Exam (elaborations)
Ch 28 Care of the Mother and Newborn
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- TAMU Business 101 Semester Final Exam
Ch 28 Care of the Mother and Newborn
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Ch 28 Care of the Mother and Newborn1. Twelve hours following the delivery of a baby, the mother is assessed by the nurse.
As the nurse palpates the level of the fundus of the uterus, it should be:
a. firm and 2 cm below the umbilicus.
b. firm and at the umbilicus.
c. slightly boggy and 1 cm below the umbilicus.
d. halfway between the umbilicus and the symphysis pubis. - ANS-ANS: B
Within 12 hours, the fundus contracts to the level of the umbilicus.
REF: Page 842 TOP: Postpartum
2. The vaginal discharge following delivery is called lochia. It changes color over time
and has different names. The initial discharge is charted by the nurse as lochia:
a. serosa.
b. rubra.
c. palatine.
d. alba. - ANS-ANS: B
Initially, the drainage is called lochia rubra.
REF: Page 842 TOP: Lochia
3. The nurse explains that following delivery, the return of the menstrual cycle, which is
anovulatory, depends on the return of estrogen to normal levels, which may take from:
a. 3 weeks to 3 months.
b. 4 weeks to 4 months.
c. 6 weeks to 6 months.
d. 8 weeks to 8 months. - ANS-ANS: C
The first cycle may be from 6 weeks to 6 months postpartum.
REF: Page 848, Box 27-6
TOP: Postpartum
4. The new mother is breastfeeding her baby and asks about the milk from her breasts.
The nurse explains that the first secretion produced by the breast is called:
a. prolactin.
b. colostrum.
c. false milk.
, d. whey. - ANS-ANS: B
The first secretion to be produced by the breast is colostrum.
REF: Page 844 TOP: Lactation
5. The nurse tells the new mother that the prepregnancy weight is usually achieved
without dieting within:
a. 2 to 3 weeks.
b. 4 to 5 weeks.
c. 6 to 8 weeks.
d. 3 months. - ANS-ANS: C
The prepregnancy weight is usually achieved within 6 to 8 weeks without dieting.
REF: Page 851 TOP: Postpartum
6. The postpartum patient complains of discomfort in her breasts. When explaining
engorgement to the mother, the nurse states that it:
a. occurs on the first or second postpartum day.
b. is first observed in the axillary region.
c. occurs only in women who are not breastfeeding.
d. occurs near the nipple on the third postpartum day. - ANS-ANS: B
Filling of the breast with milk (engorgement) usually begins in the axillary region.
REF: Page 857 TOP: Engorgement Step:
Implementation
7. When instructing the nursing mother, the nurse explains that engorgement is most
likely to occur when the:
a. infant's mouth surrounds the areola when feeding.
b. breast tissue becomes congested.
c. breast is emptied completely at each feeding.
d. infant's mouth grasps the nipple firmly. - ANS-ANS: B
Engorgement is the result of venous and lymphatic stasis (congestion).
REF: Page 857 TOP: Engorgement
8. When describing colostrum to the new mother, the nurse states that it is:
a. slightly yellow and low in protein.
b. slightly yellow and provides antibodies.
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