Postpartum Care Nursing Practice Questions

Postpartum Care Nursing Practice Questions Related

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The nurse is assessing her patient, who is 1 day postpartum. The nurse notes that the fundus is firm and at midline, the lochia is moderate in amount, and the presence of rubra with two dime-sized clots is on her peri-pad. What should the nurse determine from these assessment findings?

  • A. They are normal.
  • B. They indicate the presence of infection.
  • C. The physician should be notified of the abnormal findings.
  • D. The patient should be instructed to increase her fluid intake.
Correct Answer: A

Rationale: The correct answer is A, as the assessment findings described are normal for a patient who is 1 day postpartum. A firm and midline fundus indicates proper uterine involution. Moderate lochia is expected at this stage, and the presence of small clots is normal. The overall picture suggests the normal process of healing after childbirth.

Choice B is incorrect because the assessment findings do not indicate signs of infection such as foul-smelling lochia, fever, or elevated white blood cell count.

Choice C is incorrect as there are no abnormal findings that would warrant immediate notification of the physician.

Choice D is incorrect as there is no indication from the assessment findings that the patient needs to increase her fluid intake; the findings are within the expected range for a patient 1 day postpartum.

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The nurse is providing care to a patient who is postpartum. Using anatomy and physiology knowledge, which expectation does the nurse relate to the cardiovascular system?

  • A. Patient reporting of being cold related to blood loss
  • B. WBC laboratory level of 30,000/mm a few hours after delivery
  • C. Risk for hemorrhage due to decrease in circulating clotting factors
  • D. A normal postpartum hemoglobin laboratory value of less than 11 g/dL
Correct Answer: B

Rationale: Step 1: Postpartum patients may have an increased WBC count due to the stress of delivery.
Step 2: A WBC level of 30,000/mm postpartum indicates a normal physiological response.
Step 3: This increase helps the body fight potential infections post-delivery.
Step 4: Therefore, choice B is correct as it aligns with normal postpartum physiology.
Summary: Choices A, C, and D are incorrect as they do not directly relate to postpartum physiology. A is more related to thermoregulation, C is about clotting factors, and D is about hemoglobin levels which may vary postpartum.

The nurse is researching for evidence-based practice related to a mother's response during the postpartum period. Based on research by Rubin and Mercer, which finding will the nurse be able to easily implement to change the culture of the unit?

  • A. Satisfaction questionnaires
  • B. Alterations in terminology
  • C. Decrease nurse/patient ratios
  • D. Soliciting paternal expectations
Correct Answer: B

Rationale: The correct answer is B: Alterations in terminology. Rubin and Mercer's research emphasizes the importance of language in shaping postpartum experiences. By changing terminologies used in the unit to be more supportive and empowering, the nurse can easily implement this finding to positively change the culture. Satisfaction questionnaires (A) may not directly address cultural change. Decreasing nurse/patient ratios (C) may require significant resources and restructuring. Soliciting paternal expectations (D) focuses on a different aspect and may not directly impact unit culture.

The nurse is educating a new postpartum woman about peri-care. Which action by the client indicates understanding?

  • A. The woman applied her peri-pad from back to front.
  • B. The woman performed peri-care three times a day.
  • C. The woman washed her hands before and after performing peri-care.
  • D. The woman mixed tap water and hydrogen peroxide in her peri-bottle.
Correct Answer: C

Rationale: The correct answer is C because washing hands before and after performing peri-care is essential to prevent the spread of infections. Before touching the perineal area, proper hand hygiene reduces the risk of introducing harmful bacteria. After caring for the perineum, washing hands again prevents transferring any bacteria to other parts of the body. This demonstrates understanding of infection prevention.

Choice A is incorrect because applying the peri-pad from back to front can introduce bacteria from the rectal area to the vaginal area, increasing the risk of infection.

Choice B is incorrect because the frequency of performing peri-care depends on individual needs and hygiene practices, so stating a fixed number of times is not indicative of understanding.

Choice D is incorrect because mixing tap water and hydrogen peroxide in the peri-bottle is not a recommended practice for peri-care and may cause irritation or disrupt the natural balance of the vaginal flora.

A postpartum patient states, " am really in pain."For which sources of pain will the nurse not assess the patient?

  • A. Uterine contractions
  • B. Perineal trauma
  • C. Breast engorgement
  • D. General soreness
Correct Answer: D

Rationale: The correct answer is D: General soreness. Postpartum pain assessment typically focuses on specific sources such as uterine contractions, perineal trauma, and breast engorgement. General soreness is too vague and does not provide specific information for targeted intervention. By ruling out general soreness, the nurse can prioritize assessment and management of more specific sources of pain to provide appropriate care for the postpartum patient.

A postpartum patient states, " am really in pain."For which sources of pain will the nurse not assess the patient?

  • A. Uterine contractions
  • B. Perineal trauma
  • C. Breast engorgement
  • D. General soreness
Correct Answer: D

Rationale: The correct answer is D because general soreness is a vague and nonspecific term that does not provide any specific information on the source or type of pain. In contrast, uterine contractions, perineal trauma, and breast engorgement are common sources of postpartum pain with specific anatomical locations and characteristics. Assessing for general soreness would not lead to identifying potential underlying issues or appropriate interventions. It is important to focus on assessing specific sources of pain to provide targeted care for the postpartum patient.

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