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Research has shown that with lesbian parents, the non-birthing person can feel role resentment, exclusion from health-care services, and feelings of neglect. How can the nurse include the non-birthing partner?
- A. Ask the person to leave the room during the newborn assessment.
- B. Educate the person to leave the feeding up to the birthing person.
- C. Demonstrate newborn care to both parents.
- D. Ask the person 's family how they feel about their relationship
Correct Answer: C
Rationale: Involving both parents in newborn care helps promote bonding and ensures that the non-birthing partner feels included in the process.
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The third stage of labor has just ended for a client who has decided to bottle feed her baby. Which of the following maternal hormones will increase sharply at this time?
- A. Estrogen.
- B. Prolactin.
- C. Human placental lactogen.
- D. Human chorionic gonadotropin.
Correct Answer: B
Rationale: After delivery, prolactin levels rise to stimulate milk production, even if the mother has decided to bottle feed. Estrogen and other hormones also fluctuate, but prolactin will be the most significant in this case.
What symptom can partners of persons with PPD experience?
- A. depression
- B. psychosis
- C. bipolar disorder
- D. mania
Correct Answer: A
Rationale: Partners of those with PPD can experience depression as they may feel overwhelmed and stressed by the challenges of caregiving.
What intervention by the nurse can help with PPD?
- A. encouraging the partner to let the postpartum person learn to take care of themself
- B. encouraging the family to have support available for the person and partner
- C. telling the person not to breast-feed if taking antidepressants
- D. keeping the newborn in the nursery most of the day and night
Correct Answer: B
Rationale: The correct answer is B because encouraging the family to have support available for the person and partner is essential in managing postpartum depression (PPD). Support from loved ones can provide emotional, practical, and social assistance, which are crucial in helping the individual cope with PPD. It promotes a sense of belonging, reduces feelings of isolation, and helps in sharing the responsibilities of caring for the newborn.
A: Encouraging the partner to let the postpartum person learn to take care of themself is not the best intervention as it may increase feelings of inadequacy and overwhelm in the individual experiencing PPD.
C: Telling the person not to breast-feed if taking antidepressants is incorrect as breastfeeding can still be possible under the guidance of healthcare professionals while taking antidepressants.
D: Keeping the newborn in the nursery most of the day and night is not recommended as it can disrupt bonding and caregiving opportunities between the parent and child, which are important for both parties' emotional well-being
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 correct answer is B: Information applicable to medication therapy. The rationale is that proper pain management is crucial for patient comfort and healing. The nurse should educate the patient on the importance of taking the prescribed pain medication as directed to manage pain effectively. This includes information on dosage, frequency, and potential side effects. Hot packs (Choice A) may not be recommended for an infected episiotomy as heat can exacerbate the infection. Ambulation (Choice C) is important for circulation, but it may not directly address pain management. Medicating for pain above level 4 (Choice D) is vague and does not provide specific guidance on when to take pain medication.
What is characteristic of a late (secondary) PPH?
- A. occurs within the first 24 hours
- B. is caused by subinvolution of the uterus
- C. does not occur after cesarean births
- D. cannot be treated with Methergine
Correct Answer: B
Rationale: The correct answer is B because late (secondary) postpartum hemorrhage (PPH) is typically caused by subinvolution of the uterus, leading to persistent bleeding after the first 24 hours postpartum. This is due to inadequate contraction of the uterus to stop bleeding from the placental site.
Choice A is incorrect because a late PPH occurs after the first 24 hours, not within it. Choice C is incorrect because late PPH can occur after cesarean births as well. Choice D is incorrect because Methergine is commonly used to treat late PPH by promoting uterine contractions and controlling bleeding.