Nokea
What postpartum infection is caused by STIs and chorioamnionitis?
- A. mastitis
- B. pneumonia
- C. cesarean wound infection
- D. postpartum endometritis
Correct Answer: D
Rationale: The correct answer is D, postpartum endometritis. This infection is commonly caused by sexually transmitted infections (STIs) and chorioamnionitis. Endometritis is inflammation of the endometrium lining the uterus after childbirth. Mastitis (A) is a breast infection, pneumonia (B) is a lung infection, and cesarean wound infection (C) is an infection at the site of the cesarean incision. These options are incorrect as they do not specifically relate to the postpartum infection caused by STIs and chorioamnionitis.
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The nurse recognizes the postpartum person is in what stage of Rubin 's attachment model when the person is concerned with physical recovery and depends on the nurse or partner for help physically?
- A. Taking In
- B. Taking Hold
- C. Postpartum Maternal Change
- D. Attainment of Change
Correct Answer: A
Rationale: In the 'Taking In' stage the postpartum person is primarily concerned with their physical recovery and may need support from the nurse or partner.
What drug should be readily available when a woman is receiving heparin therapy?
- A. Vitamin K
- B. Methylergonovine
- C. Ferrous sulfate
- D. Protamine sulfate
Correct Answer: D
Rationale: Protamine sulfate is an antidote to heparin and should be readily available in case of excessive anticoagulation.
The nurse is caring for a Seventh Day Adventist woman who delivered a baby boy by cesarean section. Which of the following questions should be asked regarding this woman 's care?
- A. Would you like me to order a vegetarian clear liquid diet for you?
- B. Is there anything special you will need for your Sabbath on Sunday?
- C. Would you like to telephone your clergy to set up a date for the baptism?
- D. Will a rabbi be performing the circumcision on your baby?
Correct Answer: B
Rationale: Seventh Day Adventists observe the Sabbath on Saturday. The nurse should ask if special arrangements are needed for Sabbath observance.
The surgeon has removed the surgical cesarean section dressing from a post-op day 1 client. Which of the following actions by the nurse is appropriate?
- A. Irrigate the incision twice daily.
- B. Monitor the incision for drainage.
- C. Apply steristrips to the incision line.
- D. Palpate the incision and assess for pain.
Correct Answer: B
Rationale: Monitoring the incision for drainage is key post-surgery to assess for signs of infection or complications. Irrigating the incision is not a routine practice unless instructed by a physician.
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: The REEDA acronym (Redness Edema Ecchymosis Discharge and Approximation) is used to assess for infection in a wound.