Nokea
What will the nurse plan to teach the woman to report to help prevent postpartum complications?
- A. Fever
- B. Change in lochia from red to white
- C. Contractions
- D. Fatigue and irritability
Correct Answer: A
Rationale: Increased temperature is a sign of infection. The other choices are normal in the postpartum period.
You may also like to solve these questions
The nurse weighs a saturated perineal pad and finds it to weigh 15 grams. The nurse is aware that this indicates a blood loss of __ mL.
Correct Answer: 15
Rationale: The weight of 1 g in a perineal pad is equal to 1 mL of blood loss.
What complication should the nurse be alert for in the immediate postpartum period?
- A. Cervical laceration
- B. Hematoma
- C. Endometritis
- D. Retained placental fragments
Correct Answer: B
Rationale: Delivering a large infant and a prolonged labor are risk factors for hematoma formation.
When weaning a newborn from breastfeeding, what should the mother do?
- A. Eliminate one feeding at a time.
- B. Eliminate the favorite feeding last.
- C. Expect the need for comfort feeding.
- D. Substitute formula for younger infants.
- E. Pump breasts in place of eliminated feeding.
Correct Answer: B,C,D
Rationale: When weaning a newborn from breastfeeding, the mother should eliminate the favorite feeding last, one feeding at a time, and expect the need for comfort feeding. In younger infants, formula will need to be substituted. Pumping in place of eliminated feeding would continue milk production.
What does the nurse recognize these signs indicate?
- A. Uterine atony
- B. Uterine dystocia
- C. Uterine hypoplasia
- D. Uterine dysfunction
Correct Answer: A
Rationale: Atony describes a lack of normal muscle tone. If the uterus is atonic, then muscle fibers are flaccid and will not compress bleeding vessels.
Based on this finding, what does the nurse explain the probable treatment will involve?
- A. Anticoagulants for 6 weeks
- B. Application of ice to the affected leg
- C. Gentle massage of the affected leg
- D. Passive leg exercises twice a day
Correct Answer: A
Rationale: Anticoagulant therapy is continued with heparin or warfarin (Coumadin) for 6 weeks after birth to minimize the risk of embolism.