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Which maternal event is abnormal in the early postpartal period?
- A. Diuresis and diaphoresis
- B. Flatulence and constipatiNon R I G
- C. Extreme hunger and thirst
- D. Lochial color changes from rubra to alba
Correct Answer: D
Rationale: The correct answer is D because the normal progression of lochia after childbirth is from rubra (red) to serosa (pinkish-brown) to alba (yellow-white). This signifies the normal healing process of the uterus. Choices A, B, and C are all normal postpartum events. Diuresis and diaphoresis help eliminate excess fluid from pregnancy, flatulence and constipation can occur due to hormonal changes and decreased muscle tone, and extreme hunger and thirst are common as the body recovers from childbirth.
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The nurse should expect to observe which behavior in a 3-week-multigravid postpartum client with postpartum depression?
- A. Feelings of infanticide.
- B. Difficulty with breastfeeding latch.
- C. Feelings of failure as a mother.
- D. Concerns about sibling jealousy.
Correct Answer: C
Rationale: Postpartum depression often manifests as feelings of inadequacy.
A mother asks the nurse to tell her about the responsiveness of neonates at birth. Which of the following answers is appropriate? Select one that doesn't apply.
- A. Babies have a poorly developed sense of smell until they are 2 months old.
- B. Babies respond to all forms of taste well
- C. but they prefer to eat sweet things like breast milk.
- D. Babies are especially sensitive to being touched and cuddled.
Correct Answer: A
Rationale: Newborns have limited senses initially but can distinguish tastes, enjoy touch, and have limited vision until around 3 months.
The mother notes that her baby has a 'bulge' on the back of one side of the head. She calls the nurse into the room to ask what the bulge is. The nurse notes that the bulge covers the right parietal bone but does not cross the suture lines. The nurse explains to the mother that the bulge results from which of the following?
- A. Molding of the baby's skull so that the baby could fit through her pelvis.
- B. Swelling of the tissues of the baby's head from the pressure of her pushing.
- C. The position that the baby took in her pelvis during the last trimester of her pregnancy.
- D. Small blood vessels that broke under the baby's scalp during birth.
Correct Answer: A
Rationale: Molding occurs due to passage through the birth canal.
A client is receiving an IV heparin drip at 16 mL/hr via an infusion pump for a diagnosis of deep vein thrombosis. The label on the 1/2 liter bag of D5W indicates 25,000 units of heparin have been added. How many units of heparin is the client receiving per hour? (Calculate to the nearest whole.)
- A. 800
- B. NA
- C. NA
- D. NA
Correct Answer: A
Rationale: Calculation: 25,000 units ÷ 500 mL × 16 mL = 800 units.
The physician declares after delivering the placenta of a client during a cesarean section that it appears that the client has a placenta accreta. Which of the following maternal complications would be consistent with this diagnosis?
- A. Blood loss of 2,000 mL.
- B. Blood pressure of 160/110.
- C. Jaundiced skin color.
- D. Shortened prothrombin time.
Correct Answer: A
Rationale: Placenta accreta causes significant blood loss.