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NUR 411: Nursing Concepts for Childbearing Individuals and Families Exam 3. 577 Questions and Correct Answers. Actual Exam Questions Included. 2024/2025.$16.49
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NUR 411: Nursing Concepts for Childbearing Individuals and Families Exam 3. 577 Questions and Correct Answers. Actual Exam Questions Included. 2024/2025.
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NUR 411
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NUR 411
NUR 411: Nursing Concepts for Childbearing Individuals and Families Exam 3. 577 Questions and Correct Answers. Actual Exam Questions Included. 2024/2025.
Which of the following is considered an acceptable weight pattern (for infant)?
A. Loss of up to 7% in the first 2 or 3 days
B. Weight stabi...
NUR 411: Nursing Concepts for Childbearing
Individuals and Families Exam 3. 577 Questions
and Correct Answers. Actual Exam Questions Included.
2024/2025.
Which of the following is considered an acceptable weight pattern (for infant)?
A. Loss of up to 7% in the first 2 or 3 days
B. Weight stabilizes by 2 weeks
C. Back to birth weight by 6 weeks
D. Loss of 10% in the first 2 or 3 days
A. Loss of up to 7% in the first 2 or 3 days
It is recommended that a caregiver observe the mother and baby breastfeeding:
A. At least once every 8 hours during their hospital stay
B. Every hour during their hospital stay
C. At least once every day during their hospital stay
D. At least twice before discharge
A. At least once every 8 hours during their hospital stay
Which of the following is LEAST helpful as a recommendation to ALL
breastfeeding mothers?
A. Have pillows handy for positioning
B. Try to rest when her baby sleeps
C. Wear a supportive bra
D. Have a beverage available next to her at feedings
C. Wear a supportive bra
The MOST important key to establishing and maintaining milk production is:
A. Using both breasts at every feeding
B. Frequent and effective milk removal
C. Keeping the baby at the breast for at least 20 minutes
D. Baby's mouth covering the areola
B. Frequent and effective milk removal
What should mothers look for in their babies stooling patterns?
A. At least 3 voids and 3 stools per day on Days 1-3
B. At least 3 voids and 6 stools per day after Day 5
C. At least 1 void and 1 stool per day on Days 1-3
D. At least 6 voids and 3 stools per day after Day 5
D. At least 6 voids and 3 stools per day after Day 5
Which of the following is MOST likely to delay initiating breastfeeding?
A. Epidural anesthesia
B. Cesarean birth
C. General anesthesia
D. Infant respiratory distress
D. Infant respiratory distress
,Research shows that the amount of milk a mother makes is related to:
A. The quality of emotional support that she receives in the early postpartum
days
B. The quality of the mother's diet during pregnancy and lactation
C. The amount of time her baby spends at the breast in the first hour
D. The timing of the first feeding and the number of feedings on day 2
D. The timing of the first feeding and the number of feedings on day 2
Appearing completely neutral about breastfeeding:
A. Confuses mothers about best practice
B. Acknowledges varying expert opinions
C. Acknowledges a mother's right to formula feed
D. Confirms a mother's choice of parenting style
A. Confuses mothers about best practice
Babies who have immediate skin-to-skin contact and access to the breast within
the first hour of life will typically:
A. Breastfeed for more months
B. Need skin contact for effective feeds
C. Show little interest in latching on
D. Have a long feed during that time
A. Breastfeed for more months
Once the baby latches on, he will:
A. Start to suck more quickly when the milk lets down
B. Suck quickly and then more slowly as he takes in milk
C. Remove all available milk within 20 to 30 minutes
D. Always let go of the breast when he is finished
B. Suck quickly and then more slowly as he takes in milk
The breasts of a bottle-feeding woman are engorged. The nurse should instruct
her to:
A. Wear a snug, supportive bra
B. Allow warm water to soothe the breasts during a shower
C. Express milk from breasts occasionally to relieve discomfort
D. Place absorbent pads with plastic liners into her bra to absorb leakage
A. Wear a snug, supportive bra
A woman gave birth to a 7-lb, 3-oz boy 2 hours ago. The nurse determines that
the woman's bladder is distended because her fundus is now 3 cm above the
umbilicus and to the right of the midline. In the immediate postpartum period, the
most serious consequence likely to occur from bladder distention is:
A. Urinary tract infection
B. Excessive uterine bleeding
C. A ruptured bladder
D. Bladder wall atony
B. Excessive uterine bleeding
What statement by a newly delivered woman indicates that she knows what to
expect about her menstrual activity after childbirth?
A "My first menstrual cycle will be lighter than normal and then will get heavier
every month thereafter."
,B. "My first menstrual cycle will be heavier than normal and will return to my
prepregnant volume within three or four cycles."
C. "I will not have a menstrual cycle for 6 months after childbirth."
D. "My first menstrual cycle will be heavier than normal and then will be light for
several months after."
B. "My first menstrual cycle will be heavier than normal and will return to my
prepregnant volume within three or four cycles."
With regard to afterbirth pains, nurses should be aware that these pains are:
A. Caused by mild, continual contractions for the duration of the postpartum
period
B. More common in first-time mothers
C. More noticeable in births in which the uterus was over-distended
D. Alleviated somewhat when the mother breastfeeds
C. More noticeable in births in which the uterus was over-distended
Postbirth uterine/vaginal discharge, called lochia:
A. Is similar to a light menstrual period for the first 6 to 12 hours
B. Is usually greater after cesarean births
C. Will usually decrease with ambulation and breastfeeding
D. Should smell like normal menstrual flow unless an infection is present
D. Should smell like normal menstrual flow unless an infection is present
Which description of postpartum restoration or healing times is accurate?
A. The cervix shortens, becomes firm, and returns to form within a month
postpartum.
B. Rugae reappear within 3 to 4 weeks.
C. Most episiotomies heal within a week.
D. Hemorrhoids usually decrease in size within 2 weeks of childbirth.
B. Rugae reappear within 3 to 4 weeks.
With regard to the condition and reconditioning of the urinary system after
childbirth, nurses should be aware that:
A. Kidney function returns to normal a few days after birth
B. Diastasis recti abdominis is a common condition that alters the voiding reflex
C. Fluid loss through perspiration and increased urinary output account for a
weight loss of more than 2 kg during the puerperium
D. With adequate emptying of the bladder, bladder tone usually is restored 2 to 3
weeks after childbirth
C. Fluid loss through perspiration and increased urinary output account for a weight loss
of more than 2 kg during the puerperium
As part of the postpartum assessment, the nurse examines the breasts of a
primiparous breastfeeding woman who is 1 day postpartum. An expected finding
is:
A. Little if any change
B. Leakage of milk at let-down
C. Swollen, warm and tender on palpation
D. A few blisters and a bruise on each areola
A. Little if any change
, Perineal care is an important infection control measure. When evaluating a
postpartum woman's perineal care technique, the nurse would recognize the
need for further instruction if the woman:
A. Uses soap and warm water to wash the vulva and perineum
B. Washes from symphysis pubis back to the episiotomy
C. Changes her perineal pad every 2 to 3 hours
D. Uses the peribottle to rinse upward into her vagina
D. Uses the peribottle to rinse upward into her vagina
On examining a woman who gave birth 5 hours ago, the nurse finds that the
woman has completely saturated a perineal pad within 15 minutes. The nurse's
first action is to:
A. Begin an IV infusion of Ringer's lactate solution
B. Assess the woman's vital signs
C. Call the woman's primary health care provider
D. Massage the woman's fundus
D. Massage the woman's fundus
Excessive blood loss after childbirth can have several causes; however, the most
common is:
A. Vaginal or vulvar hematomas
B. Unrepaired lacerations of the vagina or cervix
C. Failure of the uterine muscle to contract firmly
D. Retained placental fragments
C. Failure of the uterine muscle to contract firmly
Baby-friendly hospitals mandate that infants be put to breast within the first
_______ after birth.
A. 1 hour
B. 30 minutes
C. 2 hours
D. 4 hours
A. 1 hour
Which finding would be a source of concern if noted during the assessment of a
woman who is 12 hours' postpartum?
A. Postural hypotension
B. Temperature of 38° C
C. Bradycardia-pulse rate of 55 beats/min
D. Pain in left calf with dorsiflexion of left foot
D. Pain in left calf with dorsiflexion of left foot
The nurse examines a woman 1 hour after birth. The woman's fundus is boggy,
midline, and 1 cm below the umbilicus. Her lochial flow is profuse, with two plum-
sized clots. The nurse's initial action is to:
A. Place her on a bedpan to empty her bladder
B. Massage her fundus
C. Call the physician
D. Administer methylergonovine (Methergine), 0.2 mg IM, which has been ordered
prn
B. Massage her fundus
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