Test Bank - Essentials of Maternity, Newborn, and
Women's Health Nursing (4th Edition)
Chapter 15: Postpartum Adaptations
1. A primipara client gave birth vaginally to a healthy
newborn girl 48 hours ago. The nurse p
...
Test Bank - Essentials of Maternity, Newborn, and
Women's Health Nursing (4th Edition)
Chapter 15: Postpartum Adaptations
1. A primipara client gave birth vaginally to a healthy
newborn girl 48 hours ago. The nurse palpates the
client’s fundus, expecting it to be at which location?
A) Two finger-breadths above the umbilicus
B) At the level of the umbilicus
C) Two finger-breadths below the umbilicus
D) Four finger-breadths below the umbilicus
Answer: C
Explanation: During the first few days after birth, the
uterus typically descends from the level of the umbilicus
at a rate of 1 cm (1 fingerbreadth) per day. By 3 days,
the fundus lies 2 to 3 fingerbreadths below the umbilicus
(or slightly higher in multiparous women). By the end of
10 days, the fundus usually cannot be palpated because
it has descended into the true pelvis. P. 502
2. When caring for a mother who has had a cesarean
birth, the nurse would expect the client’s lochia to be:
A) Greater than after a vaginal delivery
B) About the same as after a vaginal delivery
C) Less than after a vaginal delivery
D) Saturated with clots and mucus
Answer: C
Explanation: Women who have had cesarean births
tend to have less flow because the uterine debris is
removed manually along with delivery of the placenta.
Lochia is present in most women for at least 3 weeks
after childbirth, but it persists in some women for as long
as 6 weeks. P. 503
3. The nurse is developing a teaching plan for a client
who has decided to bottle feed her newborn. Which of
the following would the nurse include in the teaching
plan to facilitate suppression of lactation?
A) Encouraging the woman to manually express milk
B) Suggesting that she take frequent warm showers to
soothe her breasts
C) Telling her to limit the amount of fluids that she drinks
D) Instructing her to apply ice packs to both breasts
every other hour
[Show More]