Complications of Postpartum

Complications of Postpartum Related

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What postpartum infection can be transferred between the breast-feeding person and newborn if both are not treated appropriately?

  • A. wound infection
  • B. urinary tract infection
  • C. thrush
  • D. mastitis
Correct Answer: C

Rationale: The correct answer is C: thrush. Thrush is a fungal infection caused by Candida that can be transmitted between the breast-feeding person and the newborn if not treated appropriately. The infection can pass back and forth during breastfeeding. Thrush manifests as white patches on the tongue and inside the mouth of the newborn and as nipple pain and redness in the breast-feeding person. Wound infection (A) typically refers to an infection at the site of a surgical incision and is not transmitted between the breast-feeding person and newborn. Urinary tract infection (B) is a bacterial infection of the urinary tract and is not typically transmitted through breastfeeding. Mastitis (D) is a bacterial infection of the breast tissue and is not directly transferred between the breast-feeding person and the newborn.

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The nurse continues to monitor a patient after a vaginal delivery with an estimated blood loss of 1,000 mL. Which assessment finding does the nurse recognize as requiring Stage 3 hemorrhage protocol?

  • A. Increased patient restlessness.
  • B. Manifestations of severe pain.
  • C. Development of abnormal vital signs.
  • D. Patient requests water for extreme thirst.
Correct Answer: C

Rationale: Vital signs will remain normal during Stages 1 and 2. The evidence of abnormal vital signs is one indicator of Stage 3 hemorrhage.

What is one difference between recovery from a cesarean birth versus a vaginal birth?

  • A. Breast-feeding is discouraged after cesarean birth due to pain medications taken.
  • B. Lochia will be heavier after a cesarean birth.
  • C. Pain with movement is more intense after a cesarean birth.
  • D. Gas pain is more intense after a vaginal birth.
Correct Answer: C

Rationale: The correct answer is C because pain with movement is typically more intense after a cesarean birth compared to a vaginal birth. This is due to the surgery involving abdominal muscles and tissues. Breastfeeding is not discouraged after a cesarean birth; in fact, it is encouraged. Lochia, postpartum bleeding, is not necessarily heavier after a cesarean birth. Gas pain is more commonly associated with cesarean births due to reduced mobility and effects of anesthesia. Therefore, choice C is the most fitting difference between the two types of birth recoveries.

Postpartum teaching related to urinary health should emphasize:

  • A. Drinking any type of fluid whenever thirsty.
  • B. Allowing the bladder to fill to promote emptying.
  • C. Cleansing the perineum in a front-to-back direction.
  • D. Eating two servings of acidic fruits or vegetables each day.
Correct Answer: C

Rationale: Proper perineal care such as wiping front to back is essential to prevent urinary tract infections after birth.

The nurse in the obstetric clinic received a telephone call from a bottle-feeding mother of a 3-day-old. The client states that her breasts are firm, red, and warm to the touch. Which of the following is the best action for the nurse to advise the client to perform?

  • A. Intermittently apply ice packs to her axillae and breasts.
  • B. Apply lanolin to her breasts and nipples every 3 hours.
  • C. Express milk from the breasts every 3 hours.
  • D. Ask the primary health care provider to order a milk suppressant.
Correct Answer: A

Rationale: Ice packs can help reduce inflammation and pain associated with engorgement in women who choose to bottle-feed.

An Asian client 's temperature 10 hours after delivery is 100.2°F, but when encouraged she refuses to drink her ice water. Which of the following nursing actions is most appropriate?

  • A. Replace the ice water with hot water.
  • B. Notify the client 's health care provider.
  • C. Reassess the temperature in one half hour.
  • D. Remind the client that drinking is very important.
Correct Answer: A

Rationale: Cultural preferences may influence responses to care. In some cultures, hot liquids are preferred, and providing hot water is culturally appropriate.

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