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 because having an episiotomy is directly related to the need for a sitz bath postpartum. An episiotomy is a surgical incision made in the perineum during childbirth to enlarge the vaginal opening, which can cause discomfort and swelling postpartum. A sitz bath helps to soothe and cleanse the area, promote healing, and reduce the risk of infection.

Choice A (The woman is multiparous) is incorrect as the number of pregnancies does not directly correlate with the need for a sitz bath.

Choice C (The woman had a vaginal birth) is incorrect because all women who give birth vaginally can benefit from a sitz bath, not just this woman specifically.

Choice D (The woman received a pudendal block for anesthesia) is incorrect as the type of anesthesia used does not determine the need for a sitz bath; it is more related to the presence of an episiotomy.

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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. The rationale is that a sitz bath is commonly recommended postpartum for women who have had an episiotomy to promote healing and reduce discomfort. An episiotomy is a surgical incision made in the perineum during childbirth to widen the vaginal opening. In this case, the woman had a vaginal birth and received a pudendal block for anesthesia, which are not directly correlated with the sitz bath order. Being multiparous (choice A) does not necessarily indicate the need for a sitz bath. Therefore, the most closely correlated information with the sitz bath order is the presence of an episiotomy.

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.

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 classic example of neonate communication. When the baby's cheek is stroked, they turn their head in the direction of the touch in search of the breast for feeding. This reflex demonstrates the baby's ability to communicate their hunger needs. This action is instinctual and essential for the baby's survival.

Choices A, B, and C are incorrect because they do not directly relate to neonate communication. Choice A focuses on the baby's physical position rather than communication. Choice B mentions the baby's sensitivity to loud noises, which is more about sensory response than communication. Choice C refers to eye contact, which is not a typical form of communication for newborns.

The physician has ordered the rubella vaccine to be given to a postpartum woman who is being discharged. Which should be included when providing education about the vaccine to the woman?

  • A. Breastfeeding is contraindicated.
  • B. The woman should avoid becoming pregnant after receiving the vaccine.
  • C. The vaccine can safely be given to women with egg allergies.
  • D. The woman must be separated from her infant for 24 hours after receiving the vaccine.
Correct Answer: B

Rationale: The correct answer is B because rubella vaccine is a live attenuated vaccine, which means it should not be given to pregnant women as it can potentially harm the fetus. Therefore, it is important for the postpartum woman to avoid becoming pregnant after receiving the vaccine to prevent any risks to future pregnancies.

Choice A is incorrect as breastfeeding is not contraindicated with the rubella vaccine. Choice C is incorrect because the rubella vaccine should not be given to individuals with severe egg allergies. Choice D is incorrect as there is no need for the woman to be separated from her infant after receiving the rubella vaccine.

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.

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