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A mother, G4 P4004, is 15 minutes postpartum. Her baby weighed 4,595 grams at birth. For which of the following complications should the nurse monitor this client?
- A. Seizures.
- B. Hemorrhage.
- C. Infection.
- D. Thrombosis.
Correct Answer: B
Rationale: Macrosomic babies increase the risk of postpartum hemorrhage.
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The postpartum nurse has completed discharge teaching for a patient being discharged after an uncomplicated vaginal birth. Which statement by the patient indicates that further teaching is necessary?
- A. “I may not have a bowel movement until the 2nd postpartum day.”
- B. “If I breastfeed and supplemUenSt wiNth fTormula,O I won’t need any birth control.”
- C. “I know my normal pattern of bowel elimination won’t return until about 8 to 10 days.”
- D. “If I am not breastfeeding, I should use birth control when I resume sexual
Correct Answer: B
Rationale: The correct answer is B because the patient's statement about not needing birth control if breastfeeding and supplementing with formula is incorrect. Breastfeeding is not a reliable form of birth control and additional contraception is necessary to prevent unintended pregnancy.
Explanation:
1. Breastfeeding alone is not a foolproof method of contraception.
2. The combination of breastfeeding and formula feeding does not guarantee contraception.
3. Lactational amenorrhea method (LAM) is only effective if specific criteria are met.
4. The patient's misconception about not needing birth control while breastfeeding and supplementing with formula puts her at risk of unintended pregnancy.
Summary:
A: Correct statement about the timing of bowel movements postpartum.
C: Incorrect statement about the normal pattern of bowel elimination postpartum.
D: Correct statement about the need for birth control if not breastfeeding.
The nurse has administered Benadryl (diphenhydramine) to a post-cesarean client who is experiencing side effects from the parenteral morphine sulfate that was administered 30 minutes earlier. Which of the following actions should the nurse perform following the administration of the drug?
- A. Monitor the urinary output hourly.
- B. Supervise while the woman holds her newborn.
- C. Position the woman slightly elevated on her left side.
- D. Ask any visitors to leave the room.
Correct Answer: B
Rationale: Supervision ensures safety due to potential sedation.
Which patient is more likely to have less stress adjusting to her role as a mother?
- A. A 26-year-old woman who is returning to work in 10 weeks
- B. A 35-year-old anxious mother who has had no contact with babies or children
- C. A 16-year-old teenager who lives with her parents and has a strained relationship with her mother
- D. A 25-year-old woman who knew at 16 weeks of gestation that she was pregnant with twins, who were delivered by cesarean birth
Correct Answer: A
Rationale: The correct answer is A because the 26-year-old woman who is returning to work in 10 weeks is more likely to have less stress adjusting to her role as a mother. This is because she is likely more established in her career, which can provide a sense of stability and financial security. Additionally, knowing she will return to work in 10 weeks can give her a sense of structure and purpose, reducing uncertainty and stress.
Choice B is incorrect because the 35-year-old anxious mother who has had no contact with babies or children may struggle with feelings of inadequacy and anxiety due to lack of experience with children.
Choice C is incorrect because the 16-year-old teenager living with strained relationship with her mother may face additional stressors from family dynamics and lack of maturity.
Choice D is incorrect because the 25-year-old woman who knew early in her pregnancy and delivered twins by cesarean birth may face physical challenges and increased demands of caring for twins, leading to higher stress levels.
A breastfeeding client calls her obstetrician stating that her baby was diagnosed with thrush and that her breasts have become infected as well. Which of the following organisms has caused the baby's and mother's infection?
- A. Staphylococcus aureus.
- B. Streptococcus pneumoniae.
- C. Escherichia coli.
- D. Candida albicans.
Correct Answer: D
Rationale: Candida causes thrush.
A breastfeeding mother mentions to the nurse that she has heard that babies sleep better at night if they are given a small amount of rice cereal in the evening. Which of the following comments by the nurse is appropriate?
- A. That is correct. The rice cereal takes longer for them to digest so they sleep better and longer.
- B. It is recommended that babies receive only breast milk for the first 4 to 6 months of their lives.
- C. It is too early for rice cereal
- D. but I would recommend giving apple sauce at 3 months of age and apple juice 1 month later.
Correct Answer: B
Rationale: Exclusive breastfeeding is recommended for the first 6 months.