Nokea
What is the best response to a postpartum woman who tells the nurse she feels 'tired and sick all of the time since I had the baby 3 months ago'?
- A. This is a normal response for the body after pregnancy. Try to get more rest.'
- B. I'll bet you will snap out of this funk real soon.'
- C. Why don't you arrange for a babysitter so you and your husband can have a night out?'
- D. Let's talk about this further. I am concerned about how you are feeling.'
Correct Answer: D
Rationale: If a postpartum woman seems depressed, it is important to explore her feelings to determine if they are persistent and pervasive.
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What will the nurse anticipate might be ordered by the physician?
- A. Ritodrine
- B. Magnesium sulfate
- C. Oxytocin
- D. Bromocriptine
Correct Answer: C
Rationale: Oxytocin (Pitocin) is the most common drug ordered to control uterine atony.
What is the most likely cause?
- A. Pulmonary embolism
- B. Hypertension
- C. Allergy
- D. Blood clotting disorder
Correct Answer: C
Rationale: Anaphylactic shock is caused by allergic responses to drugs administered.
The nurse assesses the perineal pad placed on a 3-hour postdelivery patient and finds that there is no lochia on it.What would the nurse expect to find on further assessment?
- A. A firm fundus the size of a grapefruit
- B. A full bladder
- C. Retained placental fragments
- D. Vital signs indicative of shock
- E. A soft, boggy fundus
Correct Answer: B,E
Rationale: Large clots that form in a flaccid uterus can obstruct the flow of lochia. A full bladder is a major cause of a uterus that is boggy.
What is the nurse's most helpful response?
- A. Stop breastfeeding until the infection clears.'
- B. Pump the breasts to continue milk production, but do not give breast milk to the infant.'
- C. Begin all feedings with the affected breast until the mastitis is resolved.'
- D. Breastfeeding can continue unless there is abscess formation.'
Correct Answer: D
Rationale: The woman with mastitis can continue to breastfeed unless an abscess forms.
The nurse instructs the postpartum patient that her nutritional intake should include which food(s) particularly supportive to healing?
- A. Legumes
- B. Potatoes and pasta
- C. Citrus fruits
- D. Rice
- E. Cantaloupe
Correct Answer: A,C,E
Rationale: Legumes and foods containing vitamin C, such as citrus fruits and cantaloupe, are conducive to healing. Starches like potatoes and pasta are not.