Complication Postpartum

Complication Postpartum Related

Review Complication Postpartum related questions and content

What important assessment should the nurse perform on all postpartum persons?

  • A. Screen for PPD with the EPDS.
  • B. Screen for drug use with a urine drug screen.
  • C. Screen for breast-feeding failure.
  • D. Screen for contraception contraindications.
Correct Answer: A

Rationale: The correct answer is A because screening for Postpartum Depression (PPD) with the Edinburgh Postnatal Depression Scale (EPDS) is crucial for the well-being of postpartum individuals. PPD is a common and serious condition that can affect the mother's mental health and bonding with the baby. Early detection and intervention are key to ensuring proper support and treatment.

Choice B, screening for drug use, is not a routine assessment for all postpartum persons unless there are specific risk factors present. Choice C, screening for breast-feeding failure, is important but not the most critical assessment to perform on all postpartum individuals. Choice D, screening for contraception contraindications, is important for family planning but is not as immediate or essential as screening for PPD.

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What postpartum infection is caused by STIs and chorioamnionitis?

  • A. mastitis
  • B. pneumonia
  • C. cesarean wound infection
  • D. postpartum endometritis
Correct Answer: D

Rationale: Postpartum endometritis is a common infection caused by STIs and chorioamnionitis.

The postpartum nurse notices that the last dose of IV Cefazolin is not running well. The patient’s IV site appears red, inflamed, and swollen. The patient states that the IV is tender and sore. What are the nurse’s next actions?

  • A. Flush the IV with normal saline to improve the flow rate.
  • B. Put the IV antibiotic on a pump for more accurate infusion of the correct dose.
  • C. Remove the IV, restart it in a new location, and complete the antibiotic administration.
  • D. Allow the IV to continue to drip slowly since it is her last dose.
Correct Answer: C

Rationale: The IV site indicates phlebitis, and the appropriate action is to remove and restart the IV to avoid further complications.

The nurse is caring for a woman who is 6 hours postpartum after a vaginal delivery. She has a history of labial varicose veins and is reporting perineal pain of 8 on a 10-point scale. What interventions should the nurse include in the plan of care?

  • A. Provide the patient with an inflatable donut ring to sit on and administer her oral pain medication.
  • B. Explain that this is normal after a vaginal delivery and assist her to a side-lying position.
  • C. Assess the perineum for a hematoma or inflamed varicosities, and administer oral pain medication.
  • D. Administer oral stool softeners and encourage fluids.
Correct Answer: C

Rationale: Assessing the perineum for hematoma or varicosities is critical for perineal pain, and oral pain medication should be administered.

A nurse is counseling a woman about postpartum blues. Which of the following should be included in the discussion?

  • A. The father may become sad and weepy.
  • B. Postpartum blues last about a week or two.
  • C. Medications are available to relieve the symptoms.
  • D. Very few women experience postpartum blues.
Correct Answer: B

Rationale: Postpartum blues are common and typically last 1-2 weeks. Medications are usually not needed unless symptoms persist or worsen.

The person with a cesarean birth has additional nursing concerns beyond those of a person with a vaginal birth. What concern should the nurse anticipate for the cesarean birth?

  • A. increased risk for DVT
  • B. faster recovery
  • C. less use of pain medication
  • D. less risk for infection
Correct Answer: A

Rationale: Cesarean births involve surgical incisions which increase the risk of deep vein thrombosis (DVT) due to reduced mobility and other factors.

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