Complications of Postpartum

Complications of Postpartum Related

Review Complications of Postpartum related questions and content

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: The correct answer is C: ineffective latch. An ineffective latch during breastfeeding can lead to cracked, sore nipples due to improper positioning and poor attachment of the baby to the breast. This can cause friction and irritation on the nipples, leading to pain and discomfort. It is crucial for the baby to have a deep latch to ensure proper milk transfer and to prevent nipple damage.

Summary:
A: A hungry infant may lead to more frequent feedings but not necessarily cause cracked, sore nipples.
B: Pumping alone does not directly cause cracked, sore nipples; it is more related to how the baby latches during breastfeeding.
D: While a lack of supportive bra may contribute to discomfort, it is not the primary reason for cracked, sore nipples.

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The nurse evaluates a postpartum couplet for parent-infant attachment. What finding would be concerning?

  • A. The postpartum person is sleepy.
  • B. Parents are both caring for the infant.
  • C. The parent is disinterested in the infant.
  • D. The family is involved.
Correct Answer: C

Rationale: A lack of interest or emotional engagement with the infant is a concerning sign that may indicate attachment issues.

What assessment finding would indicate a fluid volume deficit?

  • A. skin tenting with testing of skin turgor
  • B. hypertension
  • C. bradycardia
  • D. bounding pulse
Correct Answer: A

Rationale: The correct answer is A because skin tenting with testing of skin turgor is a classic sign of fluid volume deficit. When there is a lack of fluid in the body, the skin loses its elasticity, causing it to tent or stay elevated when pinched. This indicates dehydration.

Choice B, hypertension, is incorrect because fluid volume deficit typically leads to hypotension, not hypertension. Choice C, bradycardia, is also incorrect as fluid volume deficit usually causes tachycardia to compensate for decreased blood volume. Choice D, bounding pulse, is incorrect as it is associated with fluid overload, not deficit.

Which is the initial treatment for the client with vWD who experiences a PPH?

  • A. Cryoprecipitate
  • B. Factor VIII and von Willebrand factor (vWf)
  • C. Desmopressin
  • D. Hemabate
Correct Answer: C

Rationale: The correct initial treatment for vWD client with PPH is desmopressin (Choice C) because it stimulates the release of von Willebrand factor and factor VIII from storage sites, helping to improve clotting. Cryoprecipitate (Choice A) contains multiple clotting factors and is usually reserved for severe bleeding. Factor VIII and vWf (Choice B) can be used for severe cases but are not typically the initial treatment. Hemabate (Choice D) is a medication used for postpartum hemorrhage due to uterine atony, not specifically for vWD-related bleeding.

The nurse is assessing a patient who is 12 hours postpartum. The uterus is firm to palpation, at midline, and is 1 cm below the umbilicus with continuous heavy vaginal bleeding. What is the nurse’s first action?

  • A. Massage the uterus and resume the IV Pitocin drip.
  • B. Change the peri-pad and reassess the bleeding.
  • C. Call the provider to check for a cervical laceration.
  • D. Administer the ordered iron supplement and ibuprofen.
Correct Answer: A

Rationale: The correct answer is A: Massage the uterus and resume the IV Pitocin drip. The patient is showing signs of uterine atony with heavy vaginal bleeding. Massaging the uterus helps stimulate contractions, controlling bleeding. Resuming IV Pitocin enhances uterine contractions further. Choices B, C, and D are incorrect. Changing the peri-pad does not address the underlying cause of bleeding. Checking for a cervical laceration may be needed later but is not the immediate priority. Administering iron supplement and ibuprofen does not address the acute issue of uterine atony and bleeding.

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: Support from family can be an effective intervention for those with PPD.

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