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: Postpartum endometritis is a common infection caused by STIs and chorioamnionitis.
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What would a steady trickle of bright red blood from the vagina in the presence of a firm fundus suggest to the nurse?
- A. Uterine atony
- B. Lacerations of the genital tract
- C. Perineal hematoma
- D. Infection of the uterus
Correct Answer: A
Rationale: The correct answer is A: Uterine atony. A steady trickle of bright red blood with a firm fundus suggests uterine atony, which is the inability of the uterus to contract effectively after childbirth. This can lead to postpartum hemorrhage. Other choices are incorrect as they do not align with the clinical presentation. B: Lacerations of the genital tract would present with more active bleeding and not a steady trickle. C: Perineal hematoma involves bleeding in the perineal area, not from the vagina. D: Infection of the uterus would typically present with other symptoms like fever and foul-smelling discharge.
The nurse educates the person with a newborn in the NICU. What guidance does the nurse provide?
- A. Breast milk is not good for a premature baby.
- B. Premature babies breast-feed easily.
- C. Skin-to-skin contact helps both baby and breast-feeding person.
- D. A bottle is recommended for all feedings.
Correct Answer: C
Rationale: Skin-to-skin contact enhances bonding promotes successful breastfeeding and stabilizes the baby's physiological status.
A client, 2 days postpartum from a spontaneous vaginal delivery, asks the nurse about postpartum exercises. Which of the following responses by the nurse is appropriate?
- A. You must wait to begin to perform exercises until after your six-week postpartum checkup.
- B. You may begin Kegel exercises today, but do not do any other exercises until the doctor tells you that it is safe.
- C. By next week you will be able to return to the exercise schedule you had during your prepregnancy.
- D. You can do some Kegel exercises today and then slowly increase your toning exercises over the next few weeks.
Correct Answer: D
Rationale: Kegel exercises can be started early postpartum to help strengthen pelvic floor muscles. Other exercises can be gradually increased after approval from the healthcare provider.
What nursing intervention does the nurse include in the plan of care for a person with mastitis?
- A. Provide antipyretic.
- B. Stop antibiotics when redness is resolved.
- C. Encourage the person to stop breast-feeding.
- D. Start an IV and prepare for signs of sepsis.
Correct Answer: A
Rationale: Antipyretics help manage the symptoms of mastitis.
The nurse educates the person recovering from a cesarean birth on how to care for the incision. What education is discussed?
- A. Scrub the incision well twice daily.
- B. Remove the dressing the day after birth.
- C. Staples will be removed the day after birth.
- D. Vertical incisions heal faster with less pain.
Correct Answer: A
Rationale: The correct answer is A: Scrub the incision well twice daily. This is the correct answer because it emphasizes proper hygiene to prevent infection without causing harm to the incision site. Cleaning the incision twice daily helps to keep it clean and reduce the risk of infection.
B: Removing the dressing the day after birth is incorrect as it may disrupt the healing process and increase the risk of infection.
C: Staples being removed the day after birth is incorrect because staple removal timing varies depending on individual healing progress and is typically done by a healthcare provider.
D: Vertical incisions healing faster with less pain is incorrect as healing time and pain tolerance vary among individuals and are not solely determined by the incision type.