Nokea
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.
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A woman will be discharged 48 hours after a vaginal delivery. When planning discharge teaching, the nurse would include what information about lochia?
- A. Lochia should disappear 2 to 4 weeks postpartum.
- B. It is normal for the lochia to have a slightly foul odor.
- C. A change in lochia from pink to bright red should be reported.
- D. A decrease in flow will be noticed with ambulation and activity.
Correct Answer: C
Rationale: A return to bright red lochia rubra may indicate a late postpartum hemorrhage and must be reported.
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.
After birth, the nurse quickly dries and wraps the newborn in a blanket. How does this action prevent heat loss?
- A. Conduction
- B. Radiation
- C. Evaporation
- D. Convection
Correct Answer: C
Rationale: Newborns lose heat quickly after birth as fluid evaporates from their bodies.
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.
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.