Complications of Postpartum

Complications of Postpartum Related

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Lacerations of the cervix, vagina, or perineum are also causes of PPH. Which factors influence the causes and incidence of obstetric lacerations of the lower genital tract? (Select all that apply.)

  • A. Operative and precipitate births
  • B. Adherent retained placenta
  • C. Abnormal presentation of the fetus
  • D. Congenital abnormalities of the maternal soft tissue
Correct Answer: A

Rationale: The correct answer is A because operative and precipitate births increase the risk of obstetric lacerations due to the rapid delivery or use of instruments. Operative births involve interventions like forceps or vacuum extraction, which can cause trauma. Precipitate births, characterized by rapid labor and delivery, may lead to tearing of the lower genital tract. Choices B, C, and D are incorrect as they do not directly influence the causes and incidence of obstetric lacerations. Adherent retained placenta, abnormal fetal presentation, and congenital abnormalities of maternal soft tissue are not primary factors contributing to lacerations during childbirth.

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What is a risk factor for PPH found in the prenatal record?

  • A. primipara
  • B. rubella nonimmune
  • C. von Willebrand disorder
  • D. history of appendectomy
Correct Answer: C

Rationale: Von Willebrand disorder is a bleeding disorder that increases the risk of postpartum hemorrhage due to impaired clotting.

Lacerations of the cervix, vagina, or perineum are also causes of PPH. Which factors influence the causes and incidence of obstetric lacerations of the lower genital tract? (Select all that apply.)

  • A. Operative and precipitate births
  • B. Adherent retained placenta
  • C. Abnormal presentation of the fetus
  • D. Congenital abnormalities of the maternal soft tissue
Correct Answer: A

Rationale: A. Operative and precipitate births: Obstetric lacerations of the lower genital tract are more likely to occur during operative deliveries (such as forceps or vacuum-assisted deliveries) and precipitate births (very rapid deliveries) due to the increased forces and speed involved during these types of deliveries.

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.

What do ineffective parenting practices put the newborn at risk for?

  • A. sleeplessness
  • B. reflux
  • C. lack of attachment
  • D. NICU admission
Correct Answer: C

Rationale: Ineffective parenting practices can lead to a lack of emotional bonding and attachment which can impact the child's development.

The nurse is preparing discharge teaching for a postpartum patient who exhibits signs and symptoms of an episiotomy infection and is on oral antibiotic therapy. Which discharge teaching will the nurse provide regarding pain management?

  • A. Application of hot packs to the perineal area
  • B. Information applicable to medication therapy
  • C. Instructions to improve circulation by ambulating
  • D. Medicating for pain above level 4 on a 0 to 10 scale
Correct Answer: B

Rationale: The nurse will need to provide applicable discharge teaching for both antibiotic and analgesic therapy. Antibiotics need to be taken as ordered and until they are gone.

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