Complications of Postpartum

Complications of Postpartum Related

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The most effective and least expensive treatment of puerperal infection is prevention. What is the most important strategy for the nurse to adopt?

  • A. Large doses of vitamin C during pregnancy
  • B. Prophylactic antibiotics
  • C. Strict aseptic technique, including hand washing, by all health care personnel
  • D. Limited protein and fat intake
Correct Answer: C

Rationale: Rationale:
Choice C is correct because strict aseptic technique, including hand washing, is crucial in preventing puerperal infection by minimizing the transmission of pathogens. Proper hand hygiene is a fundamental practice in infection control. Choices A, B, and D are incorrect because large doses of vitamin C, prophylactic antibiotics, and limited protein and fat intake do not directly address the primary mode of infection transmission and prevention for puerperal infection. Vitamin C, antibiotics, and dietary restrictions are not the primary strategies in preventing puerperal infections compared to the importance of proper hand hygiene and aseptic technique.

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A client, 2 days postoperative from a cesarean section, complains to the nurse that she has yet to have a bowel movement since the surgery. Which of the following responses by the nurse would be appropriate at this time?

  • A. That is very concerning. I will request that your physician order an enema for you.
  • B. Two days is not that bad. Some patients go four days or longer without a movement.
  • C. You have been taking antibiotics through your intravenous. That is probably why you are constipated.
  • D. Fluids and exercise often help to combat constipation. Take a stroll around the unit and drink lots of fluid.
Correct Answer: B

Rationale: It is not uncommon for postpartum clients to experience delayed bowel movements due to the effects of anesthesia, immobility, and decreased peristalsis.

What theory developed by Ramona Mercer focused on the process of becoming a mother?

  • A. Maternal Role Attainment
  • B. Postpartum Adapting
  • C. Postpartum Maternal Change
  • D. Maternal Encouragement
Correct Answer: A

Rationale: Ramona Mercer's theory of Maternal Role Attainment focuses on how women adapt and assume the maternal role following childbirth.

A primipara, 2 hours postpartum, requests that the nurse diaper her baby after a feeding because 'I am so tired right now. I just want to have something to eat and take a nap. ' Based on this information, the nurse concludes that the woman is exhibiting signs of which of the following?

  • A. Social deprivation.
  • B. Child neglect.
  • C. Normal postpartum behavior.
  • D. Postpartum depression.
Correct Answer: C

Rationale: Requesting rest after feeding is typical postpartum behavior and does not indicate neglect or depression.

The nurse continues to monitor a patient after a vaginal delivery with an estimated blood loss of 1,000 mL. Which assessment finding does the nurse recognize as requiring Stage 3 hemorrhage protocol?

  • A. Increased patient restlessness.
  • B. Manifestations of severe pain.
  • C. Development of abnormal vital signs.
  • D. Patient requests water for extreme thirst.
Correct Answer: C

Rationale: Vital signs will remain normal during Stages 1 and 2. The evidence of abnormal vital signs is one indicator of Stage 3 hemorrhage.

What nursing intervention does the nurse include in the plan of care for a person with postpartum endometritis?

  • A. Monitor for signs of sepsis.
  • B. Discourage breast-feeding.
  • C. Avoid fundal assessment.
  • D. Increase family visiting hours.
Correct Answer: A

Rationale: The correct answer is A: Monitor for signs of sepsis. Postpartum endometritis is a bacterial infection of the uterine lining that can lead to sepsis if not treated promptly. Monitoring for signs of sepsis is crucial for early detection and intervention to prevent serious complications. Option B is incorrect because breastfeeding is encouraged to promote bonding and provide nutrition. Option C is incorrect as fundal assessment is necessary to monitor uterine involution. Option D is incorrect as increasing family visiting hours is not directly related to managing postpartum endometritis.

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