Nokea
What is a risk factor for PPD?
- A. vaginal birth
- B. family support
- C. traumatic birth
- D. breast-feeding
Correct Answer: C
Rationale: The correct answer is C: traumatic birth. Traumatic birth can lead to postpartum depression (PPD) due to the physical and emotional stress experienced during labor and delivery. This can trigger feelings of anxiety, helplessness, and trauma that contribute to the development of PPD. Vaginal birth (choice A) and breast-feeding (choice D) are not inherently risk factors for PPD. Family support (choice B) is typically considered a protective factor against PPD, providing emotional and practical assistance for new mothers.
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The nurse educates the person with a newborn in the NICU. What guidance does the nurse provide?
- A. Breast milk is not good for a premature baby.
- B. Premature babies breast-feed easily.
- C. Skin-to-skin contact helps both baby and breast-feeding person.
- D. A bottle is recommended for all feedings.
Correct Answer: C
Rationale: The correct answer is C because skin-to-skin contact promotes bonding, regulates the baby's temperature, and encourages breastfeeding. This guidance is crucial for newborns in the NICU to establish a strong connection with their caregiver and support breastfeeding. Choice A is incorrect as breast milk is highly beneficial for premature babies. Choice B is incorrect because premature babies may struggle with breastfeeding due to their developmental stage. Choice D is incorrect as bottles are not recommended for all feedings, especially for premature infants who may have difficulty latching and feeding effectively.
The nurse in a labor and delivery department carefully assesses postpartum patients for signs of complications related to hemorrhage. Which factor makes it most difficult to identify the risk of hemorrhage through vital sign evaluation?
- A. Blood pressure may be elevated from prenatal conditions.
- B. Respirations are increased due to activity of labor.
- C. Changes in blood pressure may not be an immediate sign.
- D. Heart rate may increase with intensity of labor.
Correct Answer: C
Rationale: The correct answer is C because changes in blood pressure may not be an immediate sign of hemorrhage. Hemorrhage can occur rapidly and cause a drop in blood pressure, but it may not be the first sign observed. Vital signs such as blood pressure can fluctuate for various reasons, making it challenging to solely rely on them to identify hemorrhage risk. Elevated blood pressure from prenatal conditions (A) and increased respirations due to labor activity (B) are more likely to be expected and can be explained by those specific factors. Heart rate increasing with the intensity of labor (D) is a common physiological response and may not necessarily indicate hemorrhage.
What is a risk factor for PPD?
- A. vaginal birth
- B. family support
- C. traumatic birth
- D. breast-feeding
Correct Answer: C
Rationale: PPD is more common after traumatic births and with lack of support.
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.
Which medications are used to manage PPH? (Select all that apply.)
- A. Oxytocin
- B. Methergine
- C. Terbutaline
- D. Hemabate
Correct Answer: A
Rationale: The correct answer is A: Oxytocin. Oxytocin is the first-line medication for managing postpartum hemorrhage (PPH) as it helps in the contraction of the uterus to control bleeding. Methergine (B) is used for uterine atony but is not the first-line choice. Terbutaline (C) is a tocolytic agent and not indicated for PPH. Hemabate (D) is used as a second-line medication for PPH after oxytocin.