Complication Postpartum

Complication Postpartum Related

Review Complication Postpartum related questions and content

The lactation nurse takes a phone call from a mother who is breastfeeding her 2-month-old infant. The mother reports an area of redness and warmth on the breast and a painful burning sensation when breastfeeding. Which statement by the nurse is correct if mastitis is suspected?

  • A. If your nipples are cracked, you will need to stop breastfeeding.
  • B. Pump your milk and throw it away until the infection is gone.
  • C. The baby gave you an infection and needs to be on antibiotics.
  • D. Continuing to breastfeed will help clear up the condition.
Correct Answer: D

Rationale: The correct answer is D: Continuing to breastfeed will help clear up the condition.

Rationale:
1. Continuing to breastfeed helps to empty the breast and prevent milk stasis, which can worsen mastitis.
2. Breastfeeding helps maintain milk production and prevents engorgement, which can exacerbate the infection.
3. Breast milk has antibacterial properties that can help fight the infection.
4. Stopping breastfeeding abruptly can lead to more serious complications like abscess formation.

Summary:
A: Incorrect. Stopping breastfeeding abruptly can lead to complications and does not address the underlying infection.
B: Incorrect. Pumping and throwing away milk does not address the underlying infection and can lead to decreased milk supply.
C: Incorrect. Mastitis is not caused by the baby, and antibiotics are not always necessary if managed promptly with breastfeeding and self-care.

You may also like to solve these questions

A client, 2 days postpartum from a spontaneous vaginal delivery, asks the nurse about postpartum exercises. Which of the following responses by the nurse is appropriate?

  • A. You must wait to begin to perform exercises until after your six-week postpartum checkup.
  • B. You may begin Kegel exercises today, but do not do any other exercises until the doctor tells you that it is safe.
  • C. By next week you will be able to return to the exercise schedule you had during your prepregnancy.
  • D. You can do some Kegel exercises today and then slowly increase your toning exercises over the next few weeks.
Correct Answer: D

Rationale: Kegel exercises can be started early postpartum to help strengthen pelvic floor muscles. Other exercises can be gradually increased after approval from the healthcare provider.

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.

The nurse is assisting the primary care provider with the third stage of a vaginal delivery. The patient is multiparous, experienced a precipitous birth, and has a history of hypertension. Which medical prescription does the nurse anticipate for this patient?

  • A. Methylergonovine
  • B. Fresh frozen plasma
  • C. Carboprost-tromethamine
  • D. Magnesium sulfate
Correct Answer: C

Rationale: The correct answer is C: Carboprost-tromethamine. In the given scenario, the patient is multiparous, had a precipitous birth, and has a history of hypertension. Carboprost-tromethamine is typically administered in the third stage of labor to manage postpartum hemorrhage, which is a potential complication in this case due to the patient's history of hypertension. Methylergonovine (choice A) is contraindicated in patients with hypertension due to its vasoconstrictive effects. Fresh frozen plasma (choice B) is not typically indicated for postpartum hemorrhage. Magnesium sulfate (choice D) is commonly used for pre-eclampsia/eclampsia but not specifically for postpartum hemorrhage in this scenario.

What is a symptom of engorgement?

  • A. protuberant nipples
  • B. shiny, hard breast
  • C. insufficient milk production
  • D. soft, lumpy breast
Correct Answer: B

Rationale: Shiny, hard breasts are characteristic of engorgement.

A new father tells a nurse friend that his wife is agitated and acting in a bizarre fashion. She says that she hears voices. Her baby is 2 weeks old. The father is concerned about the care the mother is giving the baby. The nurse should:

  • A. Tell the father that this is severe postpartum blues and will pass in a few days if he shows enough support.
  • B. Suggest that the father try talking to his wife to find out what is bothering her about being a new mother.
  • C. Explain that the mother will probably need psychotherapy and refer him to support groups.
  • D. Tell the father to call the physician immediately and not to leave the woman alone with the baby.
Correct Answer: D

Rationale: The symptoms described may indicate postpartum psychosis a serious condition that requires immediate medical intervention to ensure the safety of both the mother and the baby.

Copyright © 2025 Nokea. All rights reserved.