The Family After Birth Chapter 09

1.The nurse is assessing a newborn. What sign of hypoglycemia does the nurse record? a. Increased nasal mucus b. Increased temperature c. Active muscle movements d. High-pitched cry ANS: D There are many signs of hypoglycemia in the newborn. One is a high-pitched cry. DIF: Cognitive Level: Comprehension REF: Page 219 OBJ: 9 TOP: Signs of Hypoglycemia KEY: Nursing Process Step: Data Collection MSC: NCLEX: Physiological Integrity: Reduction of Risk 2.What would the nurse expect to find when assessing the fundus of the uterus immediately after delivery? a. Well-contracted with its upper border at or just below the umbilicus b. Well-contracted with its upper border three or four fingerbreadths above the umbilicus c. Relaxed with its upper border level with the umbilicus d. Relaxed with its upper border two or three fingerbreadths below the umbilicus ANS: A Immediately after the placenta is expelled, the uterine fundus can be felt as a firm mass, about the size of a grapefruit, at the level of the umbilicus. DIF: Cognitive Level: Comprehension REF: Page 200 OBJ: 2 TOP: Fundus Assessment KEY: Nursing Process Step: Data Collection MSC: NCLEX: Physiological Integrity: Physiological Adaptation 3.What statement made by a new mother indicates she needs additional information about breastfeeding? a. “I let the baby nurse 10 to 15 minutes on the first breast and then switch to the other breast.” b. “The baby needs to nurse at least 5 minutes on the breast to get the hindmilk.” c. “The baby has been nursing every 2 to 3 hours.” d. “If the baby gets fussy between feedings, I give her a bottle of water.” ANS: D Supplemental feedings of formula or water should not be offered to a healthy newborn who is breastfeeding. DIF: Cognitive Level: Comprehension REF: Page 223-227 OBJ: 14 TOP: Breastfeeding—Supplemental Feedings KEY: Nursing Process Step: Evaluation MSC: NCLEX: Physiological Integrity: Physiological Adaptation