Postpartum Care Nursing Questions

Postpartum Care Nursing Questions Related

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A nurse is providing postpartum care to a G4P4 woman who gave birth vaginally 48 hours ago to a 9 pound 10 ounce boy with only a pudendal block for anesthesia. The physician has written orders for the woman to have a sitz bath three times a day. Which information is most closely correlated with the order?

  • A. The woman is multiparous.
  • B. The woman has an episiotomy.
  • C. The woman had a vaginal birth.
  • D. The woman received a pudendal block for anesthesia.
Correct Answer: B

Rationale: The correct answer is B: The woman has an episiotomy. A sitz bath is often recommended postpartum for women who have had an episiotomy to promote healing and relieve discomfort. An episiotomy is a surgical incision made in the perineum during childbirth to facilitate delivery and prevent tearing. The warm water in a sitz bath helps to reduce swelling, promote circulation, and clean the area.

Incorrect choices:
A: The woman is multiparous - Multiparity does not directly correlate with the need for a sitz bath postpartum.
C: The woman had a vaginal birth - While this is true, it does not specifically address the need for a sitz bath.
D: The woman received a pudendal block for anesthesia - Although this information may be relevant to the birth experience, it does not directly relate to the need for a sitz bath postpartum.

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Which statement should alert the nurse to the possibility of ineffective bonding between mother and newborn?

  • A. "My baby has my eyes."
  • B. "No one in my family has that big of a nose."
  • C. "Where did he get those long fingers?"
  • D. "Is it normal for him to sleep so much?"
Correct Answer: C

Rationale: The correct answer is C because the statement "Where did he get those long fingers?" indicates a lack of recognition or acceptance of the newborn's physical traits, which could suggest a disconnect between the mother and infant. This statement may signal that the mother is not bonding effectively with the baby. In contrast, choices A, B, and D all demonstrate a degree of recognition or concern for the baby's physical characteristics or behaviors, which are more indicative of normal bonding behaviors between a mother and newborn.

A new mother expresses frustration about how to know what her baby wants. The mother states, 'I don't know what I expect, but then, the baby doesn't know either.' Which situation does the nurse use as an example of neonate communication?

  • A. The baby is content to lie still on the mother's abdomen.
  • B. The baby is easily awakened if irritated by loud noises.
  • C. The baby resists eye contact if bored or disinterested.
  • D. The baby roots for the breast when the cheek is stroked.
Correct Answer: D

Rationale: The correct answer is D because rooting reflex is a typical neonatal behavior where babies turn their head and open their mouth to search for a nipple when their cheek is touched. This reflex indicates the baby's communication of hunger and readiness to feed. This behavior is innate and essential for the baby's survival. In contrast, choices A, B, and C do not specifically demonstrate neonatal communication. Choice A does not involve any active communication or response from the baby. Choice B relates to a sensitivity to external stimuli rather than intentional communication. Choice C describes behavior that may not necessarily indicate communication but rather a lack of interest or engagement.

The nurse is providing postpartum care to a patient 24 hours after a vaginal delivery. Which action does the nurse perform prior to assessing the patient's uterus?

  • A. Place the patient on the left side.
  • B. Assess the passage of lochia.
  • C. Ask the patient to void.
  • D. Administer a dose of oxytocin.
Correct Answer: C

Rationale: The correct answer is C: Ask the patient to void. It is important to ask the patient to void before assessing the uterus to ensure that the bladder is empty, which allows for a more accurate assessment of the uterus size and position. This helps prevent displacement of the uterus due to a full bladder, leading to a more accurate assessment of postpartum hemorrhage risk. Placing the patient on the left side (A) is done after assessing the uterus to facilitate uterine involution. Assessing the passage of lochia (B) is important but not a priority before assessing the uterus. Administering oxytocin (D) may be indicated but should be based on assessment findings rather than being the first action.

The nurse is providing postpartum care to a patient 24 hours after a vaginal delivery. Which action does the nurse perform prior to assessing the patient's uterus?

  • A. Place the patient on the left side.
  • B. Assess the passage of lochia.
  • C. Ask the patient to void.
  • D. Administer a dose of oxytocin.
Correct Answer: C

Rationale: The correct answer is C: Ask the patient to void. This is important prior to assessing the patient's uterus because a full bladder can displace the uterus and make it difficult to accurately assess its position and firmness. By asking the patient to void, the nurse ensures a more accurate assessment of the uterus. Placing the patient on the left side (A) is a position used to maximize uterine perfusion but is not necessary prior to assessing the uterus. Assessing the passage of lochia (B) is important but can be done after assessing the uterus. Administering oxytocin (D) may be indicated to help prevent postpartum hemorrhage but is not necessary prior to assessing the uterus.

In an attempt to improve the effectiveness of postpartum teaching, the nurse uses the AWHONN acronym POST BIRTH. Which teaching points require the patient to call for 911 assistance? Select all that apply.

  • A. Bleeding that soaks a pad per hour
  • B. A bad headache with vision changes
  • C. Thoughts of hurting self or baby
  • D. Signs an incision is not healing
Correct Answer: C

Rationale: The correct answer is C: Thoughts of hurting self or baby. This teaching point requires immediate 911 assistance as it indicates a potential risk of harm. It is crucial to prioritize safety in such situations to prevent harm to the patient or the baby. Options A, B, and D are important concerns but do not require immediate 911 assistance. Bleeding that soaks a pad per hour may indicate postpartum hemorrhage, a bad headache with vision changes could be a sign of preeclampsia, and signs of incision not healing may indicate infection. These situations require prompt medical attention but not necessarily emergency assistance via 911.

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