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Test Bank Ricci Essentials of Maternity Chapter 15 With Rationales.

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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 ho... urs 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]

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