NUR 4455 Care of Families- Childbearing Nursing
Access The Exact Questions for NUR 4455 Care of Families- Childbearing Nursing
💯 100% Pass Rate guaranteed
🗓️ Unlock for 1 Month
Rated 4.8/5 from over 1000+ reviews
- Unlimited Exact Practice Test Questions
- Trusted By 200 Million Students and Professors
Starting from
$30/month
What’s Included:
- Unlock 100 + Actual Exam Questions and Answers for NUR 4455 Care of Families- Childbearing Nursing on monthly basis
- Well-structured questions covering all topics, accompanied by organized images.
- Learn from mistakes with detailed answer explanations.
- Easy To understand explanations for all students.
Are you struggling to find the ideal study aid with exact NUR 4455 Care of Families- Childbearing Nursing test questions for exam readiness? Enroll on our platform to gain access.
Free NUR 4455 Care of Families- Childbearing Nursing Questions
1. The nurse has administered Oxytocin 2 hours ago as ordered. The nurse is assessing the fetal heart tracing: baseline 120 with moderate variability and 1 variable deceleration down to 80 bpm followed by a prolonged deceleration. There are 8 contractions in 10 minutes lasting 40–60 seconds. What is the nurse’s initial intervention?
- A. Perform fetal scalp stimulation
- B. Apply oxygen
- C. Discontinue Pitocin
- D. Administer IV bolus
Explanation
The fetal monitor shows uterine tachysystole (more than 5 contractions in 10 minutes) and fetal heart decelerations, both signs of uterine overstimulation from oxytocin (Pitocin). The first nursing action is to discontinue the oxytocin infusion immediately to reduce uterine activity and restore adequate oxygen exchange to the fetus. After stopping the medication, the nurse can then reposition the patient, apply oxygen, and administer an IV fluid bolus as supportive measures. Continuing oxytocin could worsen fetal hypoxia and distress.
2. What change occurs to the uterus 2 days after birth?
- A. The uterus descends 2 cm below the umbilicus
- B. By 1 week postpartum, the uterus should be nonpalpable
- C. The uterus remains an oval shape
- D. After delivery of the placenta, the uterus is 3 cm above the umbilicus
Explanation
After childbirth, the uterus begins the process of involution, returning to its pre-pregnancy size and position. Within 24 hours, it is at or near the umbilicus, and by 2 days postpartum, it typically descends about 2 cm (one fingerbreadth) below the umbilicus each day. By around 10–14 days postpartum, it becomes nonpalpable. This gradual descent helps control bleeding and restore uterine tone. The other options do not accurately describe the normal timeline of uterine involution.
3. When caring for a woman who just gave birth, what would the nurse educate the client in preventing postpartum complications?
- A. Change sanitary pad only when completely saturated
- B. Change sanitary pad 2 times per day
- C. Cleanse from the periurethral to the perineal area
- D. Remind her to vigorously wipe to remove excess blood
Explanation
Proper perineal hygiene after childbirth is essential to prevent infection and promote healing. The nurse should teach the client to cleanse from the periurethral area (front) to the perineal area (back) to prevent bacteria from the rectal area from contaminating the urethra or vagina. Sanitary pads should be changed frequently—not only when saturated—and vigorous wiping should be avoided, as it can irritate or injure delicate tissues and delay healing.
4. A nurse assesses a postpartum client who is 6 hours post-vaginal delivery. The fundus is noted to be above the umbilicus and deviated to the right. What is the priority nursing action?
- A. Encourage the client to void and reassess the fundus.
- B. Perform a fundal massage to promote contraction.
- C. Notify the health care provider immediately.
- D. Assess for retained placental fragments.
Explanation
A deviated and elevated fundus, especially to the right, most commonly indicates a distended bladder pushing the uterus out of its normal midline position. The priority nursing action is to assist the client to void, which allows the uterus to contract and return to the midline. After voiding, the nurse should reassess the fundus for firmness and position.
5. A nurse is admitting a client who is at 38 weeks of gestation and is 5/70/−1. Which of the following assessment findings is of concern and should be reported to the provider first?
- A. Reassuring fetal heart tracing
- B. Continuous contraction lasting 2 minutes
- C. Contractions 4 minutes apart
- D. Pink mucus plug
Explanation
A continuous contraction lasting 2 minutes indicates uterine tachysystole or hyperstimulation, which can reduce placental blood flow and cause fetal hypoxia or distress. This is an urgent finding that must be reported immediately to the provider and requires prompt intervention, such as discontinuing oxytocin (if infusing), repositioning the mother, and providing oxygen.
6. A woman gave birth 48 hours ago to a healthy infant girl. She has decided to bottle feed. During the assessment, the nurse notices that both breasts are swollen, warm, and tender on palpation. Which guidance should the nurse provide to the client at this time?
- A. Run warm water on her breasts during a shower
- B. Express small amounts of milk from the breasts to relieve the pressure
- C. Wear a loose-fitting bra to prevent nipple irritation
- D. Apply ice to the breasts for comfort
Explanation
Because the client has chosen not to breastfeed, the goal is to suppress lactation. The nurse should instruct the client to apply ice packs, wear a supportive (tight-fitting) bra, and avoid breast stimulation such as warm showers, massage, or expressing milk, all of which increase milk production. Discomfort from engorgement usually resolves within 24–48 hours as milk production ceases. Loose-fitting bras (option C) and warm water (option A) promote milk flow rather than suppression.
7. A nurse is teaching a client and her partner about oxytocin use for labor induction. Which client statement indicates that further teaching is needed?
- A. "It's normal for contractions to come one right after another without rest."
- B. "The nurse will check my baby's heart rate and my contractions often."
- C. "Once labor progresses, the dose can often be decreased or stopped."
- D. "The contractions may get stronger and closer together as the dose increases."
Explanation
This statement shows a misunderstanding of oxytocin use. Contractions should never occur one right after another without rest, as this indicates uterine tachysystole, which can reduce placental perfusion and cause fetal distress. When administering oxytocin, the nurse monitors the fetal heart rate and contraction pattern closely to ensure contractions occur every 2–3 minutes, lasting 45–60 seconds, with adequate relaxation in between. The other statements correctly describe safe and expected effects of oxytocin during induction.
8. A postpartum client with a history of lupus develops a flare-up 2 weeks after birth. The nurse understands this occurs because:
- A. Breastfeeding suppresses immune function.
- B. Pregnancy causes permanent immune suppression.
- C. Estrogen levels rise after birth, triggering autoimmune reactions.
- D. The rebound of the immune system postpartum may reactivate autoimmune conditions.
Explanation
During pregnancy, the immune system is suppressed to protect the fetus, which is partially foreign to the mother’s body. After delivery, the immune system rebounds to its normal activity, which can trigger a flare-up of autoimmune diseases such as lupus. This immune rebound can cause inflammation and worsening of symptoms. Breastfeeding does not significantly suppress immunity, and estrogen levels actually drop after birth, not rise. Therefore, the immune system’s rebound is the most accurate explanation.
9. A postpartum client with a history of rheumatoid arthritis reports increased joint pain. The nurse recognizes this as:
- A. A complication of oxytocin administration.
- B. A normal immune rebound after pregnancy.
- C. Hormonal imbalance caused by breastfeeding.
- D. A sign of infection requiring antibiotics.
Explanation
During pregnancy, the immune system is naturally suppressed to protect the fetus. After delivery, the immune system reactivates or “rebounds”, which can lead to flare-ups of autoimmune conditions such as rheumatoid arthritis. This increase in immune activity explains the client’s joint pain. It is a normal physiological response rather than a complication or infection. Oxytocin and breastfeeding hormones do not cause such inflammation, and antibiotics are unnecessary unless infection is confirmed.
10. A multiparous client with a history of previous cesarean birth is admitted for labor induction with oxytocin. Which of the following actions is most important before initiating therapy?
- A. Administer an IV fluid bolus.
- B. Insert a urinary catheter.
- C. Perform a glucose monitoring.
- D. Verify continuous electronic fetal monitoring is in place.
Explanation
Before starting oxytocin (Pitocin), it is essential to establish continuous electronic fetal monitoring to closely assess both fetal heart rate and uterine activity. Clients with a prior cesarean section are at increased risk for uterine rupture, especially when uterine stimulation is used. Continuous monitoring allows early detection of fetal distress or excessive uterine activity, ensuring prompt intervention. While IV fluids, catheterization, and glucose checks may be indicated, fetal and uterine monitoring is the most critical safety measure prior to induction.
How to Order
1
Select Your Exam
Click on your desired exam to open its dedicated page with resources like practice questions, flashcards, and study guides.Choose what to focus on, Your selected exam is saved for quick access Once you log in.
2
Subscribe
Hit the Subscribe button on the platform. With your subscription, you will enjoy unlimited access to all practice questions and resources for a full 1-month period. After the month has elapsed, you can choose to resubscribe to continue benefiting from our comprehensive exam preparation tools and resources.
3
Pay and unlock the practice Questions
Once your payment is processed, you’ll immediately unlock access to all practice questions tailored to your selected exam for 1 month .