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ATI LPN · Maternal Newborn Nursing · Issues in Maternal and Child Health Nursing

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

Four hours after a difficult labor and birth, a primiparous woman refuses to feed her baby, stating that she is too tired and just wants to sleep. The nurse should:

A. Tell the woman she can rest after she feeds her baby

B. Recognize this as a behavior of the taking-hold stage

C. Record the behavior as ineffective maternal-newborn attachment

D. Take the baby back to the nursery, reassuring the woman that her rest is a priority at this time

Expert Explanatory Rationale

Correct Answer: Take the baby back to the nursery, reassuring the woman that her rest is a priority at this time

Question 2 of 5

Which of the following interventions would be helpful to a breastfeeding mother who is experiencing engorged breasts?

A. Applying ice

B. Applying a breast binder

C. Teaching how to express her breasts in a warm shower

D. Administering bromocriptine (Parlodel)

Expert Explanatory Rationale

Correct Answer: Teaching how to express her breasts in a warm shower

Question 3 of 5

Which of the following would the nurse identify as a classic sign of PIH?

A. Edema of the feet and ankles

B. Edema of the hands and face

C. Weight gain of 1 lb/week

D. Early morning headache

Expert Explanatory Rationale

Correct Answer: Edema of the hands and face

Question 4 of 5

The nurse is assessing the lochia on a 1 day PP patient. The nurse notes that the lochia is red and has a foul-smelling odor. The nurse determines that this assessment finding is:

A. Normal

B. Indicates the presence of infection

C. Indicates the need for increasing oral fluids

D. Indicates the need for increasing ambulation

Expert Explanatory Rationale

Correct Answer: Indicates the presence of infection

Question 5 of 5

A multiparous client who has been in labor for 2 hours states that she feels the urge to move her bowels. How should the nurse respond?

A. Let the client get up to use the potty

B. Allow the client to use a bedpan

C. Perform a pelvic examination

D. Check the fetal heart rate

Expert Explanatory Rationale

Correct Answer: Perform a pelvic examination

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