100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Previously searched by you
Previously searched by you
logo
NUR 128 - Labor and Delivery, Ch. 13, 14, 15, 16 -- Ricci, Kyle & Carman Fourth Edition Questions with Correct Answers $14.49
Add to cart
Quickly navigate to
Preview
  2.  
  3. Nursing Pediatrics
  4.  
  5. Nursing Pediatrics

Exam (elaborations)

NUR 128 - Labor and Delivery, Ch. 13, 14, 15, 16 -- Ricci, Kyle & Carman Fourth Edition Questions with Correct Answers
 0 purchase
  • Course
  • Nursing Pediatrics
  • Institution
  • Nursing Pediatrics

NUR 128 - Labor and Delivery, Ch. 13, 14, 15, 16 -- Ricci, Kyle & Carman Fourth Edition Questions with Correct Answers

Preview 4 out of 38  pages

Document information

  • October 5, 2024
  • 38
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

Subjects

  • nur 128 labor and delivery ch

Written for

  • Nursing Pediatrics
  • Nursing Pediatrics

Seller

avatar-seller
cracker

Reviews received

Content preview

NUR 128 - Labor and Delivery, Ch. 13, 14, 15, 16 --
Ricci, Kyle & Carman Fourth Edition Questions with
Correct Answers
A woman who gave birth to her infant 1 week ago calls the clinic to
report pain with urination and increased frequency. What response
should the nurse prioritize? Correct Answer-"After birth it is easier to
develop an infection in the urinary system; we need to see you today."
Explanation:
The urinary system is more susceptible to infection during the
postpartum period. The woman needs to be checked to rule out a urinary
infection. The other responses are incorrect because they do not
acknowledge her in an appropriate manner.


A nurse is examining a client who underwent a vaginal birth 24 hours
ago. The client asks the nurse why her discharge is such a deep red
color. What explanation is most accurate for the nurse to give to the
client? Correct Answer-"The discharge consists of mucus, tissue debris,
and blood; this gives it the deep red color."
Explanation:


The nurse should explain to the client that lochia rubra is a deep red
mixture of mucus, tissue debris, and blood. Discharge consisting of
leukocytes, decidual tissue, RBCs, and serous fluid is called lochia
serosa. Discharge consisting of only RBCs and leukocytes is blood.
Discharge consisting of leukocytes and decidual tissue is called lochia
alba.

,The nurse is preparing discharge for a client who plans to bottle-feed her
infant. Which instruction should the nurse prioritize for this client in the
discharge teaching? Correct Answer-Wear a tight, supportive bra.
Explanation:
The client trying to dry up her milk supply should do as little stimulation
to the breast as possible. She needs to wear a tight, supportive bra and
use ice. Running warm water over the breasts in the shower will only
stimulate the secretion, and therefore the production, of milk. Massaging
the breasts will stimulate them to expel the milk and therefore produce
more milk, as will expressing small amounts of milk when the breasts
are full.


A woman comes to the clinic. She gave birth about 2 months ago to a
healthy term male newborn. During the visit, the woman tells the nurse,
"I've noticed that I'm a bit uncomfortable now when we have sexual
intercourse. Is there anything that I can do?" The woman's menstrual
period has not yet resumed. Which suggestion by the nurse would be
most appropriate? Correct Answer-You might try using a water-soluble
lubricant to ease the discomfort."
Explanation:
Discomfort during sex and localized dryness usually plague most
postpartum women until menstruation returns. Water-soluble lubricants
can reduce discomfort during intercourse. Although it may take some
time for the woman's body to return to its prepregnant state, telling the
woman this does not address her concern. Telling her that dyspareunia is
normal and that it takes time to resolve also ignores her concern. Kegel
exercises are helpful for improving pelvic floor tone but would have no
effect on vaginal dryness.

,A postpartum woman is concerned about constipation following
delivery. What factor(s) contribute to this problem? Select all that apply.
Correct Answer-Perineal pain
Hemorrhoidal discomfort
Iron supplements


Explanation:
After delivery, many women experience a great deal of perineal pain, as
well as hemorrhoidal pain, which leads to constipation because the
woman is reluctant to defecate, fearing pain. Additionally, iron
supplements contribute to constipation also.


A nurse is making an initial call on a new mother who gave birth to her
third baby 5 days ago. The woman says, "I just feel so down this time.
Not at all like when I had my other babies. And this one just doesn't
sleep. I feel so inadequate." What is the best response to this new
mother? Correct Answer-"It sounds like you have the 'baby blues.' They
are common after having a baby when you are not getting enough sleep,
are busy with your other children, and are still a bit uncomfortable from
the birth. They will most likely go away in a day or two."
Explanation:
A combination of factors likely contributes to the baby blues.
Psychological adjustment along with a physiologic decrease in estrogen
and progesterone appear to be the greatest contributors. Additional
contributing factors include too much activity, fatigue, disturbed sleep
patterns, and discomfort.

, A nurse is providing care to a postpartum woman who is breastfeeding
her 1-day old neonate. While observing the interaction, the woman says
to the nurse, "I have noticed some tingling in both of my breasts just
before my baby starts to feed and then for a bit during the feeding. What
is happening?" Which response by the nurse would be appropriate?
Correct Answer-"What you are feeling is the normal let-down reflex
when milk is released."
Explanation:
Typically, during the first 2 days after birth, the breasts are soft and
nontender. The woman may also report a tingling sensation in both
breasts, which is the "let-down reflex" that occurs immediately before or
during breastfeeding. This tingling is not a sign of infection or blockage
of the milk ducts. Engorgement is a postnatal physiologic painful
condition in which distension and swelling of the breast tissue occurs as
a result of an increase in blood and lymph supply as a precursor to
lactation. Breast engorgement usually peaks in 3 to 5 days postpartum
and usually subsides within the following 24 to 36 hours.


During the second day postpartum, a nurse notices that a client is
initiating breastfeeding with her infant and changing her infant's diapers
with some assistance from her partner. Which phase does the nurse
recognize that the woman is experiencing? Correct Answer-the taking-
hold phase
Explanation:
The taking-hold phase is characterized by the woman becoming more
independent and interested in learning how to care for her infant.
Learning how to be a competent parent is an important task. The taking-
in phase is characterized by the woman's dependency on and passivity
with others. Maternal needs are dominant, and talking about the birth is
an important task. The new mother follows suggestions, is hesitant about

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller cracker. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $14.49. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

69252 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 15 years now

Start selling
$14.49
  • (0)
Add to cart
Added