Nokea
A 2-day-postpartum breastfeeding woman states, 'I am sick of being fat. When can I go on a diet? ' Which of the following responses is appropriate?
- A. It is fine for you to start dieting right now as long as you drink plenty of milk. '
- B. Your breast milk will be low in vitamins if you start to diet while breastfeeding. '
- C. You must eat at least 3,000 calories per day in order to produce enough milk for your baby. '
- D. Many mothers lose weight when they breastfeed because the baby consumes about 600 calories a day. '
Correct Answer: D
Rationale: Breastfeeding can help with postpartum weight loss, as the body burns calories producing milk.
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What is a risk factor for uterine atony?
- A. small for gestational age
- B. primipara
- C. multiple gestation
- D. intrauterine growth restriction
Correct Answer: C
Rationale: The correct answer is C: multiple gestation. Multiple gestation is a risk factor for uterine atony due to the increased uterine size and stretched muscle fibers, which can lead to decreased uterine tone postpartum. This can result in excessive bleeding.
A: Small for gestational age is not typically a risk factor for uterine atony as it refers to the size of the baby, not the uterus.
B: Primipara (first-time mother) may have a higher risk of uterine atony due to less uterine tone from lack of previous pregnancies, but it is not as significant as multiple gestation.
D: Intrauterine growth restriction refers to the baby's growth, not the mother's risk of uterine atony.
A primipara, 2 hours postpartum, requests that the nurse diaper her baby after a feeding because 'I am so tired right now. I just want to have something to eat and take a nap. ' Based on this information, the nurse concludes that the woman is exhibiting signs of which of the following?
- A. Social deprivation.
- B. Child neglect.
- C. Normal postpartum behavior.
- D. Postpartum depression.
Correct Answer: C
Rationale: Requesting rest after feeding is typical postpartum behavior and does not indicate neglect or depression.
The nurse's initial response if a pulmonary embolism is suspected should be to:
- A. Start a second intravenous (IV) line and prepare for transfusion.
- B. Raise the head of the bed and administer oxygen.
- C. Insert a catheter to monitor urine output.
- D. Lower the head of the bed and elevate the legs.
Correct Answer: B
Rationale: In cases of pulmonary embolism oxygen should be administered to support breathing and help oxygenate the blood. oxygen should be administered to support breathing and help oxygenate the blood.
What assessment finding would indicate a fluid volume deficit?
- A. skin tenting with testing of skin turgor
- B. hypertension
- C. bradycardia
- D. bounding pulse
Correct Answer: A
Rationale: Skin tenting indicates dehydration, a sign of fluid volume deficit.
What is characteristic of an early (primary) PPH?
- A. occurs after 12 weeks postpartum
- B. is not an emergency
- C. often occurs due to uterine atony
- D. is diagnosed after the person is discharged
Correct Answer: C
Rationale: Early (primary) postpartum hemorrhage is usually due to uterine atony and requires immediate medical intervention.