Complication Postpartum

Complication Postpartum Related

Review Complication Postpartum related questions and content

A breastfeeding patient who is 5 weeks postpartum calls the clinic and reports that she is achy all over, has a temperature of 100.2°F, and has pain and tenderness in her right breast. What is the nurse’s best response?

  • A. You need to come to the clinic to be evaluated, as your symptoms indicate a possible breast infection.
  • B. You are having normal signs of engorgement with breastfeeding. More frequent breastfeeding will relieve your symptoms.
  • C. Please stop breastfeeding until you can come to see the clinic provider, as you may have a breast infection.
  • D. You may be experiencing sleep deprivation, which can make you feel achy and sore. Try to sleep when the newborn sleeps.
Correct Answer: A

Rationale: The correct answer is A because the patient's symptoms of achiness, fever, and pain in the breast are indicative of mastitis, a common breast infection in breastfeeding women. Prompt evaluation and treatment are necessary to prevent complications.

Choice B is incorrect as engorgement typically occurs in the first few days postpartum, not at 5 weeks.

Choice C is incorrect because stopping breastfeeding can worsen the infection and affect milk production.

Choice D is incorrect as the symptoms described are more likely due to an infection rather than just sleep deprivation.

You may also like to solve these questions

What is a symptom of engorgement?

  • A. protuberant nipples
  • B. shiny, hard breast
  • C. insufficient milk production
  • D. soft, lumpy breast
Correct Answer: B

Rationale: The correct answer is B: shiny, hard breast. Engorgement is characterized by a significant increase in blood and lymph fluid in the breast tissue, causing the breasts to become swollen, shiny, and hard. This occurs when milk production exceeds removal, leading to congestion and inflammation. Protuberant nipples (A) may be a result of engorgement but are not a defining symptom. Insufficient milk production (C) is not a symptom of engorgement but rather a separate issue related to milk supply. Soft, lumpy breast (D) is more indicative of a blocked duct or mastitis, not engorgement.

A woman who is 3 hours postpartum has had difficulty in urinating. She finally urinates 100 mL. The initial nursing action is to:

  • A. Insert an indwelling catheter.
  • B. Have her drink additional fluids.
  • C. Assess the height of her fundus.
  • D. Chart the urination amount.
Correct Answer: C

Rationale: Before taking further action, the nurse should assess the height of the fundus to determine if a full bladder may be contributing to urinary retention.

Postpartum persons who lack attachment with their newborn exhibit what behavior?

  • A. intense eye contact
  • B. avoid holding the newborn
  • C. cuddling
  • D. exploring the newborn
Correct Answer: B

Rationale: Lack of attachment is often seen when the postpartum person is disinterested or avoids physical contact such as holding the newborn.

What symptom differentiates baby blues from PPD?

  • A. Baby blues last longer than 14 days.
  • B. Baby blues cause hallucinations.
  • C. Baby blues occur in the first few days of the postpartum period.
  • D. Baby blues are treated with inpatient therapy.
Correct Answer: A

Rationale: The correct answer is A: Baby blues last longer than 14 days. Baby blues typically resolve within 1-2 weeks postpartum. If symptoms persist for more than 14 days, it may indicate postpartum depression (PPD). Choice B is incorrect as hallucinations are not a common symptom of baby blues. Choice C is incorrect because baby blues can occur within the first few weeks postpartum, not just the first few days. Choice D is incorrect because baby blues are usually managed with support, counseling, and self-care, not inpatient therapy.

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 is a classic sign of dehydration and fluid volume deficit due to reduced skin turgor.

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