Nokea
Which of the following is a potential complication of postpartum depression?
- A. Poor bonding with the newborn
- B. Insufficient milk production
- C. Increased risk of postpartum hemorrhage
- D. All of the above
Correct Answer: A
Rationale: The correct answer is A: Poor bonding with the newborn. Postpartum depression can hinder the mother's ability to emotionally connect with her baby, leading to poor bonding. This can impact the baby's development and the mother's ability to provide adequate care. Choice B is incorrect as milk production is more related to physical factors rather than mental health. Choice C is incorrect as postpartum hemorrhage is a separate medical issue. Choice D is incorrect as it includes all options, which is not accurate in this case.
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A nurse is assessing a client who is 6 hr postpartum and has endometritis. Which of the following findings should the nurse expect?
- A. Temperature 37.4°C (99.3°F)
- B. WBC count 9,000/mm3
- C. Uterine tenderness
- D. Scant lochia
Correct Answer: C
Rationale: The correct answer is C: Uterine tenderness. Endometritis is an infection of the uterine lining, causing inflammation and tenderness. This finding is expected in a client with endometritis. A: A slightly elevated temperature may be present, but it is not specific to endometritis. B: A normal WBC count does not rule out endometritis. D: Scant lochia is not a characteristic finding in endometritis. Other answer choices are not provided, but uterine tenderness is the most relevant symptom in this scenario.
A nurse on an antepartum unit is caring for four clients. Which of the following clients should the nurse identify as the priority?
- A. A client who has gestational diabetes and a fasting blood glucose level of 120 mg/dL (less than 95 mg/dL).
- B. A client who is at 34 weeks of gestation and reports epigastric pain.
- C. A client who is at 28 weeks of gestation and has an Hgb of 10.4 g/dL (11 to 16 g/dL).
- D. A client who is at 39 weeks of gestation and reports urinary frequency and dysuria.
Correct Answer: B
Rationale: Epigastric pain in a pregnant client can be a sign of preeclampsia or HELLP syndrome, both of which are serious conditions that require immediate medical attention.
Which of the following is a potential complication of a postpartum hemorrhage?
- A. Hypertension
- B. Anemia
- C. Thrombocytopenia
- D. All of the above
Correct Answer: B
Rationale: The correct answer is B: Anemia. Postpartum hemorrhage can lead to excessive blood loss, causing a drop in red blood cell count and hemoglobin levels, resulting in anemia. Hypertension is not a typical complication of postpartum hemorrhage, as it is more commonly associated with conditions like preeclampsia. Thrombocytopenia, a low platelet count, may occur in severe cases of postpartum hemorrhage but is not a common complication compared to anemia. Choice D, "All of the above," is incorrect as only anemia is a direct potential complication of postpartum hemorrhage.
A nurse is admitting a client to the labor and delivery unit when the client states, 'My water just broke.' Which of the following interventions is the nurse's priority?
- A. Perform Nitrazine testing.
- B. Assess the fluid.
- C. Check cervical dilation.
- D. Begin FHR monitoring.
Correct Answer: D
Rationale: The priority intervention is to begin FHR (fetal heart rate) monitoring to ensure the fetus is not in distress after the rupture of membranes. This is critical for fetal well-being.
Which of the following is a potential complication of hypothermia in a newborn?
- A. Hypoglycemia
- B. Respiratory distress syndrome
- C. Hypertension
- D. All of the above
Correct Answer: B
Rationale: The correct answer is B: Respiratory distress syndrome. Hypothermia in a newborn can lead to respiratory distress syndrome due to decreased surfactant production. This impairs lung function and oxygen exchange, causing breathing difficulties. Hypoglycemia (choice A) can also occur due to decreased metabolic rate, not directly related to hypothermia. Hypertension (choice C) is not typically associated with hypothermia in newborns. Choice D is incorrect as hypothermia does not directly cause all these complications.