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The nurse is collecting information during a follow-up OB appointment with a patient who delivered 3 months ago. The patient reports her partner has become cynical, irritable, and verbally abusive. The nurse will screen for which risks related to paternal postnatal depression (PPND)? Select all that apply.
- A. The father exhibited depression during the pregnancy
- B. The birth of this fourth child was unexpected and unplanned
- C. The father expresses feeling bored and underappreciated in his job
- D. The father is recently estranged from his parents and siblings
Correct Answer: B
Rationale: Exhibiting paternal depression during the pregnancy can be a risk factor for the development of PPND. An unexpected or unplanned pregnancy can be a risk factor for the development of PPND. The father’s estrangement from his parents and siblings can be a stressful life event and/or indicate a lack of social support.
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The nurse develops a plan to increase a patient’s milk supply. What is an intervention they can implement?
- A. Pump between nursing sessions.
- B. Nurse every 6 hours.
- C. Keep newborn in bassinet between sessions.
- D. Offer a pacifier when newborn cries.
Correct Answer: A
Rationale: The correct answer is A: Pump between nursing sessions. This intervention helps stimulate milk production by emptying the breasts more frequently. Pumping increases demand for milk, signaling the body to produce more. Nursing every 6 hours (B) reduces milk supply due to less frequent stimulation. Keeping newborn in bassinet (C) limits nursing opportunities. Offering a pacifier (D) may decrease milk supply by reducing nursing frequency. Therefore, option A is the most effective intervention to increase milk supply.
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.
The nurse is assessing a patient who is 36 hours postpartum following a cesarean delivery. Which findings cause the nurse to conclude that a wound infection is developing? Select all that apply.
- A. Temperature increase from 99.8°F to 100.5°F
- B. Incisional tenderness with palpation
- C. Increased margins of incisional redness
- D. Notably warm skin around the incision
Correct Answer: C
Rationale: An increase in redness in the incisional margins is a likely sign of developing wound infection. When the skin around a surgical incision is notably warm to the touch, it is likely a sign of a developing wound infection.
The nurse notices the uterus is boggy and the bladder is full. What intervention should the nurse perform next?
- A. Call for help.
- B. Start IV bolus.
- C. Get the person out of bed to walk to restroom.
- D. Massage the fundus and assess the lochia.
Correct Answer: D
Rationale: Massaging the fundus and assessing the lochia is critical to manage uterine atony.
Postpartum teaching related to urinary health should emphasize:
- A. Drinking any type of fluid whenever thirsty.
- B. Allowing the bladder to fill to promote emptying.
- C. Cleansing the perineum in a front-to-back direction.
- D. Eating two servings of acidic fruits or vegetables each day.
Correct Answer: C
Rationale: Proper perineal care such as wiping front to back is essential to prevent urinary tract infections after birth.