Nokea
What is the term for the separation found in the midline of the abdomen after birth?
- A. uterine subinvolution
- B. umbilical hernia
- C. striae
- D. diastasis recti abdominus
Correct Answer: D
Rationale: Diastasis recti abdominus refers to the separation of the rectus muscles along the midline of the abdomen after birth.
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What symptom can partners of persons with PPD experience?
- A. depression
- B. psychosis
- C. bipolar disorder
- D. mania
Correct Answer: B
Rationale: The correct answer is B: psychosis. Partners of individuals with Paranoid Personality Disorder (PPD) may experience shared psychosis due to the intense distrust and suspicion exhibited by the person with PPD. This can lead partners to develop similar delusions or false beliefs. Depression (A), bipolar disorder (C), and mania (D) are not directly associated with PPD and are less likely to be experienced solely as a result of being in a relationship with someone with PPD.
A woman who is 18 hours postpartum says she is having 'hot flashes ' and 'sweats all the time. ' The appropriate nursing response is to:
- A. Report her signs and symptoms of hypovolemic shock.
- B. Tell her that her body is getting rid of unneeded fluid.
- C. Notify her nurse-midwife that she may have an infection.
- D. Limit her intake of caffeine-containing fluids.
Correct Answer: B
Rationale: Hot flashes and sweating are common during the postpartum period as the body gets rid of excess fluids. It is not an indicator of hypovolemic shock or infection.
A patient, G2 P1102, who delivered her baby 8 hours ago, now has a temperature of 100.2°F. Which of the following is the appropriate nursing intervention at this time?
- A. Notify the doctor to get an order for acetaminophen.
- B. Request an infectious disease consult from the doctor.
- C. Provide the woman with cool compresses.
- D. Encourage intake of water and other fluids.
Correct Answer: D
Rationale: A slight increase in temperature is common in the first 24 hours after delivery due to hormonal changes and dehydration. Encouraging fluid intake is an appropriate intervention.
A patient who has been on prolonged bedrest for bleeding associated with placenta previa was taken to the operating room for an emergency cesarean delivery. Sixteen hours postoperatively, the patient complains that her left leg is hurting. The nurse finds that the entire left leg is swollen and has pitting edema, while the right leg appears to be normal. Which order does the nurse anticipate when paging the health care provider to the room?
- A. White blood cell count (WBC)
- B. Ultrasound of the leg
- C. X-ray of the leg
- D. Serum creatinine
Correct Answer: B
Rationale: The correct answer is B: Ultrasound of the leg. In this scenario, the patient is at risk for deep vein thrombosis (DVT) due to prolonged bedrest and recent surgery. The symptoms of leg pain, swelling, and pitting edema raise suspicion for DVT. An ultrasound of the leg is the most appropriate diagnostic test to confirm the presence of a blood clot. This test is non-invasive, highly sensitive, and specific for detecting DVT. It allows for prompt diagnosis and initiation of appropriate treatment such as anticoagulation therapy to prevent potential complications like pulmonary embolism.
Summary:
- A: White blood cell count (WBC) is not indicated for evaluating leg pain and swelling in this context.
- C: X-ray of the leg is not useful for diagnosing DVT, as it primarily shows bones and is not sensitive for detecting blood clots.
- D: Serum creatinine is a test for kidney function and is not relevant for assessing
The nurse is closely monitoring a patient who is postpartum and at risk for PPH. Which assessment finding will cause the nurse to contact the primary care provider immediately?
- A. The uterus is displaced.
- B. The uterine fundus is boggy.
- C. Small clots are expressed with massage.
- D. Peripad weighs 100 g within 15 minutes.
Correct Answer: D
Rationale: The correct answer is D. A peripad weighing 100 g within 15 minutes indicates excessive postpartum bleeding, requiring immediate intervention to prevent hypovolemic shock. A displaced uterus (choice A) and small clots with massage (choice C) are expected findings after delivery and can be managed with appropriate interventions. A boggy uterine fundus (choice B) may indicate uterine atony but does not necessarily require immediate notification unless accompanied by excessive bleeding.