Nokea
To assess fundal contraction 6 hours after cesarean birth, which technique should the nurse utilize?
- A. Assess lochial flow rather than palpating the fundus.
- B. Palpate forcefully through the abdominal dressing.
- C. Place hands on both sides of the abdomen and press downwar
- D. Gently palpate, applying the same technique used for vaginal deliveries.
Correct Answer: D
Rationale: The correct answer is D. Gently palpating the fundus is the appropriate technique after cesarean birth to assess fundal contraction. This technique is recommended to prevent causing discomfort or dislodging the uterus. Assessing lochial flow (A) does not directly evaluate fundal contraction. Palpating forcefully through the abdominal dressing (B) can be painful and may not provide an accurate assessment. Placing hands on both sides of the abdomen and pressing downward (C) is not a recommended technique as it can potentially cause uterine displacement.
You may also like to solve these questions
A mother, who gave birth 5 minutes ago, states that she would like to breastfeed. The baby's Apgar score is 9/9. Which of the following actions should the nurse perform first?
- A. Assist the woman to breastfeed.
- B. Dress the baby in a shirt and diaper.
- C. Administer the ophthalmic prophylaxis.
- D. Take the baby's rectal temperature.
Correct Answer: A
Rationale: Early breastfeeding promotes bonding and colostrum intake.
A couple is asking the nurse whether or not their son should be circumcised. On which fact should the nurse's response be based?
- A. Boys should be circumcised for them to establish a positive self-image.
- B. Boys should not be circumcised because there is no medical rationale for the procedure.
- C. Experts from the Centers for Disease Control and Prevention argue that circumcision is desirable.
- D. A statement from the American Academy of Pediatrics asserts that circumcision is optional.
Correct Answer: D
Rationale: Circumcision is considered optional, and parents should make an informed decision.
What do ineffective parenting practices put the newborn at risk for?
- A. sleeplessness
- B. reflux
- C. lack of attachment
- D. NICU admission
Correct Answer: C
Rationale: The correct answer is C: lack of attachment. Ineffective parenting practices can lead to difficulties in forming a secure attachment bond with the newborn, which is crucial for their emotional and social development. This can result in long-term negative outcomes such as behavioral issues and emotional instability.
Incorrect choices:
A: Sleeplessness is a common issue for newborns but is not directly caused by ineffective parenting practices.
B: Reflux can occur in newborns due to various reasons, not necessarily related to parenting practices.
D: NICU admission may be necessary for certain medical conditions unrelated to parenting practices.
A breastfeeding mother who is 2 weeks postpartum is informed by her pediatrician that her 4-year-old has chickenpox (varicella). The mother calls the nursery nurse because she is concerned about having the baby in contact with the sick sibling. The mother had chickenpox as a child. Which of the following responses by the nurse is appropriate?
- A. The baby received passive immunity through the placenta
- B. plus the breast milk will also be protective.
- C. The baby should stay with relatives until the ill sibling recovers from the episode of chickenpox.
- D. Chickenpox is transmitted by contact route so careful hand washing should prevent transmission.
Correct Answer: A
Rationale: Maternal antibodies protect the baby, and breast milk enhances immunity.
The nurse assesses a 2-day postpartum, breastfeeding client. The nurse notes blood on the mother's breast pad and a crack on the mother's nipple. Which of the following actions should the nurse perform at this time?
- A. Advise the woman to wash the area with soap to prevent mastitis.
- B. Provide the woman with a tube of topical lanolin.
- C. Remind the woman that the baby can become sick if he drinks the blood.
- D. Get the woman an order for a topical anesthetic.
Correct Answer: B
Rationale: Lanolin promotes healing.