartum
woman is not immune to rubella?
The rubella virus vaccine should be administered before discharge.
The statement that indicates the new mother is breastfeeding correctly is:
"I will put the baby first on the breast that she took last in the previous
feeding."
The nurse counseling a lactating mother about diet would include
instructions to: consume 500 more calories than her usual prepregnancy
diet.

When a woman asks about resumption of her menstrual cycle after

childbirth, the nurse responds that: most nonlactating women resume
menstruation about 2 months postpartum.
The nurse explains that the physician will order RhoGAM in the event
that a:
unsensitized Rh-negative mother has an Rh-positive infant.
After birth, the nurse quickly dries and wraps the newborn in a blanket to
prevent heat loss by:
evaporation.
The nurse's instructions for a new mother to care for the infant's
umbilical cord will include:
fastening diaper low to allow for
air circulation.
A new mother states her preference to formula feed her newborn. The
nurse planning discharge instructions would tell her about a measure to
help suppress lactation and promote comfort, which is to:
wear a well-fitting bra continuously for several days.
On the second postpartum day, a mother bathed her newborn for the first
time. She tells the nurse, "I don't think I did it right." Based on the
mother's comment, she is most likely in the postpartum psychological
stage of:
taking hold.
A primipara tells the nurse, "My afterpains get worse when I am
breastfeeding." The most appropriate nursing response would be:
"Breastfeeding releases a hormone that causes your uterus to contract."
A new mother has decided not to breastfeed her newborn. The nurse
planning to teach the mother about formula feeding would include:
positioning the bottle so that the nipple is full of formula during the
entire feeding.
In the recovery room, the nurse checks the newly delivered woman's
fundus following a cesarean section. How would the nurse proceed with
this assessment?
Palpate from the side of the uterus to the
midline.

The nurse instructed a postpartum woman about storing and freezing

breast milk. The nurse determines that the teaching was effective when
the woman says:
"Breast milk can be stored in glass containers."
For security purposes, when the nurse brings the infant from the nursery
to the mother the nurse should: check the band number of the infant to
that of the mother.
The nurse is aware that the newborn is considered hypoglycemic if the
blood glucose level is below _____ mg/dL.
40
Which assessment(s) would lead the nurse to determine the gestational
age of the infant as preterm?
Thin, transparent skin
Folded ear springs back slowly
The nurse is giving a shower to a patient who had a cesarean section 2
days previously. What intervention(s) should be included before, during,
and after the shower?
Position patient with back to water stream.
Cover infusion site with rubber glove.
Provide a shower chair.
Confirm ambulation ability.
What postpartum exercises should the nurse teach a patient who had a
vaginal delivery yesterday?
Abdominal tighteners
Head lift
Pelvic tilt
Kegel exercises
While instructing a new mother on formula preparations, what type(s)
would the nurse include?
Ready-to-feed formula
Concentrated liquid formula
Powdered formula

The first sign of hypovolemic shock from postpartum hemorrhage is

likely to be:
tachycardia.
Although the nurse has massaged the uterus every 15 minutes it remains
flaccid, and the patient continues to pass large clots. The nurse
recognizes that these signs indicate uterine:
atony.
The nurse's first action when postpartum hemorrhage from uterine atony
is suspected is to: begin massaging the fundus while another person
notifies the physician.
The nurse assesses a boggy uterus with the fundus above the umbilicus
and deviated to the side. The nurse should next assess: fullness of the
bladder.
Oxytocin (Pitocin) is the most common drug ordered to control uterine
atony.
When the 4-week postpartum patient with mastitis asks the nurse if she
can continue to breastfeed, the nurse's most helpful response is:
"Breastfeeding can continue unless there is any abscess formation."
A woman had a vaginal delivery two days ago and is preparing for
discharge. To help prevent postpartum complications, the nurse plans to
teach the woman to report any:
fever.
One day after discharge, the postpartum patient calls the clinic
complaining of a reddened area on her lower leg, temperature elevation
of 37 C (99.8 F), rust-colored lochia, and sore breasts. From these
symptoms, the nurse suspects:
phlebitis.
The statement that would indicate to the nurse on a postpartum home
visit that the patient understands the signs of late postpartum hemorrhage
is:"My discharge would change to red after it has been pink or white."
During a postpartum assessment, a woman reports that her right calf is
painful. The nurse observes edema and redness along the saphenous vein
in the right lower leg. Based on this finding, the nurse explains that the
probable treatment will involve:
anticoagulants for 6 weeks.

The nurse determines that a woman with mastitis understands treatment

instructions when she says she will:
"Take a warm shower
before nursing the baby."
The best response to a postpartum woman who tells the nurse that she
feels "tired and sick all of the time since I had the baby 3 months ago" is:
"Let's talk about this further. I am concerned about how you are feeling."
The nurse is caring for a woman who had a cesarean birth yesterday.
Varicose veins are visible on both legs. To prevent thrombus formation
the nurse would: assist the woman with ambulation for short periods of
time.
Five days after a spontaneous vaginal delivery, a woman comes to the
emergency room because she has a fever and persistent cramping. The
nurse recognizes that the cause of these signs and symptoms may be:
endometritis.
At her 6-week postpartum checkup, a woman mentions to the nurse that
she cannot sleep and is not eating. She feels guilty because sometimes
she believes her infant is dead. The nurse recognizes this woman's
symptoms as:
major depression.
Three weeks after delivering her first child, a woman tells the nurse, "I
waited so long for this baby and now that she is here, I can't believe how
different my life is from what I expected." The best nursing response to
the woman's statement is:
"Tell me how things are different."
After a prolonged labor, a woman vaginally delivered a 10 pound, 3
ounce infant boy. In the immediate postpartum period, the nurse would
be alert for the development of:
hematoma.
A woman has had persistent lochia rubra for two weeks after her delivery
and is experiencing pelvic discomfort. When subinvolution is diagnosed,
the nurse explains that the usual treatment for this disorder is:
dilation and curettage.

The one-day postpartum patient shows a temperature elevation, cough,

and slight shortness of breath on exertion. Based on these symptoms the

nurse should:
notify the physician of a possible pulmonary embolism.
While caring for a postpartum patient who had a vaginal delivery
yesterday, the nurse assesses both a firm uterine fundus and a trickle of
bright blood. The nurse is: concerned and reports a probable cervical
laceration.
The nurse assesses a positive Homans sign if the patient complains of
pain in the _______ when the patient's leg is flexed and the foot is
sharply dorsiflexed.
calf of the leg
The new mother who had a vaginal delivery yesterday has a white blood
cell count of 30,000 cells/dL. The nurse should: assess the patient
further.
By flexing the patient's leg and dorsiflexing the foot, the nurse is:
assessing for deep vein thrombus.
The nurse conducting a childbirth preparation class warns the patients
that shock, a real threat after delivery, is caused by what factor(s)?
Blood clotting disorders
Anemia
Infection
Postpartum hemorrhage
The nurse assesses the perineal pad placed on a 3-hour postdelivery
patient and finds that there is no lochia on it. What would the nurse
expect to find on further assessment?
A full bladder
A soft, boggy fundus
The nurse instructs the postpartum patient that her nutritional intake
should include which foods particularly supportive to healing?
Legumes
Citrus fruits
Cantaloupe

In order to reduce the risk of mastitis, what will the nurse teach a nursing
mother to do?
Empty both breasts with each feeding.
Take warm showers.
Wear a supportive bra.
Pump breasts to ensure emptying.
The nurse is preparing a community education program on preventive
health care for women. The nurse plans to tell the women attending the
program that a screening test common in women's health care is:
mammography.
A 25-year-old woman has a family history of breast cancer. The nurse
reviews the procedure for breast self-examination (BSE) and tells her
that the best time for a woman to perform a breast self-examination is:
one week after the beginning of her period.
A woman asks the nurse, "How do oral contraceptives prevent
pregnancy?" The nurse explains that the combination of estrogen and
progesterone in oral contraceptives:
prevents ovulation.
The nurse would tell the patient to expect what after she had an
intrauterine device (IUD) inserted? A string should be felt in the vagina.
The woman using a diaphragm correctly would tell the nurse that the
diaphragm: should be left in place for at least 6 hours after intercourse.
The nurse reminds a group of high school students that the most effective
choice of birth control for preventing pregnancy and sexually transmitted
diseases is to:
abstain from sex.
On day 13 of a 28-day cycle, a woman's basal body temperature is 36.5
C (97.7 F). If she ovulates on day 14, her temperature measurement on
day 14 would most likely be:
36.7 C (98.1 F)
The nurse tells a woman who is trying to conceive to check her cervical
mucus for changes. A few days before ovulation, the cervical mucus is:
clear and slippery.

The nurse is discussing cervical mucus changes with a woman who

wishes to use natural family planning methods. The nurse determines the
woman understands the information presented when she says the changes
in cervical mucus at ovulation:
enhance the motility of the sperm.
In the week before her menstrual period, a woman experiences
irritability, anxiety, and difficulty concentrating. The nurse suggests that
a remedy to relieve these symptoms is to: include complex carbs and
fiber in the diet.
The nurse explains that the drug clomiphene (Clomid) is used in
infertility treatment because it:
induces ovulation.
At her regular gynecological examination, a woman tells the nurse that
she is concerned about osteoporosis. The nurse could suggest to the
patient to:
include more dairy products and green, leafy vegetables in her diet.
A 48-year-old woman tells the nurse, "I missed my period last month.
Am I in menopause?" The nurse would respond that a woman is
considered to be menopausal when: her periods have stopped for 1Y
The nurse planning to teach a woman about perimenopause would
include that lowered estrogen levels: raise the level of low-density
lipoproteins.
When a woman starts hormone replacement therapy (HRT), the nurse
would instruct her to look for the side effect of:
headache.
When a woman asks what she can do to reduce the discomfort of hot
flashes, the nurse advises:
"Dress in layers of cotton clothing."
Which statement made by the nurse would teach an adolescent using
tampons how to prevent toxic shock syndrome (TSS)?
Tampons should be changed at least every 4 hours.
The nurse realizes that a man considering a vasectomy needs further
information if he says:
"I'll need to remain in the hospital for a few days."

At her 6-week postpartum checkup, a woman states, "I am wondering

about birth control. I used oral contraceptives before, and I'm
breastfeeding now. Can I use the pill again?" The nurse's best response
is:"Oral contraceptives can be taken once lactation is well established."
A 17-year-old girl comes to the emergency department complaining of
severe pain in her left lower quadrant. When an ovarian cyst is suspected,
the nurse explains that the diagnosis is confirmed by:
transvaginal
ultrasound.
A 21-year-old college student has come to see the nurse practitioner for
treatment of a vaginal infection. Physical assessment reveals
inflammation of the vagina and vulva, and vaginal discharge has a
cottage cheese appearance. These findings are consistent with:
candidiasis.
The nurse warns that the effectiveness of oral contraceptives is decreased
in women who are taking:
anticonvulsants for treatment of
epilepsy.
The nurse instructing a man considering a vasectomy should state that
after a vasectomy:
sperm will still be ejaculated for a month.
The nurse instructs the woman taking oral contraceptives to report which
possible side effects?
Abdominal pain
Headache
Eye or visual problems
Speech disturbances
What are anonymous sperm donors screened for?
Genetic defects
Infections
High-risk behaviors

The nurse cautions that women with a history of which disorders are not
candidates for HRT?
Melanoma
Estrogen-dependent breast cancer
Hepatitis C
Thromboembolic disease
The patient who has been dealing with urge incontinence tells the nurse
that the symptoms have gotten worse lately. The nurse reminds the
patient that which foods and drugs can increase incontinence?
Antihypertensive drugs
Coffee
Alcohol
Diuretics
Anticholinergics
The nurse advises the woman with pelvic floor dysfunction that she can
do what for relief of the associated discomfort?
Lie down with feet elevated.
Practice Kegel exercises.
Assume knee-chest position periodically.
Prevent constipation.