Nokea
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: Early PPH is typically caused by uterine atony.
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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: A
Rationale: The correct answer is A: Scrub the incision well twice daily. This is the correct answer because it emphasizes proper hygiene to prevent infection without causing harm to the incision site. Cleaning the incision twice daily helps to keep it clean and reduce the risk of infection.
B: Removing the dressing the day after birth is incorrect as it may disrupt the healing process and increase the risk of infection.
C: Staples being removed the day after birth is incorrect because staple removal timing varies depending on individual healing progress and is typically done by a healthcare provider.
D: Vertical incisions healing faster with less pain is incorrect as healing time and pain tolerance vary among individuals and are not solely determined by the incision type.
The nurse is assessing the midline episiotomy on a postpartum client. Which of the following findings should the nurse expect to see?
- A. Moderate serosanguinous drainage.
- B. Well-approximated edges.
- C. Ecchymotic area distal to the episiotomy.
- D. An area of redness adjacent to the incision.
Correct Answer: B
Rationale: A well-approximated episiotomy will have edges that are aligned and close together, indicating proper healing.
What is the most common reason for cracked, sore nipples?
- A. hungry infant
- B. pumping
- C. ineffective latch
- D. lack of supportive bra
Correct Answer: C
Rationale: An ineffective latch during breastfeeding can cause nipple trauma leading to cracked and sore nipples.
The nurse is caring for a postpartum woman and her 2-hour-old baby. The new mother has been preoccupied with breastfeeding and visitors, but suddenly she complains of dizziness and is light-headed. Which response by the nurse is appropriate?
- A. Explain that she needs to drink more fluids and eat because she needs to replace fluids and calories.
- B. Encourage the patient to rest, and ask a family member to watch the newborn in the crib.
- C. Tell the patient that the dizziness is probably caused by her pain medication and that it is normal.
- D. Obtain vital signs, assess fundal tone, and observe for excessive lochia.
Correct Answer: D
Rationale: The correct response is D because the new mother's complaint of dizziness and light-headedness could indicate postpartum hemorrhage, a common complication. Obtaining vital signs will help assess for signs of shock. Assessing fundal tone can determine if the uterus is contracting properly to prevent excessive bleeding. Observing for excessive lochia is important to monitor for increased bleeding. Choice A is incorrect because the symptoms are not solely due to dehydration or lack of calories. Choice B is incorrect as the nurse should assess the mother first before delegating care to family members. Choice C is incorrect as dizziness is not a common side effect of pain medication in the postpartum period.
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.