Nokea
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.
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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.
Based on this finding, what does the nurse explain the probable treatment will involve?
- A. Anticoagulants for 6 weeks
- B. Application of ice to the affected leg
- C. Gentle massage of the affected leg
- D. Passive leg exercises twice a day
Correct Answer: A
Rationale: Anticoagulant therapy is continued with heparin or warfarin (Coumadin) for 6 weeks after birth to minimize the risk of embolism.
What will the nurse teach a nursing mother to do to reduce the risk of mastitis?
- A. Limit fluid intake to 1 liter per day.
- B. Empty both breasts with each feeding.
- C. Take warm showers.
- D. Wear a supportive bra.
- E. Pump breasts to ensure emptying.
Correct Answer: B,C,D,E
Rationale: Nursing mothers should take in about 3 liters of fluid a day. Emptying both breasts, taking warm showers, wearing a supportive bra, and pumping breasts reduce the risk of mastitis.
What does the nurse suspect from these symptoms?
- A. Phlebitis
- B. Puerperal infection
- C. Late postpartum hemorrhage
- D. Mastitis
Correct Answer: A
Rationale: The complaints related to the leg, such as redness and pain, are indicative of phlebitis. The other signs are normal in the postpartum patient.
Which statement indicates to the nurse that the patient understands the signs of late postpartum hemorrhage?
- A. My discharge would change to red after it has been pink or white.'
- B. If I have a postpartum hemorrhage, I will have severe abdominal pain.'
- C. I should be alert for an increase in bright red blood.'
- D. I would pass a large clot that was retained from the placenta.'
Correct Answer: A
Rationale: A return to red bleeding after lochia has changed to pink or white may indicate a late postpartum hemorrhage.