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What nursing intervention does the nurse include in the plan of care for a person with a perineal laceration infection?
- A. Demonstrate the use of a urinary catheter.
- B. Provide an abdominal binder.
- C. Encourage use of the peri-bottle for cleaning front to back.
- D. Discourage use of pain medications.
Correct Answer: C
Rationale: Using a peri-bottle to clean the perineum helps avoid further irritation and promotes healing while preventing infection.
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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: Depression is a common symptom in partners of individuals with PPD.
Research has shown that with lesbian parents, the non-birthing person can feel role resentment, exclusion from health-care services, and feelings of neglect. How can the nurse include the non-birthing partner?
- A. Ask the person to leave the room during the newborn assessment.
- B. Educate the person to leave the feeding up to the birthing person.
- C. Demonstrate newborn care to both parents.
- D. Ask the person 's family how they feel about their relationship
Correct Answer: C
Rationale: Involving both parents in newborn care helps promote bonding and ensures that the non-birthing partner feels included in the process.
The nurse is preparing a postpartum patient for discharge. For which reasons does the nurse instruct the patient to call the primary care provider? Select all that apply.
- A. Foul-smelling lochia
- B. Hot, red, painful breasts
- C. Mild headache
- D. Not sleeping well
Correct Answer: A
Rationale: The correct answer is A: Foul-smelling lochia. This indicates a possible infection in the uterus, which requires medical attention to prevent complications. Hot, red, painful breasts (B) may indicate mastitis, which also requires medical intervention. Mild headache (C) and not sleeping well (D) are common postpartum issues but do not typically require immediate medical attention. In summary, choices B, C, and D are incorrect because they are common postpartum symptoms that do not necessarily warrant contacting the primary care provider, unlike foul-smelling lochia (A), which could indicate a serious issue.
Why does the nurse encourage ambulation in a patient who has experienced a cesarean birth?
- A. Ambulation helps to prevent DVT.
- B. Ambulation causes the person to lose weight in the hospital.
- C. Ambulation helps with breast-feeding.
- D. Ambulation decreases peristalsis.
Correct Answer: B
Rationale: Ambulation helps prevent DVT and promotes circulation post-cesarean.
A breastfeeding woman develops mastitis. She tells the nurse that she will feed her baby formula instead of breastfeeding until the infection is healed. The best nursing response is that:
- A. Emptying the breast is important to prevent an abscess.
- B. A tight breast binder or bra will help reduce engorgement.
- C. She should continue to drink extra fluids while weaning.
- D. Breastfeeding can continue when her temperature is normal.
Correct Answer: A
Rationale: Breastfeeding or regular pumping helps to keep the breast emptied reducing the risk of abscess formation.