NUR 4455 Care of Families- Childbearing Nursing at Florida International University
Access The Exact Questions for NUR 4455 Care of Families- Childbearing Nursing at Florida International University
💯 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 Actual Exam Questions and Answers for NUR 4455 Care of Families- Childbearing Nursing at Florida International University 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.
Free NUR 4455 Care of Families- Childbearing Nursing at Florida International University Questions
1. A postpartum client with a history of lupus develops a flare-up 2 weeks after birth. The nurse understands this occurs because:
- Breastfeeding suppresses immune function.
- Pregnancy causes permanent immune suppression.
- Estrogen levels rise after birth, triggering autoimmune reactions.
- 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.
2. A 39 weeks gestation client presents to the emergency room (ER), contracting every 15 minutes. Each contraction lasts for 30 seconds. The client had spontaneous rupture of membranes (SROM) of clear amniotic fluid for 18 hours. Which of the following nursing interventions is contraindicated?
- Intermittent fetal heart auscultation
- Nipple stimulation
- Administration of IV fluids
- Vaginal examinations every hour
Explanation
Frequent vaginal examinations after rupture of membranes lasting more than 18 hours greatly increase the risk of ascending infection, such as chorioamnionitis. Therefore, vaginal exams should be minimized and performed only when necessary to assess labor progress. The nurse should also monitor for fever, fetal tachycardia, or uterine tenderness as signs of infection. The other interventions—monitoring the fetal heart rate, maintaining hydration, and providing comfort—are appropriate and not contraindicated in this scenario.
3. A client G3 T2 P0 A0 L2 pregnant at 37 weeks gestation has a chief complaint of contractions which began 3 hours ago. Vaginal exam on admission was 6 cm/70%/−2. Fetal heart baseline is 145 bpm with moderate variability and accelerations. Uterine contractions are 6 minutes apart, lasting 50 seconds. The nurse performs another cervical exam 2 hours later and reports no change. What orders would the nurse anticipate?
- Continue to monitor the client
- Obtain an order from the health care provider to start Oxytocin
- Perform a vaginal exam
- Administer an enema
Explanation
The client is in active labor (6 cm dilated) but has shown no cervical change over 2 hours, indicating labor dystocia or ineffective contractions. The nurse should anticipate an order to augment labor with oxytocin (Pitocin) to strengthen and regularize uterine contractions. Continuous fetal monitoring is necessary during administration.
4. 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?
- Run warm water on her breasts during a shower
- Express small amounts of milk from the breasts to relieve the pressure
- Wear a loose-fitting bra to prevent nipple irritation
- 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.
5. What change occurs to the uterus 2 days after birth?
- The uterus descends 2 cm below the umbilicus
- By 1 week postpartum, the uterus should be nonpalpable
- The uterus remains an oval shape
- 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.
6. When caring for a woman who just gave birth, what would the nurse educate the client in preventing postpartum complications?
- Change sanitary pad only when completely saturated
- Change sanitary pad 2 times per day
- Cleanse from the periurethral to the perineal area
- 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.
7. The nurse is caring for a woman who had a vaginal delivery 1 hour ago. Her vital signs are T 100.4°F, P 92, R 20, BP 120/70. Based on this assessment finding, the nurse should:
- Draw CBC and blood cultures
- Continue to monitor the client's temperature
- Report these findings immediately to the provider
- Administer Tylenol STAT
Explanation
A temperature of 100.4°F (38°C) within the first 24 hours after delivery is a common and expected finding, often caused by dehydration and exertion during labor. It usually resolves with rest and oral fluids. The nurse should continue to monitor the client’s temperature and encourage hydration.
8. 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?
- Encourage the client to void and reassess the fundus.
- Perform a fundal massage to promote contraction.
- Notify the health care provider immediately.
- 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.
9. A nurse is teaching a client and her partner about oxytocin use for labor induction. Which client statement indicates that further teaching is needed?
- "It's normal for contractions to come one right after another without rest."
- "The nurse will check my baby's heart rate and my contractions often."
- "Once labor progresses, the dose can often be decreased or stopped."
- "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.
10. Because a full bladder prevents the uterus from contracting normally, nurses intervene to help the woman spontaneously empty her bladder as soon as possible. If all else fails, what tactic might the nurse use?
- Asking the healthcare provider to prescribe analgesic agents
- Pouring water from a squeeze bottle over the woman's perineum
- Inserting a sterile catheter
- Placing oil of peppermint in a bedpan under the woman
Explanation
If noninvasive methods fail, placing a few drops of oil of peppermint in a bedpan beneath the woman may help stimulate urination. The aroma of peppermint oil can cause reflex relaxation of the urinary sphincter and promote voiding. Nurses should try simpler measures first—such as running water or using a peri-bottle—before resorting to catheterization. Catheterization (C) is a last resort due to infection risk, while analgesics (A) and pouring water (B) are initial but not final interventions if voiding still does not occur.
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 .