Complication Postpartum

Complication Postpartum Related

Review Complication Postpartum related questions and content

The labor and delivery unit nurses are adopting methods to reduce the number of women who develop postpartum depression. Research from Dennis and Dowswell (2013) provides evidence-based suggestions regarding beneficial interventions. Which suggestions do the nurses consider? Select all that apply.

  • A. Telephone-based peer support
  • B. Partner report of symptoms
  • C. Interpersonal psychotherapy
  • D. Teaching for self-recognition of problems
Correct Answer: C

Rationale: The correct answer is C: Interpersonal psychotherapy. This is supported by research as an evidence-based intervention for reducing postpartum depression. It focuses on improving relationships and communication skills, which can help women cope with the challenges of motherhood.

A: Telephone-based peer support may be helpful, but it is not specifically mentioned in the research by Dennis and Dowswell (2013) as a beneficial intervention.

B: Partner report of symptoms can be useful in identifying postpartum depression, but it is not a recommended intervention according to the research.

D: Teaching for self-recognition of problems is important, but it is not as effective as interpersonal psychotherapy in reducing postpartum depression according to the research.

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When referring to the 4 T’s of PPH, what does tissue refer to?

  • A. Placental tissue or membranes are retained.
  • B. Tissue of the perineum is torn.
  • C. Tissue of the uterus is torn.
  • D. Tissue is not perfused.
Correct Answer: A

Rationale: The correct answer is A because in the context of Postpartum Hemorrhage (PPH), the 4 T’s stand for Tone, Trauma, Tissue, and Thrombin. Tissue refers to placental tissue or membranes being retained, leading to excessive bleeding. This can be a common cause of PPH.

Option B is incorrect because it refers to perineal tears, which are related to trauma and not specifically related to tissue retention causing PPH. Option C is incorrect as it refers to uterine tissue tears, which is more related to trauma rather than retained tissue. Option D is incorrect because it refers to tissue not being perfused, which is not directly related to the concept of tissue retention causing PPH.

The nurse is caring for a postpartum client who experienced a second-degree perineal laceration at delivery 2 hours ago. Which of the following interventions should the nurse perform at this time?

  • A. Apply an ice pack to the perineum.
  • B. Advise the woman to use a sitz bath after every voiding.
  • C. Advise the woman to sit on a pillow.
  • D. Teach the woman to insert nothing into her rectum.
Correct Answer: A

Rationale: Applying an ice pack to the perineum helps reduce swelling and provides pain relief after a perineal laceration.

The nurse has provided teaching to a post-op cesarean client who is being discharged on Colace (docusate sodium) 100 mg po tid. Which of the following would indicate that the teaching was successful?

  • A. The woman swallows the tablets whole.
  • B. The woman takes the pills between meals.
  • C. The woman calls the doctor if she develops a headache.
  • D. The woman understands that her urine may turn orange.
Correct Answer: D

Rationale: Colace (docusate sodium) is a stool softener that can turn the urine orange. This is a common side effect and should be discussed with the patient during teaching to avoid unnecessary concern.

The nurse educates the non -breast-feeding person on breast discomfort caused by engorgement. What instructions would they give?

  • A. Massage breasts to release milk.
  • B. Apply cold packs and cabbage leaves.
  • C. Stand in the warm shower to stimulate letdown.
  • D. Do not wear a bra.
Correct Answer: B

Rationale: Cold packs and cabbage leaves help reduce swelling and discomfort caused by engorgement in non-breastfeeding individuals.

On admission to the labor and delivery unit, a client 's hemoglobin (Hgb) was assessed at 11.0 g/dL, and her hematocrit (Hct) at 33%. Which of the following values would the nurse expect to see 2 days after a normal spontaneous vaginal delivery?

  • A. Hgb 12.5 g/dL; Hct 37%.
  • B. Hgb 11.0 g/dL; Hct 33%.
  • C. Hgb 10.5 g/dL; Hct 31%.
  • D. Hgb 9.0 g/dL; Hct 27%.
Correct Answer: C

Rationale: Postpartum blood loss can lead to a decrease in Hgb and Hct. A decrease to 10.5 g/dL for hemoglobin and 31% for hematocrit is expected due to normal blood loss during delivery.

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