Nokea
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: Research from Dennis and Dowswell (2013) reveals that psychosocial and psychological interventions significantly reduce the number of women who develop postpartum depression. Beneficial interventions include telephone-based peer support, interpersonal psychotherapy, and professionally based postpartum home visits.
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The nurse informs a postpartum woman that which of the following is the reason ibuprofen (Advil) is especially effective for afterbirth pains?
- A. Ibuprofen is taken every two hours.
- B. Ibuprofen has an antiprostaglandin effect.
- C. Ibuprofen is given via the parenteral route.
- D. Ibuprofen can be administered in high doses.
Correct Answer: B
Rationale: Ibuprofen works by inhibiting prostaglandin production, which helps to reduce afterbirth pains.
The person with a cesarean birth has additional nursing concerns beyond those of a person with a vaginal birth. What concern should the nurse anticipate for the cesarean birth?
- A. increased risk for DVT
- B. faster recovery
- C. less use of pain medication
- D. less risk for infection
Correct Answer: A
Rationale: Cesarean births involve surgical incisions which increase the risk of deep vein thrombosis (DVT) due to reduced mobility and other factors.
What symptom differentiates baby blues from PPD?
- A. Baby blues last longer than 14 days.
- B. Baby blues cause hallucinations.
- C. Baby blues occur in the first few days of the postpartum period.
- D. Baby blues are treated with inpatient therapy.
Correct Answer: A
Rationale: Baby blues typically last for a few days, while PPD lasts longer and includes more severe symptoms.
The nurse is caring for a Seventh Day Adventist woman who delivered a baby boy by cesarean section. Which of the following questions should be asked regarding this woman 's care?
- A. Would you like me to order a vegetarian clear liquid diet for you?
- B. Is there anything special you will need for your Sabbath on Sunday?
- C. Would you like to telephone your clergy to set up a date for the baptism?
- D. Will a rabbi be performing the circumcision on your baby?
Correct Answer: B
Rationale: Seventh Day Adventists observe the Sabbath on Saturday. The nurse should ask if special arrangements are needed for Sabbath observance.
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.