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OBS AND GYN QUIZ 6 WITH ANSWERS AND RATIONALE

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After a Rh(-) mother has delivered her Rh (+) baby, the mother is given RhoGam. This is done in order to:

Correct! Wrong!

In Rh incompatibility, a Rh(-) mother will produce antibodies against the fetal Rh (+) antigen which she may have gotten because of the mixing of maternal and fetal blood during labor and delivery. Giving her RhoGam right after birth will prevent her immune system from being permanently sensitized to Rh antigen.

To ensure adequate lactation the nurse should teach the mother to:

Correct! Wrong!

Feeding on self-demand means the mother feeds the baby according to baby’s need. Therefore, this means there will be regular emptying of the breasts, which is essential to maintain adequate lactation.

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The lochia on the first few days after delivery is characterized as

Correct! Wrong!

Right after delivery, the vaginal discharge called lochia will be reddish because there is some blood, endometrial tissue, and mucus. Since it is not pure blood it is non-clotting.

A woman who delivered normally per vaginam is expected to void within ___ hours after delivery.

Correct! Wrong!

A woman who has had normal delivery is expected to void within 6-8 hrs. If she is unable to do so after 8 hours, the nurse should stimulate the woman to void. If nursing interventions to stimulate spontaneous voiding don’t work, the nurse may decide to catheterize the woman.

The nursing intervention to relieve pain in breast engorgement while the mother continues to breastfeed is

Correct! Wrong!

Warm compress is applied if the purpose is to relieve pain but ensure lactation to continue. If the purpose is to relieve pain as well as suppress lactation, the compress applied is cold.

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To enhance milk production, a lactating mother must do the following interventions EXCEPT:

Correct! Wrong!

All the above nursing measures are needed to ensure that the mother is in a healthy state. However, aerobics does not necessarily enhance lactation.

Postpartum Period: The fundus of the uterus is expected to go down normally postpartally about __ cm per day.

Correct! Wrong!

The uterus will begin involution right after delivery. It is expected to regress/go down by 1 cm. per day and becomes no longer palpable about 1 week after delivery.

The nurse should anticipate that hemorrhage related to uterine atony may occur postnatally if this condition was present during the delivery:

Correct! Wrong!

Excessive analgesia can lead to uterine relaxation thus lead to hemorrhage postpartally.

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An appropriate nursing intervention when caring for a postpartum mother with thrombophlebitis is:

Correct! Wrong!

If the mother already has thrombophlebitis, the nursing intervention is bedrest to prevent the possible dislodging of the thrombus and keeping the affected leg elevated to help reduce the inflammation.

Lochia normally disappears after how many days postpartum?

Correct! Wrong!

Normally, lochia disappears after 10 days postpartum. What’s important to remember is that the color of lochia gets to be lighter (from reddish to whitish) and scantier every day.

OBS AND GYNE QUIZ 6 WITH ANSWERS AND RATIONALE
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