Nokea
What does the nurse recognize as the cause of this woman's symptoms?
- A. Bipolar disorder
- B. Major depression
- C. Postpartum blues
- D. Postpartum depression
Correct Answer: B
Rationale: Major depression is characterized by deep feelings of worthlessness, guilt, serious sleep and appetite disturbances, and sometimes delusions about the infant being dead.
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What does the nurse recognize as the possible cause of these signs and symptoms?
- A. Dehydration
- B. Hypovolemic shock
- C. Endometritis
- D. Cystitis
Correct Answer: C
Rationale: Fever after 24 hours following delivery is suggestive of an infection. Severe cramping and fever are manifestations of endometritis.
The nurse instructs the postpartum patient that her nutritional intake should include which food(s) particularly supportive to healing?
- A. Legumes
- B. Potatoes and pasta
- C. Citrus fruits
- D. Rice
- E. Cantaloupe
Correct Answer: A,C,E
Rationale: Legumes and foods containing vitamin C, such as citrus fruits and cantaloupe, are conducive to healing. Starches like potatoes and pasta are not.
What does the nurse suspect from these symptoms?
- A. Phlebitis
- B. Puerperal infection
- C. Late postpartum hemorrhage
- D. Mastitis
Correct Answer: A
Rationale: The complaints related to the leg, such as redness and pain, are indicative of phlebitis. The other signs are normal in the postpartum patient.
When weaning a newborn from breastfeeding, what should the mother do?
- A. Eliminate one feeding at a time.
- B. Eliminate the favorite feeding last.
- C. Expect the need for comfort feeding.
- D. Substitute formula for younger infants.
- E. Pump breasts in place of eliminated feeding.
Correct Answer: B,C,D
Rationale: When weaning a newborn from breastfeeding, the mother should eliminate the favorite feeding last, one feeding at a time, and expect the need for comfort feeding. In younger infants, formula will need to be substituted. Pumping in place of eliminated feeding would continue milk production.
What is the first sign of hypovolemic shock from postpartum hemorrhage?
- A. Cold, clammy skin
- B. Tachycardia
- C. Hypotension
- D. Decreased urinary output
Correct Answer: B
Rationale: Tachycardia is usually the first sign of inadequate blood volume.