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The nurse should expect to observe which behavior in a 3-week-multigravid postpartum client with postpartum depression?
- A. Feelings of infanticide.
- B. Difficulty with breastfeeding latch.
- C. Feelings of failure as a mother.
- D. Concerns about sibling jealousy.
Correct Answer: C
Rationale: Postpartum depression often manifests as feelings of inadequacy.
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A woman has just had a low forceps delivery. For which of the following should the nurse assess the woman during the immediate postpartum period?
- A. Infection.
- B. Bloody urine.
- C. Heavy lochia.
- D. Rectal abrasions.
Correct Answer: C
Rationale: Heavy lochia indicates potential hemorrhage.
Before taking the newborn's vital signs, the nurse should warm his or her hands and the stethoscope to prevent heat loss resulting from which of the following?
- A. Evaporation.
- B. Conduction.
- C. Radiation.
- D. Convection.
Correct Answer: B
Rationale: Cold surfaces cause conductive heat loss.
The person with a cesarean birth has additional nursing concerns beyond those of a person with a vaginal birth. What concern should the nurse anticipate for the cesarean birth?
- A. increased risk for DVT
- B. faster recovery
- C. less use of pain medication
- D. less risk for infection
Correct Answer: A
Rationale: The correct answer is A: increased risk for DVT. Cesarean birth increases the risk of Deep Vein Thrombosis (DVT) due to reduced mobility and potential blood clot formation. This is a critical concern as DVT can lead to serious complications like pulmonary embolism. Choices B and C are incorrect as cesarean birth typically results in longer recovery time and increased need for pain medication compared to vaginal birth. Choice D is incorrect as cesarean birth poses a higher risk of infection due to the surgical incision.
The pediatrician has ordered vitamin K 0.5 mg IM for a newborn. The medication is available as 2 mg/mL. How many milliliters (mL) should the nurse administer to the baby? Calculate to the nearest hundredth.
- A. 0.25 mL
- B. 0.50 mL
- C. 1.00 mL
- D. 2.00 mL
Correct Answer: A
Rationale: Calculation: 0.5 mg ÷ 2 mg/mL = 0.25 mL.
A breastfeeding woman has been diagnosed with retained placental fragments 4 days postdelivery. Which of the following breastfeeding complications would the nurse expect to see?
- A. Engorgement.
- B. Mastitis.
- C. Blocked milk duct.
- D. Low milk supply.
Correct Answer: B
Rationale: Retained fragments increase infection risk.