Complications of Postpartum

Complications of Postpartum Related

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What intervention by the nurse can help with PPD?

  • A. encouraging the partner to let the postpartum person learn to take care of themself
  • B. encouraging the family to have support available for the person and partner
  • C. telling the person not to breast-feed if taking antidepressants
  • D. keeping the newborn in the nursery most of the day and night
Correct Answer: B

Rationale: The correct answer is B because encouraging the family to have support available for the person and partner is essential in managing postpartum depression (PPD). Support from loved ones can provide emotional, practical, and social assistance, which are crucial in helping the individual cope with PPD. It promotes a sense of belonging, reduces feelings of isolation, and helps in sharing the responsibilities of caring for the newborn.

A: Encouraging the partner to let the postpartum person learn to take care of themself is not the best intervention as it may increase feelings of inadequacy and overwhelm in the individual experiencing PPD.

C: Telling the person not to breast-feed if taking antidepressants is incorrect as breastfeeding can still be possible under the guidance of healthcare professionals while taking antidepressants.

D: Keeping the newborn in the nursery most of the day and night is not recommended as it can disrupt bonding and caregiving opportunities between the parent and child, which are important for both parties' emotional well-being

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What is a risk factor for uterine atony?

  • A. small for gestational age
  • B. primipara
  • C. multiple gestation
  • D. intrauterine growth restriction
Correct Answer: C

Rationale: Risk factors for uterine atony include multiple gestation and large infants.

The nurse is assessing a patient who is 36 hours postpartum following a cesarean delivery. Which findings cause the nurse to conclude that a wound infection is developing? Select all that apply.

  • A. Temperature increase from 99.8°F to 100.5°F
  • B. Incisional tenderness with palpation
  • C. Increased margins of incisional redness
  • D. Notably warm skin around the incision
Correct Answer: C

Rationale: The correct answer is C because increased margins of incisional redness are indicative of a wound infection, showing an inflammatory response. This can be a sign of localized infection spreading. The other choices are incorrect as follows: A: A slight temperature increase alone is not specific to wound infection and can be attributed to other factors. B: Incisional tenderness can be expected post-surgery and does not necessarily indicate infection. D: Notably warm skin around the incision can also occur due to normal healing processes and inflammation. Therefore, only choice C directly indicates a developing wound infection.

Nurses need to understand the basic definitions and incidence data regarding PPH. Which statement regarding this condition is most accurate?

  • A. PPH is easy to recognize early; after all, the woman is bleeding.
  • B. Traditionally, it takes more than 1000 ml of blood after vaginal birth and 2500 ml after cesarean birth to define the condition as PPH.
  • C. If anything, nurses and physicians tend to overestimate the amount of blood loss.
  • D. Traditionally, PPH has been classified as early PPH or late PPH with respect to birth.
Correct Answer: B

Rationale: The most accurate statement regarding the basic definitions and incidence data of postpartum hemorrhage (PPH) is statement B. Traditionally, PPH is defined as losing more than 1000 ml of blood after vaginal birth and more than 2500 ml after cesarean birth. This definition helps healthcare providers recognize and diagnose PPH based on the amount of blood loss, which is crucial for prompt intervention and management.

A physician has ordered an iron supplement for a postpartum woman. The nurse strongly suggests that the woman take the medicine with which of the following drinks?

  • A. Skim milk.
  • B. Ginger ale.
  • C. Orange juice.
  • D. Chamomile tea.
Correct Answer: C

Rationale: Iron absorption is enhanced by vitamin C, and orange juice is rich in vitamin C, making it an appropriate drink to take with the supplement.

What symptom can partners of persons with PPD experience?

  • A. depression
  • B. psychosis
  • C. bipolar disorder
  • D. mania
Correct Answer: B

Rationale: Depression is a common symptom in partners of individuals with PPD.

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