Saunders Peds Latest Update
Comprehensive Questions with Correct
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A 1-month-old infant is seen in a clinic and is diagnosed with developmental dysplasia of the hip. On
assessment, the nurse understands that which finding should be noted in this condition? -
Answer -remem...
Saunders Postpartum Latest Update
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A 45-year-old woman delivered her first baby by cesarean section 5 days ago. The postpartum recovery
has been complicated by thrombophlebitis in her left leg. She cries frequently and requests to have her
newborn infant stay in the nursery. The nurse recognizes that the mother may have intensified
"postpartum blues" because of which situation? - Answer -he client is required to stay on bed rest.
A client arrives to the postpartum unit following the delivery of her newborn premature infant. On data
collection, the nurse notes that the client is shaking uncontrollably. Which nursing action is appropriate?
- Answer -Covering her with a warm blanket
A client experiences subinvolution during the puerperium. The nurse recalls that which factors are the
most common causes for this occurrence? Select all that apply. - Answer -Retained placental
fragments
5.
Maternal reproductive tract infections
A client has had a midline episiotomy. In relation to clients with other types of episiotomies, the nurse
anticipates that the client will generally experience which findings? Select all that apply. - Answer -
Less pain
less blood loss
More likely to extend with birth of LGA infant
A client has just experienced a precipitate delivery. The nurse observes that the mother is lying quietly in
bed and touches the infant only briefly and occasionally. How should the nurse be most therapeutic in
this situation? - Answer -Provide support to the mother.
A client is admitted to the labor and delivery suite with an intrauterine fetal demise. The nurse
determines that the discussion with the parents was effective in preparing them for the delivery when
the parents make which response? - Answer -Request to hold the infant following delivery
A client who is breastfeeding her newborn infant is experiencing nipple soreness. To relieve the soreness,
which action should the nurse suggest to the client? - Answer -Begin feeding on the less sore
nipple
A delivery room nurse collects data on a mother who just delivered a healthy newborn infant. The nurse
checks the uterus to determine if the placenta has detached. Which findings indicate to the nurse that
, placental detachment has occurred? Select all that apply. - Answer -Lengthening of the umbilical
cord
Sudden gush of dark blood from the vagina
Appearance of fetal membranes at the introitus
A mother is breastfeeding her newborn baby and experiences breast engorgement. The nurse should
encourage the mother to do which to provide relief of the engorgement? - Answer -Massage the
breasts before feeding to stimulate let-down.
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? - Answer -
Position the newborn infant with the ear, shoulder, and hip in straight alignment and with the baby's
stomach against the mother's.
A new mother is attempting to breastfeed 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 breastfeeding the
newborn? - Answer -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.
A new mother is seen in the health care clinic 2 weeks after the birth of a healthy newborn. The mother
says that she feels as though she has the flu and complains of fatigue and aching muscles. On further
data collection the nurse notes a localized area of redness on the left breast, and the mother is
diagnosed with mastitis. The mother asks the nurse how the condition occurs. Which nursing response is
appropriate? - Answer -The infection can occur at any time during breastfeeding."
A postpartum client asks the nurse when she may resume sexual activity. Which response should the
nurse give to the client? - Answer -Sexual activity may be resumed in about 3 weeks when the
episiotomy has healed and the lochia has stopped.
A postpartum client diagnosed with gestational diabetes is scheduled for discharge. During the
discharge, the client asks the nurse, "Do I have to worry about this diabetes anymore?" The nurse should
make which response to the client? - Answer -"You will be at risk for developing gestational
diabetes with your next pregnancy and developing overt diabetes mellitus."
A postpartum client is at high risk for infection. A goal has been developed that states, "The client will
not develop an infection during her hospital stay." Which data support that the goal has been met? -
Answer -Absence of fever
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? - Answer -"I don't need birth
control because I will be breastfeeding."
A postpartum client suspected of having an infection is informed that she will be unable to have the
newborn present in the room with her. The nurse plans care, knowing that which problem is the highest
priority at this time? - Answer -Risk of ineffective bonding between the mother and newborn
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