Nokea
A woman asks about resumption of her menstrual cycle after childbirth. What should the nurse respond?
- A. A woman will not ovulate in the absence of menstrual flow.
- B. Most nonlactating women resume menstruation about 2 months postpartum.
- C. Generally, a woman does not ovulate in the first few cycles after childbirth.
- D. The return of menstruation is delayed when a woman does not breastfeed.
Correct Answer: B
Rationale: Menstrual periods resume in about 6 to 8 weeks if the woman is not breastfeeding.
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What statement made by a new mother indicates she needs additional information about breastfeeding?
- A. I let the baby nurse 10 to 15 minutes on the first breast and then switch to the other breast.'
- B. The baby needs to nurse at least 5 minutes on the breast to get the hindmilk.'
- C. The baby has been nursing every 2 to 3 hours.'
- D. If the baby gets fussy between feedings, I give her a bottle of water.'
Correct Answer: D
Rationale: Supplemental feedings of formula or water should not be offered to a healthy newborn who is breastfeeding.
The nurse is assessing a newborn. Which sign would indicate hypoglycemia?
- A. Increased nasal mucus
- B. Increased temperature
- C. Active muscle movements
- D. High-pitched cry
Correct Answer: D
Rationale: There are many signs of hypoglycemia in the newborn. One is a high-pitched cry.
What is the first sign of hypovolemic shock from postpartum hemorrhage?
- A. Cold, clammy skin
- B. Tachycardia
- C. Hypotension
- D. Decreased urinary output
Correct Answer: B
Rationale: Tachycardia is usually the first sign of inadequate blood volume.
The nurse is giving a shower to a patient who had a cesarean section 2 days previously. What interventions should be included before, during, and after the shower? (Select all that apply.)
- A. Leave abdominal dressing open to air.
- B. Position patient with back to water stream.
- C. Cover infusion site with rubber glove.
- D. Provide a shower chair.
- E. Confirm ambulation ability.
Correct Answer: B,C,D,E
Rationale: The patient should be evaluated for ambulatory ability, and the abdominal dressing and infusion site should be covered with a waterproof cover. The patient should be provided a shower chair and positioned with her back to the water stream.
What should the nurse implement for security purposes when bringing the infant from the nursery to the mother?
- A. Ask, 'Is this your band number?'
- B. Confirm room number of mother.
- C. Ask the mother to identify herself verbally.
- D. Check the band number of the infant with that of the mother.
Correct Answer: D
Rationale: The nurse should check the band number of the infant with that of the mother by asking the mother to verbally read the number.