Nokea
The nurse reports to the charge nurse that the 3-hour postpartum patient is bleeding excessively as she has saturated one peripad in less than ___ minutes.
Correct Answer: 15
Rationale: The saturation of one peripad within 15 minutes is considered to be excessive bleeding.
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What is a prominent feature of postpartum depression?
- A. Failure to thrive
- B. Rejection of the infant
- C. Inability to care for the baby
- D. Problems with the baby's father
Correct Answer: B
Rationale: A prominent feature of PPD is rejection of the infant.
The nurse explains that severe ___ needs to be controlled because it can develop into another syndrome called HELLP (Hypertension Elevated Liver enzymes and Low Platelets).
Correct Answer: preeclampsia
Rationale: Progressive preeclampsia can develop into HELLP syndrome.
A patient with a history of rheumatic heart disease is being admitted to the labor and delivery unit. To prevent further stress on the heart what should the nurse anticipate to be ordered?
- A. Oxygen administration
- B. Administering large amount of IV fluids
- C. Positioning the patient on her back
- D. Encouraging activity between contractions
Correct Answer: A
Rationale: Oxygen is administered to increase blood oxygen saturation and decrease the stress on the heart. IV fluid administration is kept to a minimum to prevent fluid overload. The patient would be positioned in a semi-Fowler's position to improve circulation. The patient should be encouraged to rest between contractions to conserve energy.
A patient with hyperemesis gravidarum asks the nurse what would have happened if she had not come to the hospital. What result is the best response by the nurse?
- A. A large for gestational age infant
- B. Anorexia nervosa
- C. Preterm delivery
- D. Maternal or fetal death
Correct Answer: D
Rationale: If untreated, hyperemesis gravidarum can result in maternal or fetal death.
The nurse assures a patient who has become sensitized to the Rh antigen that she can be protected for future pregnancies by receiving what injection?
- A. Iron
- B. Vitamin B12
- C. RhoGAM
- D. Type O blood
Correct Answer: C
Rationale: RhoGAM prevents the development of naturally occurring maternal antibodies.