Nokea
What symptom can partners of persons with PPD experience?
- A. depression
- B. psychosis
- C. bipolar disorder
- D. mania
Correct Answer: B
Rationale: The correct answer is B: psychosis. Partners of individuals with Paranoid Personality Disorder (PPD) may experience shared psychosis due to the intense distrust and suspicion exhibited by the person with PPD. This can lead partners to develop similar delusions or false beliefs. Depression (A), bipolar disorder (C), and mania (D) are not directly associated with PPD and are less likely to be experienced solely as a result of being in a relationship with someone with PPD.
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A primipara, 2 hours postpartum, requests that the nurse diaper her baby after a feeding because 'I am so tired right now. I just want to have something to eat and take a nap. ' Based on this information, the nurse concludes that the woman is exhibiting signs of which of the following?
- A. Social deprivation.
- B. Child neglect.
- C. Normal postpartum behavior.
- D. Postpartum depression.
Correct Answer: C
Rationale: Requesting rest after feeding is typical postpartum behavior and does not indicate neglect or depression.
The day after delivery, a woman, whose fundus is firm at 1 cm below the umbilicus and who has moderate lochia, tells the nurse that something must be wrong: 'All I do is go to the bathroom. ' Which of the following is an appropriate nursing response?
- A. Catheterize the client per doctor 's orders.
- B. Measure the client 's next voiding.
- C. Inform the client that polyuria is normal.
- D. Check the specific gravity of the next voiding.
Correct Answer: C
Rationale: Polyuria, or frequent urination, is a normal phenomenon during the postpartum period as the body expels excess fluid.
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.
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.
If nonsurgical treatment for late PPH is ineffective, which surgical procedure would be appropriate to correct the cause of this condition?
- A. Hysterectomy
- B. Laparoscopy
- C. Laparotomy
- D. Dilation and curettage (D&
Correct Answer: A
Rationale: Hysterectomy is a surgical procedure that involves the removal of the uterus. In cases where nonsurgical treatment for late postpartum hemorrhage (PPH) is ineffective, and the cause of the condition is related to the uterus (such as retained placental tissue, uterine atony, or placenta accreta), a hysterectomy may be necessary to stop the bleeding and correct the underlying issue. Hysterectomy is considered a definitive treatment for PPH when other interventions have failed to control the bleeding.