Gateway Community & Technical College
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Foundations of Maternal-Newborn & Women’s Health Nursing, Chapter 17: Postpartum Adaptations and Nursing Care 7th Edition 
 
MULTIPLE CHOICE 
 
	1.	Which patient would be most likely to have severe afterbirth pains and request a narcotic analgesic? 
a.	Gravida 5, para 5 
b.	Primipara who delivered a 7-lb boy 
c.	Patient who is bottle feeding her first child 
d.	Patient who is breastfeeding her second child 
 
 
ANS:	A 
The discomfort of afterpains is more acute for multiparas because repeated ...
Foundations of Maternal-Newborn & Women’s Health Nursing, Chapter 13: Pain Management During Childbirth 7th Edition 
 
 
MULTIPLE CHOICE 
 
1.	Childbirth preparation can be considered successful if which of the following outcomes is achieved? 
a.	Labor was pain-free. 
b.	The birth experiences of friends and families were ignored. 
c.	Only nonpharmacologic methods for pain control were used. 
d.	The patient rehearsed labor and practiced skills to master pain. 
ANS: D 
Preparation allows the wo...
Foundations of Maternal-Newborn & Women’s Health Nursing, 7th Edition Chapter 07: Antepartum Assessment, Care, and Education 
 
 
MULTIPLE CHOICE 
 
	1.	Which suggestion is most helpful for the pregnant patient who is experiencing heartburn? 
a.	Drink plenty of fluids at bedtime. 
b.	Eat only three meals a day so the stomach is empty between meals. 
c.	Drink coffee or orange juice immediately on arising in the morning. 
d.	Use Tums or Rolaids to obtain relief, as directed by the health care p...
Sepsis, Septic Shock and Multiple Organ Dysfunction Syndrome 
 
H & P 
The patient is a 72-year-old gentleman who has been a resident of an area nursing home for the past 10 years because his family is no longer able to care for him due to his development of Alzheimer’s disease. The patient does have a living will. His medical and surgical history is fairly insignificant but is positive for mild hypertension for which he receives no medications. His blood pressure normally runs 140-169/90-9...