Postpartum Hormonal Changes

Postpartum Hormonal Changes Related

Review Postpartum Hormonal Changes related questions and content

When assessing the A of the acronym REEDA, the nurse should evaluate the

  • A. skin color.
  • B. degree of edem
  • C. edges of the episiotomy.
  • D. episiotomy for discharg
Correct Answer: C

Rationale: The correct answer is C. When assessing the A of REEDA (Redness, Edema, Ecchymosis, Discharge, and Approximation) in wound assessment, nurses should evaluate the edges of the episiotomy. This is important to ensure proper healing and closure of the incision site. Evaluating skin color (A) is important for overall wound assessment but not specifically for the edges of the episiotomy. Edema (B) refers to swelling, which is important to monitor but not specific to the edges of the episiotomy. Checking the episiotomy for discharge (D) is relevant for the "D" component of REEDA but not for the "A" component, which specifically focuses on the edges of the incision.

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A nurse is teaching a mother how to care for her 3-day-old son's circumcised penis. Which of the following actions demonstrates that the mother has learned the information?

  • A. The mother cleanses the glans with a cotton swab dipped in hydrogen peroxide.
  • B. The mother covers the glans with antifungal ointment after rinsing off any discharge.
  • C. The mother squeezes soapy water from the wash cloth over the glans.
  • D. The mother replaces the dry sterile dressing before putting on the diaper.
Correct Answer: D

Rationale: Proper care involves keeping the area clean and dry, with a sterile dressing if necessary.

The nursery charge nurse is assessing a 1-day-old female on morning rounds. Which of the following findings should be reported to the neonatologist as soon as possible? Select all that apply.

  • A. Blood in the diaper.
  • B. Grunting during expiration.
  • C. Deep red coloring on one side of the body with pale pink on the other side.
  • D. Lacy and mottled appearance over the entire chest and abdomen.
Correct Answer: B

Rationale: Grunting indicates respiratory distress, and harlequin coloring suggests vascular compromise.

A woman who wishes to breastfeed advises the nurse that she has had breast augmentation surgery. Which of the following responses by the nurse is appropriate?

  • A. Breast implants often contaminate the milk with toxins.
  • B. The glandular tissue of women who need implants is often deficient.
  • C. Babies often have difficulty latching to the nipples of women with breast implants.
  • D. Women who have implants are often able exclusively to breastfeed.
Correct Answer: D

Rationale: Implants do not preclude breastfeeding.

A nurse notes that a 6-hour-old neonate has cyanotic hands and feet. Which of the following actions by the nurse is appropriate?

  • A. Place child in an isolette.
  • B. Administer oxygen.
  • C. Swaddle baby in a blanket.
  • D. Apply pulse oximeter.
Correct Answer: C

Rationale: Cyanosis in extremities is normal in the first few hours due to peripheral vasoconstriction; swaddling provides warmth without unnecessary intervention.

A postoperative cesarean client, who was diagnosed with severe preeclampsia in labor and delivery, is transferred to the postpartum unit. The nurse is reviewing the client's doctor's orders. Which of the following medications that were ordered by the doctor should the nurse question?

  • A. Methergine (methylergonovine).
  • B. Magnesium sulfate.
  • C. Advil (ibuprofen).
  • D. Morphine sulfate.
Correct Answer: B

Rationale: Magnesium sulfate is contraindicated post-delivery.

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