WorksheetsNormal Postpartum and Newborn
Total questions: 38
Worksheet time: 30mins
A nurse provides education to a client who is 1 day postpartum about receiving a rubella vaccine. Which of the following instructions should be included.
breastfeeding is not recommended
an allergy to peanuts is a contraindication
a method of contraception is required for the next 30 days.
contact the provider if the injection site is sore within 24 hours.
A nurse should recognize which of the following as a manifestation of sepsis in the neonate? (Select all that apply)
lethargy
tachypnea
hypothermia
sunken fontanel
low serum glucose
While assessing a 29 y/o G2 P2 who had a normal Spontaneous vaginal delivery 30 minutes ago, the nurse notes a large amount of red vaginal bleeding. What would be the first priority nursing action.
check V/S
notify the HCP
firmly massage the uterine fundus
put the baby to breast
A 26 y/o G1 P1 who underwent a Cesarean 24 hours ago tells the nurse she is having trouble breast feeding. Which tasks can be appropriately delegated to the Unlicensed assistive personnel. Select all that apply.
providing the mother with an ordered abdominal binder
taking the mother's vital signs
checking the amount of lochia present
assisting the mother with ambulation
assisting the mother with breastfeeding
A full term newborn is in the clinic with his parents. he is 4 days old. His birth weight was 7lbs (3.2kg). Which assessment made by the nurse is the Most significant?
today's weight is 6 # 9 oz (3Kg)
the infants skin is peeling
the infants breast tissue is swollen
there is a yellow discharge from the infants right eye.
A 22 year old woman is 6 weeks postpartum. In the clinic, she admits to crying everyday, feeling overwhelmed, and sometimes thinking she may hurt the baby. What would be the priority nursing action at this time?
advise the patient of community groups, and depression hotlines.
counsel the mother that the "baby blues' are common at this time and assess her nutrition, rest and availability of help at home.
contact the HCP to evaluate the patient before allowing her to leave the clinic
advise the woman that she cannot use medication for depression because she is breastfeeding,.
Methylergonovine is prescribed for a patient with postpartum hemorrhage. Before administering the medication, the nurse should contact the HCP if which condition is documented in the patients medical history?
hypotension
hypothyroidism
diabetes mellitus
peripheral vascular disease
The nurse assisted with the birth of a newborn. which nursing action is the most effective in preventing heat loss by evaporation?
warming the crib pad
closing the doors to the room
drying the infant with a warm blanket
turning on the overhead radiant warmer
The nurse is assessing a newborn after circumcision and notes the circumcised area is red with a small amount of bloody drainage. Which nursing action is the most appropriate?
apply gently pressure
reinforce the dressing
document the findings
contact the HCP
The nurse is monitoring a client in the immediate postpartum period for signs of hemorrhage. Which sign is noted, would be an early sign of excessive blood loss?
a temperature of 100.4 (38 c)
an increase in pulse rate from 88 to 102 bpm
a blood pressure change from 130/88 to 124/80 mmHG
an increase in the respiratory rate from 18 to 22 breaths/min
The nurse is assessing the client in the fourth stage of labor and notes the fundus is firm, but that bleeding is excessive. Which should be the initial action?
document the findings
massage the fundus
notify the HCP
place the client in Trendelenburg
On assessment of a postpartum client, the nurse notes that the uterus feels soft and boggy. The nurse should take which initial action?
document the findings
elevate the clients legs
massage the fundus until its firm
push on the uterus to assist in expressing clots
A postpartum client is diagnosed with cystitis. The nurse should plan for which priority action in the care of the client?
providing sitz baths
encouraging fluid intake
placing ice on the perineum
motioning H&H levels
The nurse is planning care for a postpartum client who had a vaginal delivery 2 hours ago. the client required an episiotomy and has several hemorrhoids. What is the priority nursing consideration for this client?
client pain level
inadequate urinary output
client perception of body changes
potential for imbalanced body fluid volume
Rooting Reflex
Newborns close their hands tightly when their palms are touched
Newborns extend their toes when the soles of their feet are touched
When newborns are touched on one of their cheeks, they turn their heads in that direction and open their mouths
When babies lie on their backs, they turn their heads to one side. If they turn to the right, their right hands go out, and their left arms go up.
When newborns are startled by a sudden movement, they spread their arms and legs apart and then bring them together again.
Palmer Grasp Reflex
Newborns close their hands tightly when their palms are touched
Newborns extend their toes when the soles of their feet are touched
When newborns are touched on one of their cheeks, they turn their heads in that direction and open their mouths
When babies lie on their backs, they turn their heads to one side. If they turn to the right, their right hands go out, and their left arms go up.
When newborns are startled by a sudden movement, they spread their arms and legs apart and then bring them together again.
Newborns generally feed about every _________________ hours.
4 - 5 hours
2 - 3 hours
3 - 5 hours
6 - 8 hours
Colostrum _______?
is produced by hormones
is early breastmilk
helps fight infections
all of the above
Jaundice is caused by:
A lack of vitamin K
Urinary Retention
Increased levels of unconjugated bilirubin
Shock in the newborn after birth
Treatment for Hyperbilirubinemia includes:
Flurotherapy- use of fluorescent light , provide additional fluids to prevent dehydration, monitor serum bilirubin.
Phototherapy- use of fluorescent light , provide no additional fluids to prevent dehydration, monitor serum bilirubin.
Phototherapy- use of fluorescent light , provide additional fluids to prevent dehydration, monitor serum bilirubin.
Psychotherapy- use of fluorescent light , provide additional fluids to prevent dehydration, monitor serum bilirubin.
All of these are safe sleep practices EXCEPT
Lying baby down on their back
Keeping the room temperature at 60 degrees or below
No soft objects in with baby that can impede breathing
Dressing baby in a sleeper that will keep them warm enough without a blanket
Putting baby down on a firm surface
when baby needs phototherapy for jaundice, (check all that apply)
make sure eyes are covered
mother should continue to breastfeed as often as possible
make sure you cover baby with warm blanket
change diaper every hour
place baby on it's abdomen
Cord care
leave open to air
clean with rubbing alcohol
cover it with the diaper
put vaseline around the site
how do you know baby has had enough to drink (check all that apply)
baby removes themself from the breast
baby seems satisfied
5-6 diapers per day (after 5 days)
baby cries often
skin is dry
Which is a normal newborn's vital sign
R-40/min,P-150/min, BP-60/50, T- 36.6
R-20/min, P-160/min, BP-100/60, T-36.8
R-45/min, P-150/min, BP-70/40, T-35.2
R-50/min, P-90/min, BP-70/40, T-38.0
True or False: A newborn's eye color at birth is permanent.
True
False
How many soft spots does a newborn's head have?
none
1
2
3
Call your doctor regarding these umbilical cord or circumcision site issues.
Bright red bleeding making a spot larger than a quarter and foul smelling discharge.
Crusty blood or scab.
Scab falls off.
A stinky, but dry cord stump.
Newborn babies need to eat
6-10 times in 24 hours
8-12 times in 24 hours
every 4 hours
only in the daytime
On days 9 of postpartum, the color of lochia is usually
dark red
yellowish
clear and watery
pinkish brown
Following the birth, the fundus
decreases about 1 cm/day for the first 9–10 days
decreases about 2 cm/day for the first 9–10 days
decreases about 3 cm/day for the first 9–10 days
increases the first two days and then decreases
Assessment of breastfeeding includes observing
attachment and effectiveness of suckling
effectiveness of suckling
position, attachment, and effectiveness of suckling
whether the mother has a sufficient supply of breast milk
What type of milk is present in the breasts 1-3 days PP?
mature milk
colostrum
transitional milk
pure milk
Which of the following physiological responses is considered normal in the early postpartum period?
Urinary urgency and dysuria
Decrease in blood pressure
Increase motility of the GI system
Rapid diuresis
Which of the following are not the symptoms of postpartum blues?
hallucination
insomnia
loneliness
anxiety
