Which statement by a newly delivered woman indicates that she knows what to expect regarding her menstrual activity after childbirth?

"My first menstrual cycle will be lighter than normal and then will get heavier every month thereafter."

"My first menstrual cycle will be heavier than normal and then will be light for several months after."

"My first menstrual cycle will be heavier than normal and will return to my pre-pregnant volume within three or four cycles."

I will not have a menstrual cycle for 6 months after childbirth."

Answer and Explanation

The Correct Answer is C

A. "My first menstrual cycle will be lighter than normal and then will get heavier every month thereafter.” The first postpartum menstrual period is often heavier than normal due to the regeneration of the endometrial lining and hormonal fluctuations. It does not typically begin light and increase progressively.

B. "My first menstrual cycle will be heavier than normal and then will be light for several months after." Although the first period may be heavier, there is no consistent pattern of lighter periods following it. Menstrual flow usually normalizes over a few cycles and varies individually depending on hormonal recovery and breastfeeding status.

C. "My first menstrual cycle will be heavier than normal and will return to my prepregnant volume within three or four cycles." This is the most accurate statement. Postpartum hormonal shifts and endometrial shedding often cause the first menses to be heavier and longer, but most women experience a return to their prepregnancy flow and pattern within 3–4 cycles, assuming they are not breastfeeding.

D. "I will not have a menstrual cycle for 6 months after childbirth." Amenorrhea duration varies widely postpartum and is heavily influenced by breastfeeding. While some exclusively breastfeeding women may not menstruate for several months, non-lactating women often resume menses within 6 to 10 weeks.

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Correct Answer is A

Explanation

A. Perform a sharp hand clap near the infant: The Moro reflex, also known as the startle reflex, is elicited by producing a sudden loud noise or a slight jarring motion. A sharp hand clap near the infant mimics a startling event, causing the newborn to respond by abducting and extending the arms, opening the hands, and then adducting the arms in an embracing motion. This reflex is a sign of normal neurologic development in neonates.

B. Hold the newborn vertically allowing one foot to touch the table surface: This action is used to elicit the stepping reflex, where the newborn appears to take steps or dance when the soles of the feet touch a flat surface. It does not relate to the Moro reflex.

C. Place a finger at the base of the newborn's toes: This technique elicits the plantar grasp reflex, where the toes curl around the examiner’s finger. It evaluates neurologic function, but is unrelated to the Moro reflex.

D. Turn the newborn's head quickly to one side: This maneuver is used to assess the tonic neck reflex (also known as the "fencing" reflex), in which the arm on the side the head is turned extends, while the opposite arm flexes. It is not used to elicit the Moro reflex

A. Heroin B. Marijuana C. Tobacco D. Alcohol

Correct Answer is D

Explanation

A. Heroin: Heroin use during pregnancy is associated with neonatal abstinence syndrome (NAS), characterized by irritability, tremors, poor feeding, and withdrawal symptoms in the newborn. While heroin affects neonatal health significantly, it is not the leading cause of long-term cognitive impairment compared to alcohol.

B. Marijuana: Marijuana exposure in utero has been linked to attention, behavioral, and executive function issues later in childhood. However, the evidence is less definitive, and marijuana is not as strongly associated with severe cognitive deficits as alcohol.

C. Tobacco: Tobacco use during pregnancy increases the risk of low birth weight, preterm birth, and respiratory complications. While it may have some impact on neurodevelopment, it is not the most significant contributor to cognitive impairment in infants.

D. Alcohol: Alcohol is the most teratogenic substance abused during pregnancy and is the leading preventable cause of intellectual disability and cognitive dysfunction in infants. It can result in fetal alcohol spectrum disorders (FASDs), which include a range of severe cognitive, behavioral, and physical impairments. Even small amounts of alcohol can adversely affect fetal brain development.

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Which statement by a newly delivered woman indicates that she knows what to expect regarding her menstrual activity after childbirth?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a newborn and assessing newborn reflexes. To elicit the Moro reflex, the nurse should take which of the following actions?

Correct Answer is A

Explanation

Which substance, when abused during pregnancy, is the most significant cause of cognitive impairment and dysfunction in the infant?

Correct Answer is D

Explanation

A nurse in a pediatric clinic is caring for a client who is postpartum and asks the nurse what to do when her newborn cries persistently. Which of the following strategies should the nurse suggest? (Select all that apply.)

A nurse is assessing a newborn 1 hr after birth. Which of the following respiratory rates is within the expected reference range for a newborn?

A nurse is caring for a term macrosomic newborn whose mother has poorly controlled type 2 diabetes. The newborn has respiratory distress syndrome. The nurse should be aware that the most likely cause of the respiratory distress is which of the following?

A nurse is teaching about crib safety with the parent of a newborn. Which of the following statements by the client indicates understanding of the teaching?

A nurse is preparing to administer prophylactic eye ointment to a newborn to prevent ophthalmia neonatorum. Which of the following medications should the nurse anticipate administering?

A nurse is teaching a client who is postpartum and has a new prescription for an injection of Rh, (D) immunoglobulin. Which of the following should be included in the teaching?

A woman gave birth to a 7-pound, 6-ounce infant girl 1 hour ago. The birth was vaginal and the estimated blood loss (EBL) was 1500 ml. When evaluating the woman's vital signs, which finding would be of greatest concern to the nurse?

A nurse is assessing a newborn who was born at 42.5 weeks of gestation. Which of the following findings should the nurse expect?