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A postoperative cesarean client, who was diagnosed with severe preeclampsia in labor and delivery, is transferred to the postpartum unit. The nurse is reviewing the client's doctor's orders. Which of the following medications that were ordered by the doctor should the nurse question?
- A. Methergine (methylergonovine).
- B. Magnesium sulfate.
- C. Advil (ibuprofen).
- D. Morphine sulfate.
Correct Answer: B
Rationale: Magnesium sulfate is contraindicated post-delivery.
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An example of binding in during the postpartum period is a
- A. new mother telling her friends all about her labor and birth experienc
- B. father looking at his newborn and stating that he “looks like I did when I was a baby.”
- C. mother reporting increasing anxiety during the postpartum period because she feels like she is without support.
- D. mother wanting some time alone so that she can catch up on needed sleep.
Correct Answer: A
Rationale: The correct answer is A because it demonstrates the concept of binding, which refers to the process of forming a strong emotional attachment between a parent and their newborn. In this scenario, the new mother is sharing personal details about her labor and birth experience with her friends, showcasing her emotional connection and bonding with her baby. This act of sharing personal experiences and feelings with others reflects the deep emotional bond that the mother is forming with her child.
Choices B, C, and D are incorrect because they do not directly demonstrate the concept of binding. Choice B focuses on the father's observation of the baby's physical resemblance to himself, which is not directly related to the emotional bonding process. Choice C discusses the mother's anxiety due to lack of support, which is a common issue during the postpartum period but does not specifically illustrate the concept of binding. Choice D mentions the mother's need for alone time to catch up on sleep, which is a practical aspect of postpartum care but does not address the
A neonate is in the active alert behavioral state. Which of the following would the nurse expect to see?
- A. Baby is showing signs of hunger and frustration.
- B. Baby is starting to whimper and cry.
- C. Baby is wide awake and attending to a picture.
- D. Baby is asleep and breathing rhythmically.
Correct Answer: C
Rationale: Active alert state is characterized by wakefulness and attentiveness.
The nurse recognizes the postpartum person is in what stage of Rubin’s attachment model when the person is concerned with physical recovery and depends on the nurse or partner for help physically?
- A. Taking In
- B. Taking Hold
- C. Postpartum Maternal Change
- D. Attainment of Change
Correct Answer: A
Rationale: The correct answer is A: Taking In. In Rubin's attachment model, this stage occurs immediately after childbirth when the person focuses on their own physical recovery and relies on others for assistance. This stage is characterized by passivity and dependence. The other choices are incorrect because: B) Taking Hold is the stage where the person starts to take on more responsibility for themselves and the baby; C) Postpartum Maternal Change is not a recognized stage in Rubin's model; D) Attainment of Change is not a stage in Rubin's model either.
The nurse is conducting discharge teaching for a patient going home after a cesarean birth. Which signs and symptoms should the patient be taught to report? (Select all that apply.)
- A. Mild incisional pain
- B. Feeling of pelvic fullness
- C. Lochia changing from red to pink in color
- D. Frequency, urgency, or burning on urination
Correct Answer: D
Rationale: The correct answer is D because frequency, urgency, or burning on urination could indicate a urinary tract infection, a common post-cesarean complication. Reporting these symptoms promptly can prevent further complications.
A, B, and C are incorrect. A mild incisional pain is normal after a cesarean birth and is expected during the healing process. Feeling of pelvic fullness may be due to postpartum changes in the body and is not necessarily concerning. Lochia changing from red to pink is a normal progression of lochia color and does not typically indicate a problem unless there are other concerning symptoms present.
The person with a cesarean birth has additional nursing concerns beyond those of a person with a vaginal birth. What concern should the nurse anticipate for the cesarean birth?
- A. increased risk for DVT
- B. faster recovery
- C. less use of pain medication
- D. less risk for infection
Correct Answer: A
Rationale: The correct answer is A: increased risk for DVT. Cesarean birth increases the risk of Deep Vein Thrombosis (DVT) due to reduced mobility and potential blood clot formation. This is a critical concern as DVT can lead to serious complications like pulmonary embolism. Choices B and C are incorrect as cesarean birth typically results in longer recovery time and increased need for pain medication compared to vaginal birth. Choice D is incorrect as cesarean birth poses a higher risk of infection due to the surgical incision.