Postpartum Hormonal Changes

Postpartum Hormonal Changes Related

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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.

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The nurse is evaluating the effectiveness of an intervention when assisting a woman whose baby has been latched to the nipple only rather than to the nipple and the areola. Which response would indicate that further intervention is needed?

  • A. The client states that the pain has decreased.
  • B. The nurse hears the baby swallow after each suck.
  • C. The baby's jaws move up and down once every second.
  • D. The baby's cheeks move in and out with each suck.
Correct Answer: C

Rationale: Rapid jaw movements without swallowing suggest ineffective feeding.

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.

A nurse is advising a mother of a neonate being discharged from the hospital regarding car seat safety. Which of the following should be included in the teaching plan? Select all that apply.

  • A. Place the baby's car seat in the front passenger seat.
  • B. Position the car seat rear facing until the baby reaches two years of age.
  • C. Attach the car seat to the car at 2 latch points at the base of the car seat.
  • D. Check that the installed car seat moves no more than 1 inch side to side or front to back.
Correct Answer: B

Rationale: Rear-facing positioning and secure installation are critical for safety.

A client is receiving IV heparin for deep vein thrombosis. Which of the following medications should the nurse obtain from the pharmacy to have on hand in case of heparin overdose?

  • A. Vitamin K.
  • B. Protamine.
  • C. Vitamin E.
  • D. Mannitol.
Correct Answer: B

Rationale: Protamine reverses heparin effects.

The nurse notes the following vital signs of a postoperative cesarean client during the immediate postpartum period: 100.0°F, P 68, R 12, BP 130/80. Which of the following is a correct interpretation of the findings?

  • A. Temperature is elevated, a sign of infection.
  • B. Pulse is too low, a sign of vagal pathology.
  • C. Respirations are too low, a sign of medication toxicity.
  • D. Blood pressure is elevated, a sign of preeclampsia.
Correct Answer: C

Rationale: Low respirations may indicate opioid toxicity.

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