Nokea
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: Cesarean births involve surgical incisions which increase the risk of deep vein thrombosis (DVT) due to reduced mobility and other factors.
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The nurse is aware of concern about the increasing numbers of severe maternal morbidity (SMM). It is believed to be related to changes in the overall health of the population of women giving birth. Which reasons does the nurse identify as causes of SMM? Select all that apply.
- A. Increases in maternal age
- B. Prepregnancy obesity
- C. Cesarean deliveries
- D. Inability to pay for health care
Correct Answer: B
Rationale: Documented increases in maternal age is a likely cause for SMM; older women have increased risk. Obesity is a general health risk in the United States; prepregnancy obesity causes increased incidences of SMM. Cesarean deliveries are increasing, and surgical procedures always carry a risk for complications. Preexisting chronic medical conditions are a contributor to the increasing rates of SMM.
A nurse is counseling a woman about postpartum blues. Which of the following should be included in the discussion?
- A. The father may become sad and weepy.
- B. Postpartum blues last about a week or two.
- C. Medications are available to relieve the symptoms.
- D. Very few women experience postpartum blues.
Correct Answer: B
Rationale: Postpartum blues are common and typically last 1-2 weeks. Medications are usually not needed unless symptoms persist or worsen.
A 3-day-postpartum client questions why she is to receive the rubella vaccine before leaving the hospital. Which of the following rationales should guide the nurse 's response?
- A. The client 's obstetric status is optimal for receiving the vaccine.
- B. The client 's immune system is highly responsive during the postpartum period.
- C. The client 's baby will be high risk for acquiring rubella if the woman does not receive the vaccine.
- D. The client 's insurance company will pay for the shot if it is given during the immediate postpartum period.
Correct Answer: B
Rationale: The postpartum period offers a good opportunity for immunization because the immune system is more responsive. Administering the vaccine before discharge ensures the woman is protected in the future.
What drug should be readily available when a woman is receiving heparin therapy?
- A. Vitamin K
- B. Methylergonovine
- C. Ferrous sulfate
- D. Protamine sulfate
Correct Answer: D
Rationale: Protamine sulfate is an antidote to heparin and should be readily available in case of excessive anticoagulation.
To help the postpartum woman avoid constipation, the nurse should teach her to:
- A. Avoid intake of foods such as milk, cheese, or yogurt.
- B. Take a laxative for the first 3 postpartum days.
- C. Drink at least 1600 mL of noncaffeinated fluids daily.
- D. Limit her walking until the episiotomy is fully healed.
Correct Answer: C
Rationale: Drinking at least 1600 mL of noncaffeinated fluids daily helps to prevent constipation by promoting hydration, which is essential in the postpartum period.