Nokea
A client just delivered the placenta pictured below. The nurse will document that the woman delivered which of following placentas?
- A. Circumvallate placenta.
- B. Succenturiate placenta.
- C. Placenta with velamentous cord insertion.
- D. Battledore placenta.
Correct Answer: B
Rationale: Succenturiate placenta has accessory lobes.
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A client is postpartum 24 hours from a spontaneous vaginal delivery with rupture of membranes for 42 hours. Which of the following signs/symptoms should the nurse report to the client's health care practitioner?
- A. Foul-smelling lochia.
- B. Engorged breasts.
- C. Cracked nipples.
- D. Cluster of hemorrhoids.
Correct Answer: A
Rationale: Foul-smelling lochia indicates infection.
The nurse recognizes the postpartum person is in what stage of Rubin’s attachment model when the person is concerned with physical recovery and depends on the nurse or partner for help physically?
- A. Taking In
- B. Taking Hold
- C. Postpartum Maternal Change
- D. Attainment of Change
Correct Answer: A
Rationale: The correct answer is A: Taking In. In Rubin's attachment model, this stage occurs immediately after childbirth when the person focuses on their own physical recovery and relies on others for assistance. This stage is characterized by passivity and dependence. The other choices are incorrect because: B) Taking Hold is the stage where the person starts to take on more responsibility for themselves and the baby; C) Postpartum Maternal Change is not a recognized stage in Rubin's model; D) Attainment of Change is not a stage in Rubin's model either.
On admission to the maternity unit, it is learned that a mother has smoked 2 packs of cigarettes per day and expects to continue to smoke after discharge. The mother also states that she expects to breastfeed her baby. The nurse's response should be based on which of the following?
- A. Breastfeeding is contraindicated if the mother smokes cigarettes.
- B. Breastfeeding is protective for the baby and should be encouraged.
- C. A 2-pack-a-day smoker should be reported to child protective services for child abuse.
- D. A mother who admits to smoking cigarettes may also be abusing illicit substances.
Correct Answer: B
Rationale: Breastfeeding provides benefits despite maternal smoking.
The nurse is developing a standard care plan for the post-cesarean client. Which of the following should the nurse plan to implement?
- A. Maintain client in left lateral recumbent position.
- B. Teach sitz bath use on second postoperative day.
- C. Perform active range-of-motion exercises until ambulating.
- D. Assess central venous pressure during first postoperative day.
Correct Answer: B
Rationale: Sitz baths promote healing and comfort.
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.