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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.
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What nursing intervention does the nurse include in the plan of care for a person with postpartum endometritis?
- A. Monitor for signs of sepsis.
- B. Discourage breast-feeding.
- C. Avoid fundal assessment.
- D. Increase family visiting hours.
Correct Answer: A
Rationale: Monitoring for signs of sepsis is important in postpartum endometritis as it can lead to severe complications if untreated.
The nurse educates the person recovering from a cesarean birth on how to care for the incision. What education is discussed?
- A. Scrub the incision well twice daily.
- B. Remove the dressing the day after birth.
- C. Staples will be removed the day after birth.
- D. Vertical incisions heal faster with less pain.
Correct Answer: B
Rationale: The dressing should be removed after the first 24 hours and incision care should focus on preventing infection and ensuring proper healing.
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 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: Skin-to-skin contact is important for both mother and premature infant.
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: Multiple gestation increases the risk of uterine atony due to over-distention of the uterus.