Nokea
What postpartum exercises should the nurse teach a patient who had a vaginal delivery yesterday? (Select all that apply.)
- A. Abdominal tighteners
- B. Head lift
- C. Pelvic tilt
- D. Kegel exercises
- E. Leg lifts
Correct Answer: A,B,C,D
Rationale: Exercises for postpartum involution such as abdominal tighteners, head lifts, pelvic tilts, and Kegel exercises are acceptable. Leg lifts are too strenuous early in the postpartum period.
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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 instruction should the nurse teach the postpartum woman about perineal self-care?
- A. Perform perineal self-care at least twice a day.
- B. Cleanse with warm water in a squeeze bottle from front to back.
- C. Remove perineal pads from the rectal area toward the vagina.
- D. Use cool water to decrease edema of the perineum.
Correct Answer: B
Rationale: Cleansing from front to back prevents contamination from the rectal area.
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.
Which assessments would lead the nurse to determine the gestational age of the infant as preterm? (Select all that apply.)
- A. Thin, transparent skin
- B. Vernix only in the body creases
- C. Folded ear springs back slowly
- D. Breast tissue under the nipple
- E. Creases over entire sole
Correct Answer: A,C
Rationale: The only signs of preterm are the thin skin and the slowly responding ear.
A new mother has decided not to breastfeed her newborn. What information will the nurse include when planning to teach the mother about formula feeding?
- A. Positioning the bottle so that the nipple is full of formula during the entire feeding
- B. Heating the infant formula in a microwave
- C. Burping the infant after 4 ounces and again when the bottle is empty
- D. Propping a bottle for a feeding
Correct Answer: A
Rationale: The nipple of the bottle should be kept full of formula to reduce the amount of air the infant swallows.