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What nursing intervention does the nurse include in the plan of care for a person with a wound infection?
- A. Reassure the postpartum person that infection will resolve without antibiotics.
- B. Assess for REEDA.
- C. Call health-care provider when temperature is 99.0° F.
- D. Scrub the incision vigorously with soap and water.
Correct Answer: B
Rationale: REEDA (Redness, Edema, Ecchymosis, Discharge, and Approximation) is an important assessment for wound infections.
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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: Ineffective latch causes sore nipples in breastfeeding mothers.
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 the family and partner helps reduce feelings of isolation and provides practical assistance for the postpartum person.
The nurse develops a plan to increase a patient’s milk supply. What is an intervention they can implement?
- A. Pump between nursing sessions.
- B. Nurse every 6 hours.
- C. Keep newborn in bassinet between sessions.
- D. Offer a pacifier when newborn cries.
Correct Answer: A
Rationale: The correct answer is A: Pump between nursing sessions. This intervention helps stimulate milk production by emptying the breasts more frequently. Pumping increases demand for milk, signaling the body to produce more. Nursing every 6 hours (B) reduces milk supply due to less frequent stimulation. Keeping newborn in bassinet (C) limits nursing opportunities. Offering a pacifier (D) may decrease milk supply by reducing nursing frequency. Therefore, option A is the most effective intervention to increase milk supply.
The nurse is collecting information during a follow-up OB appointment with a patient who delivered 3 months ago. The patient reports her partner has become cynical, irritable, and verbally abusive. The nurse will screen for which risks related to paternal postnatal depression (PPND)? Select all that apply.
- A. The father exhibited depression during the pregnancy
- B. The birth of this fourth child was unexpected and unplanned
- C. The father expresses feeling bored and underappreciated in his job
- D. The father is recently estranged from his parents and siblings
Correct Answer: B
Rationale: The correct answer is B. The birth of a fourth child being unexpected and unplanned can be a risk factor for paternal postnatal depression (PPND) due to increased stress and pressure. Choice A is incorrect because past depression during pregnancy doesn't directly correlate with PPND. Choice C is incorrect as feeling bored and underappreciated at work is not a direct risk factor for PPND. Choice D is incorrect as being recently estranged from family members doesn't directly relate to PPND.
Which of the following nursing interventions would be appropriate for the nurse to perform to achieve the client care goal: The client will not develop postpartum thrombophlebitis?
- A. Encourage early ambulation.
- B. Promote oral fluid intake.
- C. Massage the legs of the client twice daily.
- D. Provide the client with high-fiber foods.
Correct Answer: A
Rationale: Early ambulation promotes circulation and reduces the risk of thrombophlebitis after delivery.