Nokea
If nonsurgical treatment for late PPH is ineffective, which surgical procedure would be appropriate to correct the cause of this condition?
- A. Hysterectomy
- B. Laparoscopy
- C. Laparotomy
- D. Dilation and curettage (D&
Correct Answer: A
Rationale: Hysterectomy is a surgical procedure that involves the removal of the uterus. In cases where nonsurgical treatment for late postpartum hemorrhage (PPH) is ineffective, and the cause of the condition is related to the uterus (such as retained placental tissue, uterine atony, or placenta accreta), a hysterectomy may be necessary to stop the bleeding and correct the underlying issue. Hysterectomy is considered a definitive treatment for PPH when other interventions have failed to control the bleeding.
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A Muslim woman requests something to eat after the delivery of her baby. Which of the following meals would be most appropriate for the nurse to give her?
- A. Ham sandwich.
- B. Bacon and eggs.
- C. Spaghetti with sausage.
- D. Chicken and dumplings.
Correct Answer: D
Rationale: In Islam, pork is prohibited. Chicken is a halal option that adheres to dietary restrictions.
What postpartum infection can be transferred between the breast-feeding person and newborn if both are not treated appropriately?
- A. wound infection
- B. urinary tract infection
- C. thrush
- D. mastitis
Correct Answer: C
Rationale: Mastitis can be transferred between the breast-feeding person and the newborn if not treated.
A client G2 P1102 is 30 minutes postpartum from a low forceps vaginal delivery over a right mediolateral episiotomy. Her physician has just finished repairing the incision. The client 's legs are in the stirrups and she is breastfeeding her baby. Which of the following actions should the nurse perform?
- A. Assess her feet and ankles for pitting edema.
- B. Lower both of her legs at the same time.
- C. Advise the client to stop feeding her baby while her blood pressure is assessed.
- D. Measure the length of the episiotomy and document the findings in the chart.
Correct Answer: A
Rationale: The nurse should assess for signs of deep vein thrombosis (DVT) or pitting edema in the postpartum period, especially after stirrup use during delivery.
Nurses need to understand the basic definitions and incidence data regarding PPH. Which statement regarding this condition is most accurate?
- A. PPH is easy to recognize early; after all, the woman is bleeding.
- B. Traditionally, it takes more than 1000 ml of blood after vaginal birth and 2500 ml after cesarean birth to define the condition as PPH.
- C. If anything, nurses and physicians tend to overestimate the amount of blood loss.
- D. Traditionally, PPH has been classified as early PPH or late PPH with respect to birth.
Correct Answer: B
Rationale: The most accurate statement regarding the basic definitions and incidence data of postpartum hemorrhage (PPH) is statement B. Traditionally, PPH is defined as losing more than 1000 ml of blood after vaginal birth and more than 2500 ml after cesarean birth. This definition helps healthcare providers recognize and diagnose PPH based on the amount of blood loss, which is crucial for prompt intervention and management.
When teaching the postpartum woman about peripads, the nurse should tell her that:
- A. She can change to tampons when the initial perineal soreness goes away.
- B. Pads having cold packs within them usually hold more lochia than regular pads.
- C. Blood-soaked pads must be returned in a plastic bag to the hospital after discharge.
- D. The pads should be applied and removed in a front to back direction.
Correct Answer: D
Rationale: The pads should be applied and removed in a front-to-back direction to reduce the risk of infection.