POSPARTUM NCLEX TEST QUESTIONS WITH ALL CORRECT ANSWERS GRADED A+
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Course
POSPARTUM NCLEX
Institution
POSPARTUM NCLEX
POSPARTUM NCLEX TEST QUESTIONS WITH ALL CORRECT ANSWERS GRADED A+
A woman is bottle-feeding her baby. When the nurse comes into the room the woman says that her breasts are painful and engorged. Which nursing intervention is appropriate?
a) Ask if she wants a breast pump to empty her breast...
POSPARTUM NCLEX TEST QUESTIONS
WITH ALL CORRECT ANSWERS
GRADED A+
A woman is bottle-feeding her baby. When the nurse comes into the room the woman
says that her breasts are painful and engorged. Which nursing intervention is
appropriate?
a) Ask if she wants a breast pump to empty her breasts
b) Assist the woman in placing ice packs on her breasts
c) Assist the woman into the shower and have her run cold water over her breasts
d) Explain to the woman that she should breastfeed because she is producing so much
milk - Answer-Assist the woman in placing ice packs on her breasts
Correct
Explanation:
If the breasts are engorged and the woman is bottle-feeding her newborn, instruct her to
keep a support bra on 24 hours per day. Cool compresses or an ice pack wrapped in a
towel will usually be soothing and help to suppress milk production.
A client gave birth to a healthy boy 2 days ago. Both mother and baby have had a
smooth recovery. The nurse enters the room and tells the client that she and her baby
will be discharged home today. The client states, "I do not want to go home." Which of
the following is the nurse's most appropriate response?
a) Tell the client that she must go home as per hospital policy.
b) Ask the client if she has any support in the home.
c) Inform the physician that the client does not want to go home.
d) Ask the client why she does not want to go home. - Answer-Ask the client why she
does not want to go home.
Correct
Explanation:
It is important for the nurse to identify the client's concerns and reasons for wanting to
stay in the hospital. Open-ended questioning facilitates both effective and therapeutic
communication and allows the nurse to address concerns appropriately. Asking about
supports at home implies that the nurse has made assumptions about why the client
may not want to go home. Informing the physician or telling the client that discharge is
hospital policy is not appropriate at this time, because the nurse has not addressed the
underlying reason for the client's comment. The client may have safety-related
concerns, undisclosed fears, or a need for increased support before discharge. It is
imperative that the nurse not make assumptions but further explore concerns.
, For several hours after delivery, Norah, a multigravida who experienced a much more
difficult labor this time than any time previously, wants to talk about why the birthing
process was so hard for her this time. In fact, she's focusing on this aspect to the point
that she seems relatively indifferent to her newborn. How should you handle this
situation?
a) Redirect her attention to the baby by reminding her of the details of newborn care
b) Encourage her to discuss her experience of the birth and answer any questions or
concerns she may have
c) Point out positive features of her baby and encourage her to hold and cuddle the
baby
d) Ask her to describe how she plans to integrate the newcomer into her existing family,
including any actions she has taken to prepare the siblings - Answer-Encourage her to
discuss her experience of the birth and answer any questions or concerns she may
have
Explanation:
The patient needs to explore her birth experience and clarify her questions. The nurse
should allow her to ask questions, be supportive and encourage her to express her
feelings. Redirecting her attention to the baby, asking her to describe how she plans to
integrate the new baby into the family, or pointing out positive features of the new baby
do not meet the needs of the patient at this time, and are therefore incorrect answers.
A new mother, who is an adolescent, was cautious at first when holding and touching
her newborn. She seemed almost afraid to make contact with baby and only touched it
lightly and briefly. However, 48 hours after the birth, the nurse now notices that the new
mother is pressing the newborn's cheek against her own and kissing her on the
forehead. The nurse recognizes these actions as which of the following?
a) Engorgement
b) Engrossment
c) Involution
d) Attachment - Answer-Attachment
Correct
Explanation:
When a woman has successfully linked with her newborn it is termed attachment or
bonding. Although a woman carried the child inside her for 9 months, she often
approaches her newborn not as someone she loves but more as she would approach a
stranger. The first time she holds the infant, she may touch only the blanket. Gradually,
as a woman holds her child more, she begins to express more warmth, touching the
child with the palm of her hand rather than with her fingertips. She smoothes the baby's
hair, brushes a cheek, plays with toes, and lets the baby's fingers clasp hers. Soon, she
feels comfortable enough to press her cheek against the baby's or kiss the infant's
nose; she has successfully bonded or become a mother tending to her child.
Engrossment describes the action of new fathers when they stare at their newborn for
long intervals. Involution is the process whereby the reproductive organs return to their
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