여성간호학 002 1. What is not risk factors for postpartum infection? ⓵ Cesarean birth ⓶ Anemia ⓷ History of diabetes ⓸ Prolonged rupture of membranes ⓹ Young age Answer: ⓹ Young age 근거: Textbook 520p box 16.1 Factors increasing a woman’s risk for postpartum complications 2. What does BUBBLE-EE not include? ⓵ Brreast ⓶ Bones ⓷ Bladder ⓸ Bowels ⓹ Emotional status Answer: ⓶ Bones 근거: Textbook 521p 3rd paragraph 3. Danger signs of postpartum period include: ⓵ Dysuria ⓶ Fever ⓷ Severe headaches ⓸ Depression ⓹ Uterine involution Answer: ⓹ Uterine involution 근거: Textbook 521p BOX 16.2 Postpartum Danger Signs 4. When patient in postpartum period is having gestational hypotension, nurse should: ⓵ raise the side rail and explain to the patient about gestational hypotension. ⓶ give the patient water. ⓷ ask if the patient has constipation. ⓸ teach how to eat a balanced diet. ⓹ teach early ambulation is important and suggest to walk around by herself. Answer: ⓵ raise the side rail and explain to the patient about gestational hypotension. 근거: Textbook 521p Vital assessment: Blood pressure 4th line 5. A nurse taught a postpartum patient with her family. What statement needs further teaching? ⓵ I have to count kicks I feel everyday and write it down. ⓶ Early ambulation will help me from getting thromboembolism. ⓷ I should get some nap when baby is sleeping. ⓸ I should eat a balanced diet. ⓹ I should excersise, especially pelvic floor exercise. Answer: ⓵ I have to count kicks I feel everyday and write it down. 근거: Textbook 534p Promoting Activity, Rest, and Exercise, suggestions for mother 6. Which infection can cause blindness of a newborn? ⓵ Chlamydia ⓶ HPV ⓷ HIV ⓸ Candidiasis ⓹ Trichomoniasis Answer: ⓵ Chlamydia 근거: 54th page of 2022-1 Maternal Nursing II Chapter 5-STIs (Wk.2-3), Textbook Ch.5 TABLE 5.4 7. To prevent STI, which is the most important to teach as a nurse? ⓵ Barrier contraception like condoms plays important role to reduce opportunities of STIs. ⓶ Oral contraception pills will help patient in many ways. ⓷ Douching daily is recommended. ⓸ Having multiple sex partners does not relate to STI. ⓹ Hand hygiene is not that important. Answer: ⓵ Barrier contraception like condoms plays important role to reduce opportunities of STIs. 근거: 55th page of 2022-1 Maternal Nursing II Chapter 5-STIs (Wk.2-3), Textbook Ch.5 BOX 5.4 8. Patient is suffering from strong urge to void large amount of urine. Nurse should tell the patient: ⓵ It is because you are old. This cannot be treated. ⓶ It is called the Stress incontinence. ⓷ Do not worry. Simple diet and lifesyle alterations with proper pelvic floor muscle strengthening program can improve your condition. ⓸ You need to do a surgery immidiately. ⓹ Decreasing intake of fluids will help you. Answer: ⓷ Do not worry. Simple diet and lifesyle alterations with proper pelvic floor muscle strengthening program can improve your condition. 근거: Textbook 224p, 224p, page11 of 2022-1 Maternal Nursing II Chapter 7- Benign Disorders of the Female Reproductive Tract 9. Patient was taught how to deal with her Urinary Incontinence. Which saying of patient needs further teaching? ⓵ This is very natural and I will do my kegel exercises to improve my condition. ⓶ Drinking a glass of cranberry juice a day will help. ⓷ I will not drink water unless I am very thristy. ⓸ Surgery is my last option to choose. ⓹ I will avoid taking diuretic agents after 4pm. Answer: ⓷ I will not drink water unless I am very thristy. 근거: page11, 12, 13 of 2022-1 Maternal Nursing II Chapter 7- Benign Disorders of the Female Reproductive Tract 10. Patient is suffering from constipation after birth. Nurse should not be teaching which of the following? ⓵ Decrease fluid intake. ⓶ Increase fluid intake. ⓷ Stool softener can be used. ⓸ Ambulating and increasing fiber intake will help. ⓹ Increase intake of more fruits and vegetables. Answer: ⓵ Decrease fluid intake. 근거: Textbook 533p Assisting with Elimination 11. Which is not a risk factor associated with thromboembolic conditions? ⓵ Anemia ⓶ Hypertension ⓷ Bed rest and immobility ⓸ Severe infection ⓹ Normal birth-giving through vagina Answer: ⓹ Normal birth-giving through vagina 근거: Textbook 525p Physical Examination of Extremities 12. Wrong statement about physical examination of the postpartum woman? ⓵ Inspect breasts for size, contour and asymmetry. ⓶ Assess the fundus degree of uterine involution. ⓷ Document that engorged breast is normal. ⓸ Ask if patient has constipation. ⓹ Assess lochia in terms of amount, color, etc. Answer: ⓷ Document that engorged breast is normal. 근거: Textbook 522, 523, 524p Physical Examination- Breasts, Uterus, Bowels, Lochia 13. Which signs of postpartum patient needs to be treated first? ⓵ Bruised breast after breast feeding. ⓶ Fundal height belkow umbilicus. ⓷ Constipation ⓸ Lochia with odor and high fever. ⓹ Edematous and slightly bruised perineal tissue after episiotomy. Answer: ⓸ Lochia with odor and high fever. 근거: Textbook 522, 523, 524p Physical Examination- Breasts, Uterus, Bowels, Lochia 14. Which is not the optimal psychological adaptions after birth of a mother? ⓵ Maternal Blues ⓶ Taking-in Phase ⓷ Taking-hold Phase ⓸ Letting-go Phase Answer: ⓵ Maternal Blues 근거: Textbook 510, 511p Mood Disorder of Maternal Psychological Adaptions 15. Parter Psychological Adaptations include all, but: ⓵ Engrossment ⓶ Stage1: Expectations ⓷ Stage2: Reality ⓸ Stage3: Transition to Mastery ⓹ Engorgement Answer: ⓹ Engorgement 근거: Textbook 507, 512, 513p Parter Psychological Adaptations 16. The Parter is experiencing sad feeling, jealousy and frustrations after his child is born. Which stage is the parter going through? ⓵ Stage1 ⓶ Stage2 ⓷ Stage3 ⓸ Stage4 ⓹ Stage5 Answer: ⓶ Stage2 근거: Textbook 513p, Three-Stage Role Development Process of Parter Psychological Adaptations 17. Lochia changes its color as time passes. Which is seen with a patient 5 days after her birth? ⓵ Lochia rubra ⓶ Lochia serosa ⓷ Lochia alba Answer: ⓶ Lochia serosa 근거: Textbook 499p Lochia of Reproductive system adaptations- Uterine involution 18. Which is not of the adaptations after a postpartum mother? ⓵ Cervix is dilated and bruised. ⓶ Perineum is edematous and bruised. ⓷ Bradycardia is seen for up to 2 weeks after bith. ⓸ Blood pressure falls for 2 weeks after birth. ⓹ Renal plasma flow increases. Answer: ⓸ Blood pressure falls for 2 weeks after birth. 근거: Textbook 500, 501, 502p, Cervix, perineum, Pulse and blood pressure of Reproductive system adaptations, Urinary System adaptations 19. Wrong statement related to Gastrointestinal system adaptations after giving birth? ⓵ Progesterone levels decline. ⓶ For constipation, stool softner is not recommended. ⓷ Peristalsis is decreased. ⓸ Most women experience loss of appetite after giving birth. ⓹ Bowel tone is decreased. Answer: ⓸ Most women experience loss of appetite after giving birth. 근거: Textbook 503p Gastrointestinal ystem adaptations 20. For patient in postpartum period, urination may be impeded by all, but: ⓵ perineal lacerations ⓶ hematomas ⓷ decreased bladder tone due to regional anesthesia ⓸ diminish sensation of bladder pressure ⓹ Increased level of oxytoxin. Answer: ⓹ Increased level of oxytoxin 근거: Textbook Adaptations 502p Urinary system adaptations of Maternal physiologic