Complication Postpartum

Complication Postpartum Related

Review Complication Postpartum related questions and content

The nurse educates the person recovering from a cesarean birth on how to care for the incision. What education is discussed?

  • A. Scrub the incision well twice daily.
  • B. Remove the dressing the day after birth.
  • C. Staples will be removed the day after birth.
  • D. Vertical incisions heal faster with less pain.
Correct Answer: A

Rationale: The correct answer is A: Scrub the incision well twice daily. This is the correct answer because it emphasizes proper hygiene to prevent infection without causing harm to the incision site. Cleaning the incision twice daily helps to keep it clean and reduce the risk of infection.

B: Removing the dressing the day after birth is incorrect as it may disrupt the healing process and increase the risk of infection.

C: Staples being removed the day after birth is incorrect because staple removal timing varies depending on individual healing progress and is typically done by a healthcare provider.

D: Vertical incisions healing faster with less pain is incorrect as healing time and pain tolerance vary among individuals and are not solely determined by the incision type.

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The nurse educates the person with a newborn in the NICU. What guidance does the nurse provide?

  • A. Breast milk is not good for a premature baby.
  • B. Premature babies breast-feed easily.
  • C. Skin-to-skin contact helps both baby and breast-feeding person.
  • D. A bottle is recommended for all feedings.
Correct Answer: C

Rationale: Skin-to-skin contact enhances bonding promotes successful breastfeeding and stabilizes the baby's physiological status.

What is characteristic of an early (primary) PPH?

  • A. occurs after 12 weeks postpartum
  • B. is not an emergency
  • C. often occurs due to uterine atony
  • D. is diagnosed after the person is discharged
Correct Answer: C

Rationale: Early PPH is typically caused by uterine atony.

The nurse palpates a distended bladder on a woman who delivered vaginally 2 hours earlier. The woman refuses to go to the bathroom, 'I really don 't need to go. ' Which of the following responses by the nurse is appropriate?

  • A. Okay. I must be palpating your uterus.
  • B. I understand but I still would like you to try to urinate.
  • C. You still must be numb from the local anesthesia.
  • D. That is a problem. I will have to catheterize you.
Correct Answer: B

Rationale: A distended bladder can lead to complications such as uterine atony. The nurse should encourage the woman to attempt urination, but if she refuses, further action may be necessary.

A woman has an 8-lb, 9-oz baby after an 18-hour labor that required a vacuum extraction. Her membranes have been ruptured for 15 hours. Based on these facts, client teaching should emphasize:

  • A. Reporting foul-smelling lochia and fever.
  • B. Delaying intercourse for at least 6 weeks.
  • C. Eating a diet that is high in iron and vitamin C.
  • D. Losing weight over at least a 6-month period.
Correct Answer: A

Rationale: Prolonged rupture of membranes increases the risk of infectionand the woman should report any signs of infection such as foul-smelling lochia or fever.

The home health nurse visits a client who is 6 days postdelivery. The client appears sad, weeps frequently, and states, 'I don 't know what is wrong with me. I feel terrible. I should be happy, but I 'm not. ' Which of the following nursing diagnoses is appropriate for this client?

  • A. Suicidal thoughts related to psychotic ideations.
  • B. Post-trauma response related to traumatic delivery.
  • C. Ineffective individual coping related to hormonal shifts.
  • D. Spiritual distress related to immature belief systems.
Correct Answer: C

Rationale: The client 's symptoms suggest ineffective coping due to hormonal shifts commonly experienced during the postpartum period, possibly indicating postpartum blues.

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