Maternal And Child Health Nursing NCLEX Quiz 34

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Questions: 10 | Attempts: 4,568 | Updated: Aug 19, 2023

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Maternal And Child Health Nursing NCLEX Quiz 34 - Quiz

All questions are shown, but the results will only be given after you’ve finished the quiz. You are given 1 minute per question, a total of 10 minutes in this quiz.

Questions and Answers

1.

Postpartum Period: The fundus of the uterus is expected to go down normally postpartally about __ cm per day.
- A.
  
  1.0 cm
- B.
  
  2.0 cm
- C.
  
  2.5 cm
- D.
  
  3.0 cm
Correct Answer
A. 1.0 cm

Explanation
The uterus will begin involution right after delivery. It is expected to regress/go down by 1 cm. per day and becomes no longer palpable about 1 week after delivery.

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2.

The lochia on the first few days after delivery is characterized as
- A.
  
  Pinkish with some blood clots
- B.
  
  Whitish with some mucus
- C.
  
  Reddish with some mucus
- D.
  
  Serous with some brown tinged mucus
Correct Answer
C. Reddish with some mucus

Explanation
Right after delivery. the vaginal discharge called lochia will be reddish because there is some blood. endometrial tissue. and mucus. Since it is not pure blood it is non-clotting.

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3.

Lochia normally disappears after how many days postpartum?
- A.
  
  5 days
- B.
  
  7-10 days
- C.
  
  18-21 days
- D.
  
  28-30 days
Correct Answer
B. 7-10 days

Explanation
Normally. lochia disappears after 10 days postpartum. What’s important to remember is that the color of lochia gets to be lighter (from reddish to whitish) and scantier every day.

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4.

After a Rh(-) mother has delivered her Rh (+) baby. the mother is given RhoGam. This is done in order to:
- A.
  
  Prevent the recurrence of Rh(+) baby in future pregnancies
- B.
  
  Prevent the mother from producing antibodies against the Rh(+) antigen that she may have gotten when she delivered to her Rh(+) baby
- C.
  
  Ensure those future pregnancies will not lead to maternal illness
- D.
  
  To prevent the newborn from having problems of incompatibility when it breastfeeds
Correct Answer
B. Prevent the mother from producing antibodies against the Rh(+) antigen that she may have gotten when she delivered to her Rh(+) baby

Explanation
In Rh incompatibility. a Rh(-) mother will produce antibodies against the fetal Rh (+) antigen which she may have gotten because of the mixing of maternal and fetal blood during labor and delivery. Giving her RhoGam right after birth will prevent her immune system from being permanently sensitized to Rh antigen.

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5.

To enhance milk production. a lactating mother must do the following interventions EXCEPT:
- A.
  
  Increase fluid intake including milk
- B.
  
  Eat foods that increase lactation which is called galactagogues
- C.
  
  Exercise adequately like aerobics
- D.
  
  Have adequate nutrition and rest
Correct Answer
C. Exercise adequately like aerobics

Explanation
All the above nursing measures are needed to ensure that the mother is in a healthy state. However. aerobics does not necessarily enhance lactation.

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6.

The nursing intervention to relieve pain in breast engorgement while the mother continues to breastfeed is
- A.
  
  Apply cold compress on the engorged breast
- B.
  
  Apply warm compress on the engorged breast
- C.
  
  Massage the breast
- D.
  
  Apply analgesic ointment
Correct Answer
B. Apply warm compress on the engorged breast

Explanation
Warm compress is applied if the purpose is to relieve pain but ensure lactation to continue. If the purpose is to relieve pain as well as suppress lactation. the compress applied is cold.

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7.

A woman who delivered normally per vagina is expected to void within ___ hours after delivery.
- A.
  
  3 hrs
- B.
  
  4 hrs.
- C.
  
  6-8 hrs
- D.
  
  12-24 hours
Correct Answer
C. 6-8 hrs

Explanation
A woman who has had normal delivery is expected to void within 6-8 hrs. If she is unable to do so after 8 hours. the nurse should stimulate the woman to void. If nursing interventions to stimulate spontaneous voiding don’t work. the nurse may decide to catheterize the woman.

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8.

To ensure adequate lactation the nurse should teach the mother to:
- A.
  
  Breastfeed the baby on self-demand day and night
- B.
  
  Feed primarily during the day and allow the baby to sleep through the night
- C.
  
  Feed the baby every 3-4 hours following a strict schedule
- D.
  
  Breastfeed when the breast are engorged to ensure adequate supply
Correct Answer
A. Breastfeed the baby on self-demand day and night

Explanation
Feeding on self-demand means the mother feeds the baby according to baby’s need. Therefore. this means there will be regular emptying of the breasts. which is essential to maintain adequate lactation.

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9.

An appropriate nursing intervention when caring for a postpartum mother with thrombophlebitis is:
- A.
  
  Encourage the mother to ambulate to relieve the pain in the leg
- B.
  
  Instruct the mother to apply elastic bondage from the foot going towards the knee to improve venous return flow
- C.
  
  Apply warm compress on the affected leg to relieve the pain
- D.
  
  Elevate the affected leg and keep the patient on bedrest
Correct Answer
D. Elevate the affected leg and keep the patient on bedrest

Explanation
If the mother already has thrombophlebitis. the nursing intervention is bedrest to prevent the possible dislodging of the thrombus and keeping the affected leg elevated to help reduce the inflammation.

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10.

The nurse should anticipate that hemorrhage related to uterine atony may occur postnatally if this condition was present during the delivery:
- A.
  
  Excessive analgesia was given to the mother
- B.
  
  Placental delivery occurred within thirty minutes after the baby was born
- C.
  
  An episiotomy had to be done to facilitate delivery of the head
- D.
  
  The labor and delivery lasted for 12 hours
Correct Answer
A. Excessive analgesia was given to the mother

Explanation
Excessive analgesia can lead to uterine relaxation thus lead to hemorrhage postpartally. Both B and D are normal and C is at the vaginal introitus thus will not affect the uterus.

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Current Version
Aug 19, 2023

Quiz Edited by
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Sep 08, 2017

Quiz Created by
Santepro

Maternal And Child Health Nursing NCLEX Quiz 34

Postpartum Period: The fundus of the uterus is expected to go down normally postpartally about __ cm per day.

The lochia on the first few days after delivery is characterized as

Lochia normally disappears after how many days postpartum?

After a Rh(-) mother has delivered her Rh (+) baby. the mother is given RhoGam. This is done in order to:

To enhance milk production. a lactating mother must do the following interventions EXCEPT:

The nursing intervention to relieve pain in breast engorgement while the mother continues to breastfeed is

A woman who delivered normally per vagina is expected to void within ___ hours after delivery.

To ensure adequate lactation the nurse should teach the mother to:

An appropriate nursing intervention when caring for a postpartum mother with thrombophlebitis is:

The nurse should anticipate that hemorrhage related to uterine atony may occur postnatally if this condition was present during the delivery: