Postpartum Hormonal Changes

Postpartum Hormonal Changes Related

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What is the nursing intervention for unilateral edema in a lower extremity and a hot, red area on the leg?

  • A. Contact the health-care provider.
  • B. Explain this is a normal finding.
  • C. Massage calf.
  • D. Offer pain medication.
Correct Answer: A

Rationale: The correct answer is A: Contact the health-care provider. Unilateral edema along with a hot, red area on the leg can indicate a potential serious condition such as deep vein thrombosis (DVT). It is crucial to involve the healthcare provider immediately for further evaluation and treatment. Contacting the healthcare provider ensures timely diagnosis and appropriate management.

Summary:
B: Explaining this as a normal finding is incorrect as it could be a sign of a serious condition.
C: Massaging the calf can potentially dislodge a clot in case of DVT, leading to severe complications.
D: Offering pain medication without proper evaluation can mask the symptoms and delay necessary medical intervention.

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A client who received a spinal for her cesarean delivery is complaining of pruritus and has a macular rash on her face and arms. Which of the following medications ordered by the anesthesiologist should the nurse administer at this time?

  • A. Reglan (metoclopramide).
  • B. Zofran (ondansetron).
  • C. Compazine (prochlorperazine).
  • D. Benadryl (diphenhydramine).
Correct Answer: D

Rationale: Benadryl treats allergic reactions.

Intermittent positive pressure boots have been ordered for a client who had an emergency cesarean section. Which of the following is the rationale for that order?

  • A. Postpartum clients are at high risk for thrombus formation.
  • B. Post-cesarean clients are at high risk for fluid volume deficit.
  • C. Postpartum clients are at high risk for varicose vein development.
  • D. Post-cesarean clients are at high risk for poor milk ejection reflex.
Correct Answer: A

Rationale: Boots reduce thrombosis risk.

A breastfeeding woman has been diagnosed with retained placental fragments 4 days postdelivery. Which of the following breastfeeding complications would the nurse expect to see?

  • A. Engorgement.
  • B. Mastitis.
  • C. Blocked milk duct.
  • D. Low milk supply.
Correct Answer: B

Rationale: Retained fragments increase infection risk.

The nurse includes the addition of ice sitz baths for the postpartum patient. Which assessment finding indicates the treatment has been effective?

  • A. No swelling or edema to the perineal area
  • B. Patient complains that the sitz bath is too col
  • C. Patient reports she took two sitz baths in 12 hours.
  • D. Edges of the perineal laceration are well approximate
Correct Answer: A

Rationale: The correct answer is A because the absence of swelling or edema to the perineal area indicates that the ice sitz baths have been effective in reducing inflammation and promoting healing. Swelling and edema are common postpartum, and the use of ice sitz baths can help reduce these symptoms.

Choice B is incorrect because the patient complaining that the sitz bath is too cold does not provide information on the effectiveness of the treatment, only the patient's comfort level.

Choice C is incorrect because the frequency of sitz baths does not necessarily indicate effectiveness. It is more important to assess the outcomes of the treatment rather than the number of baths taken.

Choice D is incorrect because the approximation of perineal laceration edges may be influenced by other factors such as suturing technique, rather than the effectiveness of the ice sitz baths.

The nurse recognizes the postpartum person is in what stage of Rubin’s attachment model when the person is concerned with physical recovery and depends on the nurse or partner for help physically?

  • A. Taking In
  • B. Taking Hold
  • C. Postpartum Maternal Change
  • D. Attainment of Change
Correct Answer: A

Rationale: The correct answer is A: Taking In. In Rubin's attachment model, this stage occurs immediately after childbirth when the person focuses on their own physical recovery and relies on others for assistance. This stage is characterized by passivity and dependence. The other choices are incorrect because: B) Taking Hold is the stage where the person starts to take on more responsibility for themselves and the baby; C) Postpartum Maternal Change is not a recognized stage in Rubin's model; D) Attainment of Change is not a stage in Rubin's model either.

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