Nokea
Which condition is considered a medical emergency that requires immediate treatment?
- A. Inversion of the uterus
- B. Hypotonic uterus
- C. ITP
- D. Uterine atony
Correct Answer: A
Rationale: The correct answer is A: Inversion of the uterus. This condition is a medical emergency as it involves the uterus turning inside out, which can lead to severe hemorrhage and shock. Immediate treatment is crucial to prevent further complications.
B: Hypotonic uterus, while concerning, does not pose an immediate life-threatening risk compared to uterine inversion.
C: ITP (Immune Thrombocytopenic Purpura) is a disorder affecting platelet levels, but it is not a medical emergency that requires immediate treatment like uterine inversion.
D: Uterine atony is a common postpartum complication, but it does not pose the same urgent threat as uterine inversion.
You may also like to solve these questions
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: B
Rationale: The dressing should be removed after the first 24 hours and incision care should focus on preventing infection and ensuring proper healing.
The nurse should warn a client who is about to receive Methergine (ergonovine) of which of the following side effects?
- A. Headache.
- B. Nausea.
- C. Cramping.
- D. Fatigue.
Correct Answer: A
Rationale: Methergine is used to prevent postpartum hemorrhage, but it can cause side effects such as headache, nausea, and cramping. The nurse should inform the client about these possible side effects to promote informed decision-making.
A breastfeeding patient who is 5 weeks postpartum calls the clinic and reports that she is achy all over, has a temperature of 100.2°F, and has pain and tenderness in her right breast. What is the nurse’s best response?
- A. You need to come to the clinic to be evaluated, as your symptoms indicate a possible breast infection.
- B. You are having normal signs of engorgement with breastfeeding. More frequent breastfeeding will relieve your symptoms.
- C. Please stop breastfeeding until you can come to see the clinic provider, as you may have a breast infection.
- D. You may be experiencing sleep deprivation, which can make you feel achy and sore. Try to sleep when the newborn sleeps.
Correct Answer: A
Rationale: The correct answer is A because the patient's symptoms of achiness, fever, and pain in the breast are indicative of mastitis, a common breast infection in breastfeeding women. Prompt evaluation and treatment are necessary to prevent complications.
Choice B is incorrect as engorgement typically occurs in the first few days postpartum, not at 5 weeks.
Choice C is incorrect because stopping breastfeeding can worsen the infection and affect milk production.
Choice D is incorrect as the symptoms described are more likely due to an infection rather than just sleep deprivation.
The lactation nurse takes a phone call from a mother who is breastfeeding her 2-month-old infant. The mother reports an area of redness and warmth on the breast and a painful burning sensation when breastfeeding. Which statement by the nurse is correct if mastitis is suspected?
- A. If your nipples are cracked, you will need to stop breastfeeding.
- B. Pump your milk and throw it away until the infection is gone.
- C. The baby gave you an infection and needs to be on antibiotics.
- D. Continuing to breastfeed will help clear up the condition.
Correct Answer: D
Rationale: The correct answer is D: Continuing to breastfeed will help clear up the condition.
Rationale:
1. Continuing to breastfeed helps to empty the breast and prevent milk stasis, which can worsen mastitis.
2. Breastfeeding helps maintain milk production and prevents engorgement, which can exacerbate the infection.
3. Breast milk has antibacterial properties that can help fight the infection.
4. Stopping breastfeeding abruptly can lead to more serious complications like abscess formation.
Summary:
A: Incorrect. Stopping breastfeeding abruptly can lead to complications and does not address the underlying infection.
B: Incorrect. Pumping and throwing away milk does not address the underlying infection and can lead to decreased milk supply.
C: Incorrect. Mastitis is not caused by the baby, and antibiotics are not always necessary if managed promptly with breastfeeding and self-care.
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.