Complication Postpartum

Complication Postpartum Related

Review Complication Postpartum related questions and content

What nursing diagnosis would be appropriate for the person with a coagulation disorder?

  • A. risk for bleeding
  • B. risk for fluid overload
  • C. risk for breast-feeding failure
  • D. risk for hypertension
Correct Answer: B

Rationale: The correct answer is B: risk for fluid overload. A person with a coagulation disorder is at risk for excessive bleeding, which may lead to fluid overload due to blood loss and subsequent fluid replacement. This nursing diagnosis addresses the potential complications related to fluid imbalance in this population.

Incorrect choices:
A: risk for bleeding - While bleeding is a concern for someone with a coagulation disorder, this choice does not address the potential fluid overload that may result from excessive bleeding.
C: risk for breast-feeding failure - This choice is not relevant to the immediate health concerns of a person with a coagulation disorder.
D: risk for hypertension - Hypertension is not directly related to a coagulation disorder, therefore this choice is not appropriate as a nursing diagnosis in this context.

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The nurse informs a postpartum woman that which of the following is the reason ibuprofen (Advil) is especially effective for afterbirth pains?

  • A. Ibuprofen is taken every two hours.
  • B. Ibuprofen has an antiprostaglandin effect.
  • C. Ibuprofen is given via the parenteral route.
  • D. Ibuprofen can be administered in high doses.
Correct Answer: B

Rationale: Ibuprofen works by inhibiting prostaglandin production, which helps to reduce afterbirth pains.

What is a symptom of engorgement?

  • A. protuberant nipples
  • B. shiny, hard breast
  • C. insufficient milk production
  • D. soft, lumpy breast
Correct Answer: B

Rationale: The correct answer is B: shiny, hard breast. Engorgement is characterized by a significant increase in blood and lymph fluid in the breast tissue, causing the breasts to become swollen, shiny, and hard. This occurs when milk production exceeds removal, leading to congestion and inflammation. Protuberant nipples (A) may be a result of engorgement but are not a defining symptom. Insufficient milk production (C) is not a symptom of engorgement but rather a separate issue related to milk supply. Soft, lumpy breast (D) is more indicative of a blocked duct or mastitis, not engorgement.

What is the most common reason for late postpartum hemorrhage (PPH)?

  • A. Subinvolution of the uterus
  • B. Defective vascularity of the decidua
  • C. Cervical lacerations
  • D. Coagulation disorders
Correct Answer: A

Rationale: The correct answer is A: Subinvolution of the uterus. This is the most common cause of late postpartum hemorrhage (PPH) due to incomplete contraction and retraction of the uterus leading to persistent bleeding. Subinvolution can result from retained placental fragments, uterine infections, or inadequate involution. Choice B, defective vascularity of the decidua, is less common and not typically associated with late PPH. Cervical lacerations (Choice C) usually cause immediate bleeding after delivery, not late PPH. Coagulation disorders (Choice D) can cause both early and late PPH but are less common than subinvolution.

The nurse assesses the fundus and finds it to be boggy, elevated >2 fingerbreadths above the umbilicus, and deviated to one side. What is the common cause of this finding?

  • A. uterine rupture
  • B. full bladder
  • C. perineal laceration
  • D. hematoma
Correct Answer: B

Rationale: A full bladder can displace the uterus and prevent it from contracting properly leading to a boggy fundus.

A 3-day-postpartum client questions why she is to receive the rubella vaccine before leaving the hospital. Which of the following rationales should guide the nurse 's response?

  • A. The client 's obstetric status is optimal for receiving the vaccine.
  • B. The client 's immune system is highly responsive during the postpartum period.
  • C. The client 's baby will be high risk for acquiring rubella if the woman does not receive the vaccine.
  • D. The client 's insurance company will pay for the shot if it is given during the immediate postpartum period.
Correct Answer: B

Rationale: The postpartum period offers a good opportunity for immunization because the immune system is more responsive. Administering the vaccine before discharge ensures the woman is protected in the future.

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