Complication Postpartum

Complication Postpartum Related

Review Complication Postpartum related questions and content

The nurse is providing care for a patient who is 8 hours postpartum after a vaginal delivery. The patient reports severe perineal pain unaffected by pain medication. The nurse notices a 4 cm area of discoloration on the labia that is tender to the touch. Which action does the nurse take?

  • A. Continue to apply ice to the area for 24 hours.
  • B. Monitor vital signs and report any abnormal readings.
  • C. Contact the primary care provider for further evaluation.
  • D. Relieve pressure by placing patient in a side-lying position.
Correct Answer: C

Rationale: The correct answer is C: Contact the primary care provider for further evaluation. The patient's symptoms of severe perineal pain, discoloration on the labia, and tenderness indicate a potential complication such as hematoma or infection. Contacting the primary care provider is essential for prompt assessment and appropriate intervention to prevent further complications. Continuing to apply ice (A) may not address the underlying issue and could potentially worsen the condition. Monitoring vital signs (B) is important but may not provide direct insight into the specific problem. Relieving pressure by placing the patient in a side-lying position (D) is not the priority in this situation and may not address the underlying cause of the symptoms.

You may also like to solve these questions

What postpartum infection is caused by STIs and chorioamnionitis?

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

Rationale: Postpartum endometritis is a common infection caused by STIs and chorioamnionitis.

A woman who is 3 hours postpartum has had difficulty in urinating. She finally urinates 100 mL. The initial nursing action is to:

  • A. Insert an indwelling catheter.
  • B. Have her drink additional fluids.
  • C. Assess the height of her fundus.
  • D. Chart the urination amount.
Correct Answer: C

Rationale: Before taking further action, the nurse should assess the height of the fundus to determine if a full bladder may be contributing to urinary retention.

The nurse is discussing the importance of doing Kegel exercises during the postpartum period. Which of the following should be included in the teaching plan?

  • A. She should repeatedly contract and relax her rectal and thigh muscles.
  • B. She should practice by stopping the urine flow midstream every time she voids.
  • C. She should get on her hands and knees whenever performing the exercises.
  • D. She should be taught that toned pubococcygeal muscles decrease blood loss.
Correct Answer: B

Rationale: Kegel exercises involve contracting the pelvic floor muscles, and one way to identify these muscles is by stopping the urine flow midstream.

The nurse is caring for a woman who is 6 hours postpartum after a vaginal delivery. She has a history of labial varicose veins and is reporting perineal pain of 8 on a 10-point scale. What interventions should the nurse include in the plan of care?

  • A. Provide the patient with an inflatable donut ring to sit on and administer her oral pain medication.
  • B. Explain that this is normal after a vaginal delivery and assist her to a side-lying position.
  • C. Assess the perineum for a hematoma or inflamed varicosities, and administer oral pain medication.
  • D. Administer oral stool softeners and encourage fluids.
Correct Answer: C

Rationale: Assessing the perineum for hematoma or varicosities is critical for perineal pain, and oral pain medication should be administered.

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.

Copyright © 2025 Nokea. All rights reserved.