Nokea
The nurse reviews postpartum discharge instructions regarding sexual health. What information is important to review?
- A. Place nothing in the vagina for 4 -6 weeks.
- B. Pregnancy cannot occur until 3 months after birth.
- C. Sexual intercourse can resume after discharge from the facility.
- D. Postpartum persons do not have a need for sexual intimacy.
Correct Answer: A
Rationale: It is important to wait 4 -6 weeks before placing anything in the vagina to allow for physical recovery and reduce infection risk.
You may also like to solve these questions
A patient, G2 P1102, who delivered her baby 8 hours ago, now has a temperature of 100.2°F. Which of the following is the appropriate nursing intervention at this time?
- A. Notify the doctor to get an order for acetaminophen.
- B. Request an infectious disease consult from the doctor.
- C. Provide the woman with cool compresses.
- D. Encourage intake of water and other fluids.
Correct Answer: D
Rationale: A slight increase in temperature is common in the first 24 hours after delivery due to hormonal changes and dehydration. Encouraging fluid intake is an appropriate intervention.
The nurse educates the postpartum person on bowel discomfort. What instructions would they give?
- A. Limit water intake.
- B. Use laxatives daily.
- C. Ambulate often.
- D. Avoid stool softeners.
Correct Answer: C
Rationale: Ambulating helps improve bowel motility and prevent constipation which can lead to bowel discomfort after childbirth.
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.
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: Foul-smelling lochia is a sign of infection. Hot, red, painful breasts are a sign of infection. Frequent, painful urination is a sign of infection.
Which of the following is the priority nursing action during the immediate postpartum period?
- A. Palpate fundus.
- B. Check pain level.
- C. Perform pericare.
- D. Assess breasts.
Correct Answer: A
Rationale: Palpating the fundus is the priority to assess for uterine involution and prevent postpartum hemorrhage.