Nokea
The nurse instructs the postpartum patient that her nutritional intake should include which food(s) particularly supportive to healing?
- A. Legumes
- B. Potatoes and pasta
- C. Citrus fruits
- D. Rice
- E. Cantaloupe
Correct Answer: A,C,E
Rationale: Legumes and foods containing vitamin C, such as citrus fruits and cantaloupe, are conducive to healing. Starches like potatoes and pasta are not.
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What does the nurse recognize these signs indicate?
- A. Uterine atony
- B. Uterine dystocia
- C. Uterine hypoplasia
- D. Uterine dysfunction
Correct Answer: A
Rationale: Atony describes a lack of normal muscle tone. If the uterus is atonic, then muscle fibers are flaccid and will not compress bleeding vessels.
What should the nurse's first action be when postpartum hemorrhage from uterine atony is suspected?
- A. Teach the patient how to massage the abdomen and then get help.
- B. Start IV fluids to prevent hypovolemia and then notify the registered nurse.
- C. Begin massaging the fundus while another person notifies the physician.
- D. Ask the patient to void and reassess fundal tone and location.
Correct Answer: C
Rationale: When the uterus is boggy, the nurse should immediately massage it until it becomes firm.
What does the nurse recognize as the possible cause of these signs and symptoms?
- A. Dehydration
- B. Hypovolemic shock
- C. Endometritis
- D. Cystitis
Correct Answer: C
Rationale: Fever after 24 hours following delivery is suggestive of an infection. Severe cramping and fever are manifestations of endometritis.
What nursing action is the most appropriate to prevent thrombus formation?
- A. Have the woman sit in a chair for meals.
- B. Monitor vital signs every 4 hours and report any changes.
- C. Tell the woman to remain in bed with her legs elevated.
- D. Assist the woman with ambulation for short periods of time.
Correct Answer: D
Rationale: Early ambulation and range-of-motion exercises are valuable aids to prevent thrombus formation in the postpartum woman.
What does the nurse recognize as the cause of this woman's symptoms?
- A. Bipolar disorder
- B. Major depression
- C. Postpartum blues
- D. Postpartum depression
Correct Answer: B
Rationale: Major depression is characterized by deep feelings of worthlessness, guilt, serious sleep and appetite disturbances, and sometimes delusions about the infant being dead.