Nokea
The nurse instructed a postpartum woman about storing and freezing breast milk. What statement by the woman leads the nurse to determine that the teaching was effective?
- A. I can thaw frozen breast milk in the microwave.'
- B. I'll put enough breast milk for one day in a container.'
- C. Breast milk can be stored in glass containers.'
- D. Breast milk can be kept in the refrigerator for up to 3 months.'
Correct Answer: C
Rationale: Breast milk can be safely stored in glass or clear hard plastic containers.
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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.
A new mother states her preference to formula feed her newborn. What will the nurse planning discharge instructions tell her to help suppress lactation and promote comfort?
- A. Wear a well-fitting bra continuously for several days.
- B. Stand in a warm shower, letting the water spray over the breasts.
- C. Express small amounts of milk from the breasts several times a day.
- D. Massage the breasts when they ache.
Correct Answer: A
Rationale: When a mother does not wish to breastfeed, a snug bra worn around the clock can help alleviate discomfort from engorgement.
What type of lochia will the nurse assess initially after delivery?
- A. Serosa
- B. Rubra
- C. Alba
- D. Vaginalis
Correct Answer: B
Rationale: The initial vaginal discharge after delivery is called lochia rubra. It is red and moderately heavy. Lochia rubra lasts for up to 3 days postpartum.
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.
A primipara tells the nurse, 'My afterpains get worse when I am breastfeeding.' What is the most appropriate nursing response?
- A. I'll get you some aspirin to relieve the cramping that you feel.'
- B. Afterpains are more intense with your first baby.'
- C. Breastfeeding releases a hormone that causes your uterus to contract.'
- D. A change of position when you're breastfeeding might help.'
Correct Answer: C
Rationale: Breastfeeding mothers may have more afterpains because infant suckling causes the posterior pituitary to release oxytocin, which is a hormone that contracts the uterus.