Complications of Postpartum

Complications of Postpartum Related

Review Complications of Postpartum related questions and content

The nurse is taking the postpartum patient’s vital signs. The newborn is across the room in the bassinet, and the postpartum person refuses to hold the newborn. What should the nurse do?

  • A. Call CPS for risk of child abuse
  • B. Ask the person if they are feeling depressed, hopeless, afraid, or overwhelmed.
  • C. Ask the health-care provider to order an antidepressant.
  • D. Discuss how good parents hold and talk to their newborns.
Correct Answer: B

Rationale: The correct answer is B. The nurse should ask the postpartum person if they are feeling depressed, hopeless, afraid, or overwhelmed. This is important because it can help assess the person's mental and emotional state, which could be contributing to their refusal to hold the newborn. It also shows empathy and support for the person's feelings.

Choice A is incorrect because calling Child Protective Services (CPS) would be premature and could escalate the situation unnecessarily. Choice C is incorrect as starting an antidepressant should only be considered after a thorough evaluation by a healthcare provider. Choice D is incorrect because it does not address the underlying issue of the person's emotional state and may come off as judgmental.

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What do ineffective parenting practices put the newborn at risk for?

  • A. sleeplessness
  • B. reflux
  • C. lack of attachment
  • D. NICU admission
Correct Answer: C

Rationale: Ineffective parenting practices can lead to a lack of emotional bonding and attachment which can impact the child's development.

A woman who is 18 hours postpartum says she is having 'hot flashes ' and 'sweats all the time. ' The appropriate nursing response is to:

  • A. Report her signs and symptoms of hypovolemic shock.
  • B. Tell her that her body is getting rid of unneeded fluid.
  • C. Notify her nurse-midwife that she may have an infection.
  • D. Limit her intake of caffeine-containing fluids.
Correct Answer: B

Rationale: Hot flashes and sweating are common during the postpartum period as the body gets rid of excess fluids. It is not an indicator of hypovolemic shock or infection.

What nursing intervention does the nurse include in the plan of care for a person with postpartum endometritis?

  • A. Monitor for signs of sepsis.
  • B. Discourage breast-feeding.
  • C. Avoid fundal assessment.
  • D. Increase family visiting hours.
Correct Answer: A

Rationale: The correct answer is A: Monitor for signs of sepsis. Postpartum endometritis is a bacterial infection of the uterine lining that can lead to sepsis if not treated promptly. Monitoring for signs of sepsis is crucial for early detection and intervention to prevent serious complications. Option B is incorrect because breastfeeding is encouraged to promote bonding and provide nutrition. Option C is incorrect as fundal assessment is necessary to monitor uterine involution. Option D is incorrect as increasing family visiting hours is not directly related to managing postpartum endometritis.

The nurse is preparing a postpartum patient for discharge. For which reasons does the nurse instruct the patient to call the primary care provider? Select all that apply.

  • A. Foul-smelling lochia
  • B. Hot, red, painful breasts
  • C. Mild headache
  • D. Not sleeping well
Correct Answer: A

Rationale: The correct answer is A: Foul-smelling lochia. This indicates a possible infection in the uterus, which requires medical attention to prevent complications. Hot, red, painful breasts (B) may indicate mastitis, which also requires medical intervention. Mild headache (C) and not sleeping well (D) are common postpartum issues but do not typically require immediate medical attention. In summary, choices B, C, and D are incorrect because they are common postpartum symptoms that do not necessarily warrant contacting the primary care provider, unlike foul-smelling lochia (A), which could indicate a serious issue.

The nurse monitors his or her postpartum clients carefully because which of the following physiological changes occurs during the early postpartum period?

  • A. Decreased urinary output.
  • B. Increased blood pressure.
  • C. Decreased blood volume.
  • D. Increased estrogen level.
Correct Answer: C

Rationale: During the early postpartum period, the body loses blood volume, and the circulatory system adjusts to the new state, which can result in changes in vital signs.

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