Question

A nurse on the postpartum unit is planning to delegate client care to an assistive personnel (AP). Which of the following tasks should the nurse plan to delegate to the AP?

Answer 1

Correct Answers:

Assist with changing the perineal pad of a client following delivery.

Rationale :

🧼 APs can assist with hygiene tasks like perineal pad changes, especially post-delivery.

🧼 This task does not require nursing judgment or assessment, making it appropriate for delegation.

🧼 Vital signs of a newly admitted client, observing for redness, and sitz baths for 4th-degree lacerations all require RN oversight or are inappropriate for delegation.

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Answer 2

Correct Answers:

to stimulate it to become firm again

Rationale :

🤲 A boggy fundus indicates uterine atony, a major cause of postpartum hemorrhage.

🤲 Fundal massage stimulates uterine muscles to contract and firm up, reducing bleeding.

🤲 It is a first-line intervention before administering uterotonics.

🤲 It has no effect on milk production or inducing labor.

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Answer 3

Correct Answers:

Drying the infant in a warm blanket

Rationale :

🧣 Evaporation occurs when amniotic fluid evaporates from the skin, causing heat loss.

🧣 Drying the infant immediately after birth helps retain body heat and prevents cold stress.

🧣 Warming the crib or closing doors prevent conduction and convection, not evaporation.

🧣 The radiant warmer helps maintain temp but doesn’t stop evaporation directly.

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Answer 4

Correct Answers:

"Increase your fluid intake to 2.5 L per day."

Rationale :

💧 Breastfeeding increases the body’s fluid needs to support milk production.

💧 Recommended intake is about 2.5–3 L/day unless contraindicated.

💧 Caloric needs increase by about 500 kcal/day, not 600.

💧 Shellfish can be consumed unless there’s allergy; iron should not be reduced.

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Answer 5

Correct Answers:

172

Rationale :

🧮 IV fluid: 1,000 mL

🧮 Oral intake:

Coffee: 6 oz = 180 mL

Water: 6 oz = 180 mL

Soup: 180 mL

Gelatin: 3 oz = 90 mL

Ice cream: 3 oz = 90 mL

🧮 Total intake = 1,000 + 180 + 180 + 180 + 90 + 90 = 1,720 mL

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Answer 6

Correct Answers:

warm the infant

Rationale :

🌡 Thermoregulation is the highest priority immediately after birth to prevent cold stress.

🌡 Newborns are prone to heat loss due to thin skin and large surface area.

🌡 Warming promotes stable blood glucose and oxygenation.

🌡 Weighing and bathing are important but not immediate priorities.

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Answer 7

Correct Answers:

umbilicus

Rationale :

🎯 Within 6–12 hours postpartum, the fundus should be firm and at the level of the umbilicus.

🎯 It descends approximately 1 cm (1 fingerbreadth) per day thereafter.

🎯 A fundus above this level may suggest bladder distention or uterine atony.

🎯 It should never be at the epigastrium or symphysis pubis at this time.

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Answer 8

Correct Answers:

The number of wet diapers per day

Rationale :

💧 A hydrated newborn should have at least 6 wet diapers per day by day 4–5 of life.

💧 This is the most objective and reliable sign of adequate intake.

💧 Skin turgor and crying frequency are less reliable in newborns.

💧 Clothes fit may reflect growth, not hydration status.

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Answer 9

Correct Answers:

Suction the newborns mouth with a bulb syringe.

Rationale :

👃 Bulb suctioning of the mouth first, then nose is the initial step for clearing secretions.

👃 This ensures a clear airway, particularly in newborns who can’t effectively clear mucus.

👃 Deep suctioning or Trendelenburg are more invasive and not first-line.

👃 Saline drops are used for nasal congestion, not mucus in the mouth.

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Answer 10

Correct Answers:

Carry the newborn in a front or back pack.
Swaddle the newborn in a receiving blanket.
Take the newborn for a ride in the car.

Rationale :

✔️ Carry the newborn in a front or back pack

👶 Wearing the infant in a front or back pack provides close physical contact, promoting a sense of security and warmth.

👶 The gentle motion from walking and proximity to the caregiver’s heartbeat help soothe and calm fussy newborns.

👶 This also encourages bonding and supports emotional regulation in newborns.

✔️ Swaddle the newborn in a receiving blanket

🍼 Swaddling replicates the tight, secure environment of the womb, which is soothing and comforting to newborns.

🍼 It reduces the Moro (startle) reflex, helping babies stay asleep longer and cry less.

🍼 Swaddling is especially helpful in the first few weeks postpartum before the infant gains full motor control.

🍼 It is a widely recommended method to promote sleep and calm.

✔️ Take the newborn for a ride in the car

🚗 The gentle vibration and rhythmic motion of a car ride can soothe a crying infant and often helps lull them to sleep.

🚗 This method stimulates the vestibular system, calming the nervous system.

🚗 It is a common non-pharmacologic calming technique for newborns and young infants.

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QLexNursing

1 :
A nurse on the postpartum unit is planning to delegate client care to an assistive personnel (AP). Which of the following tasks should the nurse plan to delegate to the AP?

2 :
Why would the nurse massage a "boggy' fundus?

3 :
Which of the following method is used by the nurse to prevent heat loss in the newborn resulting from evaporation?

4 :
A nurse is reinforcing teaching with a client who is breastfeeding. Which of the following instructions should the nurse include in the teaching?

6 :
Following the delivery of a newborn, which nursing intervention should be carried out immediately?

7 :
Six to twelve hours after the vaginal delivery of a single infant and placenta, the uterine fundus should be palpable at or below the level of

8 :
A nurse is caring for a client who is breastfeeding and tells the nurse that she is concerned about her newborns hydration. Which of the following nursing observations is appropriate to use in evaluating the adequacy of the newborn's hydration?

9 :
A nurse is assisting in the care of a newborn immediately following birth. The nurse notes mucus bubbling out of the newbornS mouth and nose. Which of the following actions should the nurse take first?

10 :
A nurse is reinforcing teaching about strategies to calm a newborn with a client who is postpartum. Which of the following suggestions should the nurse make? (Select all that apply.)

QLexNursing

1 : A nurse on the postpartum unit is planning to delegate client care to an assistive personnel (AP). Which of the following tasks should the nurse plan to delegate to the AP?

2 : Why would the nurse massage a "boggy' fundus?

3 : Which of the following method is used by the nurse to prevent heat loss in the newborn resulting from evaporation?

4 : A nurse is reinforcing teaching with a client who is breastfeeding. Which of the following instructions should the nurse include in the teaching?

6 : Following the delivery of a newborn, which nursing intervention should be carried out immediately?

7 : Six to twelve hours after the vaginal delivery of a single infant and placenta, the uterine fundus should be palpable at or below the level of

8 : A nurse is caring for a client who is breastfeeding and tells the nurse that she is concerned about her newborns hydration. Which of the following nursing observations is appropriate to use in evaluating the adequacy of the newborn's hydration?

9 : A nurse is assisting in the care of a newborn immediately following birth. The nurse notes mucus bubbling out of the newbornS mouth and nose. Which of the following actions should the nurse take first?

10 : A nurse is reinforcing teaching about strategies to calm a newborn with a client who is postpartum. Which of the following suggestions should the nurse make? (Select all that apply.)

1 :
A nurse on the postpartum unit is planning to delegate client care to an assistive personnel (AP). Which of the following tasks should the nurse plan to delegate to the AP?

2 :
Why would the nurse massage a "boggy' fundus?

3 :
Which of the following method is used by the nurse to prevent heat loss in the newborn resulting from evaporation?

4 :
A nurse is reinforcing teaching with a client who is breastfeeding. Which of the following instructions should the nurse include in the teaching?

6 :
Following the delivery of a newborn, which nursing intervention should be carried out immediately?

7 :
Six to twelve hours after the vaginal delivery of a single infant and placenta, the uterine fundus should be palpable at or below the level of

8 :
A nurse is caring for a client who is breastfeeding and tells the nurse that she is concerned about her newborns hydration. Which of the following nursing observations is appropriate to use in evaluating the adequacy of the newborn's hydration?

9 :
A nurse is assisting in the care of a newborn immediately following birth. The nurse notes mucus bubbling out of the newbornS mouth and nose. Which of the following actions should the nurse take first?

10 :
A nurse is reinforcing teaching about strategies to calm a newborn with a client who is postpartum. Which of the following suggestions should the nurse make? (Select all that apply.)