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A 1-day postpartum woman states, 'I think I have a urinary tract infection. I have to go to the bathroom all the time. ' Which of the following actions should the nurse take?
- A. Assure the woman that frequent urination is normal after delivery.
- B. Obtain an order for a urine culture.
- C. Assess the urine for cloudiness.
- D. Ask the woman if she is prone to urinary tract infections.
Correct Answer: C
Rationale: Frequent urination is common postpartum, but assessing the urine for cloudiness is important in determining whether a urinary tract infection is present.
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What symptom can partners of persons with PPD experience?
- A. depression
- B. psychosis
- C. bipolar disorder
- D. mania
Correct Answer: B
Rationale: Depression is a common symptom in partners of individuals with PPD.
A client has been transferred to the post -anesthesia care unit from a cesarean delivery. The client had spinal anesthesia for the surgery. Which of the following interventions should the nurse perform at this time?
- A. Assess the level of the anesthesia.
- B. Encourage the client to urinate in a bedpan.
- C. Provide the client with the diet of her choice.
- D. Check the incision for signs of infection.
Correct Answer: A
Rationale: After spinal anesthesia, it's important to assess the level of anesthesia to monitor for any complications, such as a block or insufficient motor return, which can affect mobility and pain management.
The nurse is preparing a postpartum patient for discharge. For which reasons does the nurse instruct the patient to call the primary care provider? Select all that apply.
- A. Foul-smelling lochia
- B. Hot, red, painful breasts
- C. Mild headache
- D. Not sleeping well
Correct Answer: A
Rationale: Foul-smelling lochia is a sign of infection. Hot, red, painful breasts are a sign of infection. Frequent, painful urination is a sign of infection.
The most effective and least expensive treatment of puerperal infection is prevention. What is the most important strategy for the nurse to adopt?
- A. Large doses of vitamin C during pregnancy
- B. Prophylactic antibiotics
- C. Strict aseptic technique, including hand washing, by all health care personnel
- D. Limited protein and fat intake
Correct Answer: C
Rationale: The most important strategy for the nurse to adopt in preventing puerperal infection is option C, which is the strict aseptic technique, including hand washing, by all health care personnel. Puerperal infection, also known as postpartum infection, is a serious complication following childbirth that can lead to severe consequences if not prevented. Maintaining proper hygiene practices, such as hand washing and using aseptic techniques, is crucial in preventing the spread of pathogens that can cause infections. This simple yet effective measure can significantly reduce the risk of puerperal infections among postpartum women. Large doses of vitamin C during pregnancy (option A) may have benefits for overall health but are not specifically proven to prevent puerperal infections. Prophylactic antibiotics (option B) may be used in certain cases but are not the primary strategy for prevention in all cases. Limiting protein and fat intake (option D) is not a recommended approach
What nursing intervention does the nurse include in the plan of care for a person with a wound infection?
- A. Reassure the postpartum person that infection will resolve without antibiotics.
- B. Assess for REEDA.
- C. Call health-care provider when temperature is 99.0° F.
- D. Scrub the incision vigorously with soap and water.
Correct Answer: B
Rationale: REEDA (Redness, Edema, Ecchymosis, Discharge, and Approximation) is an important assessment for wound infections.