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OBS AND GYNE QUIZ 20 WITH ANSWERS AND RATIONALE

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Which of the following responses is most appropriate for a mother with diabetes who wants to breastfeed her infant but is concerned about the effects of breastfeeding on her health?

Correct! Wrong!

Breastfeeding has an antidiabetogenic effect. Insulin needs are decreased because carbohydrates are used in milk production. Breastfeeding mothers are at a higher risk of hypoglycemia in the first PP days after birth because the glucose levels are lower. Mothers with diabetes should be encouraged to breastfeed.

Which of the following complications may be indicated by continuous seepage of blood from the vagina of a PP client, when palpation of the uterus reveals a firm uterus 1 cm below the umbilicus?

Correct! Wrong!

Continuous seepage of blood may be due to cervical or vaginal lacerations if the uterus is firm and contracting.

Before giving a PP client the rubella vaccine, which of the following facts should the nurse include in client teaching?

Correct! Wrong!

The client must understand that she must not become pregnant for 3 months after the vaccination because of its potential teratogenic effects.

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Which of the following physiological responses is considered normal in the early postpartum period?

Correct! Wrong!

In the early PP period, there’s an increase in the glomerular filtration rate and a drop in the progesterone levels, which result in rapid diuresis.

Which of the following behaviors characterizes the PP mother in the taking in phase?

Correct! Wrong!

During the taking in phase, which usually lasts 1-3 days, the mother is passive and dependent and expresses her own needs rather than the neonate’s needs.

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What type of milk is present in the breasts 7 to 10 days PP?

Correct! Wrong!

Transitional milk comes after colostrum and usually lasts until 2 weeks PP.

Which of the following changes best described the insulin needs of a client with type 1 diabetes who has just delivered an infant vaginally without complications?

Correct! Wrong!

The placenta produces the hormone human placental lactogen, an insulin antagonist. After birth, the placenta, the major source of insulin resistance, is gone. Insulin needs decrease and women with type 1 diabetes may only need one-half to two-thirds of the prenatal insulin during the first few PP days.

On the first PP night, a client requests that her baby be sent back to the nursery so she can get some sleep. The client is most likely in which of the following phases?

Correct! Wrong!

The taking-in phase occurs in the first 24 hours after birth. The mother is concerned with her own needs and requires support from staff and relatives.

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Which of the following complications is most likely responsible for a delayed postpartum hemorrhage?

Correct! Wrong!

Late postpartum bleeding is often the result of subinvolution of the uterus. Retained products of conception or infection often cause subinvolution.

During the 3rd PP day, which of the following observations about the client would the nurse be most likely to make?

Correct! Wrong!

The third to tenth days of PP care are the “taking-hold” phase, in which the new mother strives for independence and is eager for her neonate. The other options describe the phase in which the mother relives her birth experience.

OBS AND GYNE QUIZ 20 WITH ANSWERS AND RATIONALE
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