Nokea
What information about pain medication should postpartum discharge instructions include?
- A. Narcotic medications can cause constipation.
- B. Stop taking iron after birth.
- C. Do not take NSAIDs while breast-feeding.
- D. Acetaminophen should be avoided.
Correct Answer: A
Rationale: Narcotic pain medications can lead to constipation so it is essential to manage this issue with appropriate interventions.
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The labor and delivery unit nurses are adopting methods to reduce the number of women who develop postpartum depression. Research from Dennis and Dowswell (2013) provides evidence-based suggestions regarding beneficial interventions. Which suggestions do the nurses consider? Select all that apply.
- A. Telephone-based peer support
- B. Partner report of symptoms
- C. Interpersonal psychotherapy
- D. Teaching for self-recognition of problems
Correct Answer: C
Rationale: The correct answer is C: Interpersonal psychotherapy. This is supported by research as an evidence-based intervention for reducing postpartum depression. It focuses on improving relationships and communication skills, which can help women cope with the challenges of motherhood.
A: Telephone-based peer support may be helpful, but it is not specifically mentioned in the research by Dennis and Dowswell (2013) as a beneficial intervention.
B: Partner report of symptoms can be useful in identifying postpartum depression, but it is not a recommended intervention according to the research.
D: Teaching for self-recognition of problems is important, but it is not as effective as interpersonal psychotherapy in reducing postpartum depression according to the research.
The lactation nurse takes a phone call from a mother who is breastfeeding her 2-month-old infant. The mother reports an area of redness and warmth on the breast and a painful burning sensation when breastfeeding. Which statement by the nurse is correct if mastitis is suspected?
- A. If your nipples are cracked, you will need to stop breastfeeding.
- B. Pump your milk and throw it away until the infection is gone.
- C. The baby gave you an infection and needs to be on antibiotics.
- D. Continuing to breastfeed will help clear up the condition.
Correct Answer: D
Rationale: Mastitis is generally self-limiting, and continued breastfeeding can help clear up the infection and condition. If antibiotic therapy is indicated, the infection generally resolves within 24 to 48 hours of antibiotic therapy.
The nurse is providing care for a patient who is 8 hours postpartum after a vaginal delivery. The patient reports severe perineal pain unaffected by pain medication. The nurse notices a 4 cm area of discoloration on the labia that is tender to the touch. Which action does the nurse take?
- A. Continue to apply ice to the area for 24 hours.
- B. Monitor vital signs and report any abnormal readings.
- C. Contact the primary care provider for further evaluation.
- D. Relieve pressure by placing patient in a side-lying position.
Correct Answer: C
Rationale: The correct answer is C: Contact the primary care provider for further evaluation. The patient's symptoms of severe perineal pain, discoloration on the labia, and tenderness indicate a potential complication such as hematoma or infection. Contacting the primary care provider is essential for prompt assessment and appropriate intervention to prevent further complications. Continuing to apply ice (A) may not address the underlying issue and could potentially worsen the condition. Monitoring vital signs (B) is important but may not provide direct insight into the specific problem. Relieving pressure by placing the patient in a side-lying position (D) is not the priority in this situation and may not address the underlying cause of the symptoms.
What is characteristic of an early (primary) PPH?
- A. occurs after 12 weeks postpartum
- B. is not an emergency
- C. often occurs due to uterine atony
- D. is diagnosed after the person is discharged
Correct Answer: C
Rationale: The correct answer is C because early (primary) postpartum hemorrhage (PPH) often occurs due to uterine atony, which is the inability of the uterus to contract effectively after childbirth. This leads to excessive bleeding within 24 hours of delivery. Choice A is incorrect because early PPH occurs within 24 hours postpartum, not after 12 weeks. Choice B is incorrect because early PPH is indeed an emergency due to the risk of rapid blood loss. Choice D is incorrect as early PPH is typically diagnosed before or shortly after discharge, not after.
Postpartum persons who lack attachment with their newborn exhibit what behavior?
- A. intense eye contact
- B. avoid holding the newborn
- C. cuddling
- D. exploring the newborn
Correct Answer: B
Rationale: Lack of attachment is often seen when the postpartum person is disinterested or avoids physical contact such as holding the newborn.