Nokea
A postpartum woman has been diagnosed with postpartum psychosis. Which of the following signs/symptoms would the client exhibit?
- A. Hallucinations.
- B. Polyphagia.
- C. Induced vomiting.
- D. Weepy sadness.
Correct Answer: A
Rationale: Hallucinations are characteristic of psychosis.
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Which of the following full-term babies requires immediate intervention?
- A. Baby with seesaw breathing.
- B. Baby with irregular breathing with 10-second apnea spells.
- C. Baby with coordinated thoracic and abdominal breathing.
- D. Baby with respiratory rate of 52.
Correct Answer: A
Rationale: Seesaw breathing indicates diaphragmatic dysfunction and requires urgent evaluation.
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.
The nurse is caring for a postoperative cesarean client. The woman is obese and is an insulin-dependent diabetic. For which of the following complications should the nurse carefully monitor this client?
- A. Failed lactogenesis.
- B. Dysfunctional parenting.
- C. Wound dehiscence.
- D. Projectile vomiting.
Correct Answer: C
Rationale: Obesity and diabetes increase the risk of wound complications.
The postpartum patient who continually repeats the story of her labor, birth, and recovery experiences is performing which of the following tasks?
- A. Making the birth experience “real”
- B. Accepting her response to labor and birth
- C. Providing others with her knowledge of events
- D. Taking hold of the events leading to her labor and birth
Correct Answer: A
Rationale: The correct answer is A: Making the birth experience "real." This choice aligns with the concept of emotional processing and integration in the postpartum period. By continually repeating her birth story, the patient is trying to make sense of and come to terms with her experience, making it feel more "real" to her. This process helps her emotionally process the events and transitions she has gone through during labor and birth.
Choices B, C, and D are incorrect:
B: Accepting her response to labor and birth - This choice focuses more on the patient's emotional response rather than the act of repeating the story.
C: Providing others with her knowledge of events - This choice is more about sharing information rather than the internal emotional processing the patient is likely engaging in.
D: Taking hold of the events leading to her labor and birth - This choice suggests a sense of control over the events, which may not necessarily be the primary motivation behind the patient's behavior.
A couple, accompanied by their 5-year-old daughter, have been notified that their 32-week-gestation fetus is dead. The father is yelling at the staff. The mother is crying uncontrollably. The 5-year-old is banging the head of her doll on the floor. Which of the following nursing actions is appropriate at this time?
- A. Tell the father that his behavior is inappropriate.
- B. Sit with the family and quietly communicate sorrow at their loss.
- C. Help the couple to understand that their daughter is acting inappropriately.
- D. Encourage the couple to send their daughter to her grandparents.
Correct Answer: B
Rationale: Supportive presence is key.