Nokea
A nurse is discussing risk factors for postpartum shock with a childbirth preparation class. What will the nurse include in this education session?
- A. Hypertension
- B. Blood clotting disorders
- C. Anemia
- D. Infection
- E. Postpartum hemorrhage
Correct Answer: B,C,D,E
Rationale: Blood clotting disorders, anemia, infection, and postpartum hemorrhage can cause postpartum shock, while hypertension is not a cause.
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What does the nurse recognize these signs indicate?
- A. Uterine atony
- B. Uterine dystocia
- C. Uterine hypoplasia
- D. Uterine dysfunction
Correct Answer: A
Rationale: Atony describes a lack of normal muscle tone. If the uterus is atonic, then muscle fibers are flaccid and will not compress bleeding vessels.
What does the nurse suspect from these symptoms?
- A. Phlebitis
- B. Puerperal infection
- C. Late postpartum hemorrhage
- D. Mastitis
Correct Answer: A
Rationale: The complaints related to the leg, such as redness and pain, are indicative of phlebitis. The other signs are normal in the postpartum patient.
What is the best response to a postpartum woman who tells the nurse she feels 'tired and sick all of the time since I had the baby 3 months ago'?
- A. This is a normal response for the body after pregnancy. Try to get more rest.'
- B. I'll bet you will snap out of this funk real soon.'
- C. Why don't you arrange for a babysitter so you and your husband can have a night out?'
- D. Let's talk about this further. I am concerned about how you are feeling.'
Correct Answer: D
Rationale: If a postpartum woman seems depressed, it is important to explore her feelings to determine if they are persistent and pervasive.
How does the nurse most likely feel and react to this finding?
- A. Concerned and reports a probable cervical laceration
- B. Attentive and massages the uterus to expel retained clots
- C. Distressed and reports a possible clotting disorder
- D. Satisfied with the normal early postpartum finding
Correct Answer: A
Rationale: The bright trickle of blood with a firm uterus suggests a cervical laceration.
What does the nurse recognize as the cause of this woman's symptoms?
- A. Bipolar disorder
- B. Major depression
- C. Postpartum blues
- D. Postpartum depression
Correct Answer: B
Rationale: Major depression is characterized by deep feelings of worthlessness, guilt, serious sleep and appetite disturbances, and sometimes delusions about the infant being dead.