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A client, 1 day postpartum (PP), is being monitored carefully after a significant postpartum hemorrhage. Which of the following should the nurse report to the obstetrician?
- A. Urine output 200 mL for the past 8 hours.
- B. Weight decrease of 2 pounds since delivery.
- C. Drop in hematocrit of 2% since admission.
- D. Pulse rate of 68 beats per minute.
Correct Answer: A
Rationale: Reduced urine output indicates potential hypovolemia.
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A nurse is advising a mother of a neonate being discharged from the hospital regarding car seat safety. Which of the following should be included in the teaching plan? Select all that apply.
- A. Place the baby's car seat in the front passenger seat.
- B. Position the car seat rear facing until the baby reaches two years of age.
- C. Attach the car seat to the car at 2 latch points at the base of the car seat.
- D. Check that the installed car seat moves no more than 1 inch side to side or front to back.
Correct Answer: B
Rationale: Rear-facing positioning and secure installation are critical for safety.
It is time for a baby who is in the drowsy behavioral state to breastfeed. Which of the following techniques could the mother use to arouse the baby? Select one that doesn't apply
- A. Swaddle or tightly bundle the baby.
- B. Hand express milk onto the baby's lips.
- C. Talk with the baby while making eye contact.
- D. Remove the baby's shirt and change the diaper.
Correct Answer: A
Rationale: Stimulating the baby with milk, voice, or tactile changes can encourage feeding.
A postpartum woman has been diagnosed with postpartum psychosis. Which of the following signs/symptoms would the client exhibit?
- A. Hallucinations.
- B. Polyphagia.
- C. Induced vomiting.
- D. Weepy sadness.
Correct Answer: A
Rationale: Hallucinations are characteristic of psychosis.
An example of binding in during the postpartum period is a
- A. new mother telling her friends all about her labor and birth experienc
- B. father looking at his newborn and stating that he “looks like I did when I was a baby.”
- C. mother reporting increasing anxiety during the postpartum period because she feels like she is without support.
- D. mother wanting some time alone so that she can catch up on needed sleep.
Correct Answer: A
Rationale: The correct answer is A because it demonstrates the concept of binding, which refers to the process of forming a strong emotional attachment between a parent and their newborn. In this scenario, the new mother is sharing personal details about her labor and birth experience with her friends, showcasing her emotional connection and bonding with her baby. This act of sharing personal experiences and feelings with others reflects the deep emotional bond that the mother is forming with her child.
Choices B, C, and D are incorrect because they do not directly demonstrate the concept of binding. Choice B focuses on the father's observation of the baby's physical resemblance to himself, which is not directly related to the emotional bonding process. Choice C discusses the mother's anxiety due to lack of support, which is a common issue during the postpartum period but does not specifically illustrate the concept of binding. Choice D mentions the mother's need for alone time to catch up on sleep, which is a practical aspect of postpartum care but does not address the
The nurse is teaching the parents of a female baby how to change the baby's diapers. Which of the following should be included in the teaching?
- A. Always wipe the perineum from front to back.
- B. Remove any vernix caseosa from the labial folds.
- C. Put powder on the buttocks every time the baby stools.
- D. Weigh every diaper to assess hydration status.
Correct Answer: A
Rationale: Front-to-back wiping prevents urinary tract infections.