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Maternity Exam 4 questions with answers.
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Maternity Exam 4 questions withanswers.
Following the birth of her baby, a woman expresses concern about the weight she gained during
pregnancy and how quickly she can lose it now that the baby is born. The nurse, in describing the
expected pattern of weight loss, should begin by telling this woman that:
1. return to prepregnant weight is usually achieved by the end of the postpartum period.
2. fluid loss from diuresis, diaphoresis, and bleeding accounts for about a 3-lb weight loss.
3. the expected weight loss immediately after birth averages about 11 to 13 lbs.
4. lactation will inhibit weight loss since caloric intake must increase to support milk production. ANS -
the expected weight loss immediately after birth averages about 11 to 13 lbs.
Prepregnant weight is usually achieved by 2 to 3 months after birth, not within the 6-week postpartum
period. Weight loss from diuresis, diaphoresis, and bleeding is about 9 lbs. The expected weight loss
immediately following delivery is 11 to 13 lbs, followed by a gradual decrease and a return to
prepregnancy weight in 2 to 3 months. Weight loss continues during breastfeeding since fat stores
developed during pregnancy and extra calories consumed are used as part of the lactation process.
The breasts of a bottle-feeding woman are engorged. The nurse should tell her to:
1. wear a snug, supportive bra.
2. allow warm water to soothe the breasts
during a shower.
3. express milk from breasts occasionally to
relieve discomfort.
4. place absorbent pads with plastic liners into
her bra to absorb leakage. ANS - wear a snug, supportive bra.
A snug, supportive bra limits milk production and reduces discomfort by supporting the tender breasts
and limiting their movement. Cold packs reduce tenderness, whereas warmth would increase
circulation, thereby increasing discomfort. Expressing milk results in continued milk production. Plastic
liners keep the nipples and areola moist, leading to excoriation and cracking.
,A woman gave birth to a 7-lb, 3-oz boy 2 hours ago. The nurse determines that the woman's bladder is
distended because her fundus is now 3 cm above the umbilicus and to the right of the midline. In the
immediate postpartum period, the most serious consequence likely to occur from bladder distention is:
1. urinary tract infection.
2. excessive uterine bleeding.
3. a ruptured bladder.
4. bladder wall atony. ANS - excessive uterine bleeding.
A urinary tract infection may result from overdistention of the bladder, but it is not the most serious
consequence. Excessive bleeding can occur immediately after birth if the bladder becomes distended,
because it pushes the uterus up and to the side and prevents it from contracting firmly. A ruptured
bladder may result from a severely overdistended bladder. However, vaginal bleeding most likely would
occur before the bladder reaches this level of overdistention. Bladder distention may result from
bladder wall atony. The most serious concern associated with bladder distention is excessive uterine
bleeding.
What statement by a newly delivered woman indicates that she knows what to expect about her
menstrual activity after childbirth?
1. My first menstrual cycle will be lighter than normal and then will get heavier every month thereafter."
2. "My first menstrual cycle will be heavier than normal and will return to my prepregnant volume
within three or four cycles."
3. "I will not have a menstrual cycle for 6 months after childbirth."
4. "My first menstrual cycle will be heavier than normal and then will be light for several months after."
ANS - "My first menstrual cycle will be heavier than normal and will return to my prepregnant volume
within three or four cycles."
She can expect her first menstrual cycle to be heavier than normal, and the volume of her subsequent
cycles to return to prepregnant levels within three or four cycles. This is an accurate statement and
indicates her understanding of her expected menstrual activity. Most women experience a heavier than
normal flow during the first menstrual cycle, which occurs by 3 months after childbirth. She can expect
her first menstrual cycle to be heavier than normal, and the volume of her subsequent cycles to return
to prepregnant levels within three or four cycles.
, With regard to afterbirth pains, nurses should be aware that these pains are:
1. caused by mild, continual contractions for the duration of the postpartum period.
2. more common in first-time mothers.
3. more noticeable in births in which the uterus was overdistended.
4. alleviated somewhat when the mother breastfeeds. ANS - more noticeable in births in which the
uterus was overdistended.
The cramping that causes afterbirth pains arises from periodic, vigorous contractions and relaxations
that persist through the first part of the postpartum period. Afterbirth pains are more common in
multiparous women because first-time mothers have better uterine tone. A large baby or multiple
babies overdistend the uterus. Breastfeeding intensifies afterbirth pain because it stimulates
contractions.
Postbirth uterine/vaginal discharge, called lochia:
1. is similar to a light menstrual period for the first 6 to 12 hours.
2. is usually greater after cesarean births.
3. will usually decrease with ambulation and breastfeeding.
4. should smell like normal menstrual flow unless an infection is present. ANS - should smell like normal
menstrual flow unless an infection is present.
Lochia flow should approximate a heavy menstrual period for the first 2 hours and then steadily
decrease. Less lochia usually is seen after cesarean births. Lochia usually increases with ambulation and
breastfeeding. An offensive odor usually indicates an infection.
Which description of postpartum restoration or healing times is accurate?
1. the cervix shortens, becomes firm, and returns to form within a month postpartum.
2. Rugae reappear within 3 to 4 weeks.
3. Most episiotomies heal within a week.
4. Hemorrhoids usually decrease in size within 2 weeks of childbirth. ANS - Rugae reappear within 3 to
4 weeks.
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