Complication Postpartum

Complication Postpartum Related

Review Complication Postpartum related questions and content

The nurse is aware of concern about the increasing numbers of severe maternal morbidity (SMM). It is believed to be related to changes in the overall health of the population of women giving birth. Which reasons does the nurse identify as causes of SMM? Select all that apply.

  • A. Increases in maternal age
  • B. Prepregnancy obesity
  • C. Cesarean deliveries
  • D. Inability to pay for health care
Correct Answer: B

Rationale: The correct answer is B: Prepregnancy obesity. This is because obesity is a well-established risk factor for severe maternal morbidity. Obesity increases the likelihood of complications during pregnancy and childbirth, such as gestational diabetes, preeclampsia, and cesarean deliveries.

A: Increases in maternal age may be a risk factor for certain complications but not directly related to SMM.
C: Cesarean deliveries can be a risk factor for SMM, but it is not the main cause.
D: Inability to pay for health care is a social determinant of health and may impact access to care, but it is not a direct cause of SMM.

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What nursing diagnosis would be appropriate for the person with a coagulation disorder?

  • A. risk for bleeding
  • B. risk for fluid overload
  • C. risk for breast-feeding failure
  • D. risk for hypertension
Correct Answer: B

Rationale: The correct answer is B: risk for fluid overload. A person with a coagulation disorder is at risk for excessive bleeding, which may lead to fluid overload due to blood loss and subsequent fluid replacement. This nursing diagnosis addresses the potential complications related to fluid imbalance in this population.

Incorrect choices:
A: risk for bleeding - While bleeding is a concern for someone with a coagulation disorder, this choice does not address the potential fluid overload that may result from excessive bleeding.
C: risk for breast-feeding failure - This choice is not relevant to the immediate health concerns of a person with a coagulation disorder.
D: risk for hypertension - Hypertension is not directly related to a coagulation disorder, therefore this choice is not appropriate as a nursing diagnosis in this context.

What postpartum infection is caused by STIs and chorioamnionitis?

  • A. mastitis
  • B. pneumonia
  • C. cesarean wound infection
  • D. postpartum endometritis
Correct Answer: D

Rationale: The correct answer is D, postpartum endometritis. This infection is commonly caused by sexually transmitted infections (STIs) and chorioamnionitis. Endometritis is inflammation of the endometrium lining the uterus after childbirth. Mastitis (A) is a breast infection, pneumonia (B) is a lung infection, and cesarean wound infection (C) is an infection at the site of the cesarean incision. These options are incorrect as they do not specifically relate to the postpartum infection caused by STIs and chorioamnionitis.

The nurse informs a postpartum woman that which of the following is the reason ibuprofen (Advil) is especially effective for afterbirth pains?

  • A. Ibuprofen is taken every two hours.
  • B. Ibuprofen has an antiprostaglandin effect.
  • C. Ibuprofen is given via the parenteral route.
  • D. Ibuprofen can be administered in high doses.
Correct Answer: B

Rationale: Ibuprofen works by inhibiting prostaglandin production, which helps to reduce afterbirth pains.

What is a risk factor for PPD?

  • A. vaginal birth
  • B. family support
  • C. traumatic birth
  • D. breast-feeding
Correct Answer: C

Rationale: PPD is more common after traumatic births and with lack of support.

What drug should be readily available when a woman is receiving heparin therapy?

  • A. Vitamin K
  • B. Methylergonovine
  • C. Ferrous sulfate
  • D. Protamine sulfate
Correct Answer: D

Rationale: Protamine sulfate is an antidote to heparin and should be readily available in case of excessive anticoagulation.

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