Complication Postpartum

Complication Postpartum Related

Review Complication Postpartum related questions and content

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: Inversion of the uterus is considered a medical emergency that requires immediate treatment. It occurs when the uterus turns inside out and protrudes through the cervix, which can lead to severe hemorrhage and shock. Prompt intervention is crucial to restore the uterus to its normal position, control bleeding, and prevent further complications such as infection or tissue necrosis. Failure to address uterine inversion promptly can result in life-threatening consequences for the mother. In contrast, hypotonic uterus, ITP (Idiopathic Thrombocytopenic Purpura), and uterine atony, while serious conditions, do not typically constitute immediate emergencies that necessitate urgent intervention on the same time-critical scale as uterine inversion.

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Hemabate has been ordered for a postpartum patient who has uncontrolled bleeding and uterine atony. Which is the appropriate nursing action?

  • A. Check the patient’s vital signs first for hypotension, and lower the head of the bed.
  • B. Check the patient’s blood glucose and increase the IV fluid rate.
  • C. Check the patient’s record for a history of asthma, and ask the licensed provider for an order of an antidiarrheal medication.
  • D. Check the patient’s record for a history of hypothyroid, and ask the licensed provider to order something for nausea.
Correct Answer: C

Rationale: Hemabate can cause bronchospasm in patients with asthma, so checking the patient’s medical history is important before administering.

A woman has an 8-lb, 9-oz baby after an 18-hour labor that required a vacuum extraction. Her membranes have been ruptured for 15 hours. Based on these facts, client teaching should emphasize:

  • A. Reporting foul-smelling lochia and fever.
  • B. Delaying intercourse for at least 6 weeks.
  • C. Eating a diet that is high in iron and vitamin C.
  • D. Losing weight over at least a 6-month period.
Correct Answer: A

Rationale: Prolonged rupture of membranes increases the risk of infectionand the woman should report any signs of infection such as foul-smelling lochia or fever.

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.

The nurse and provider estimate the blood loss at delivery to be 400 mL in the measuring drape; now when doing the initial perineal care, the nurse finds a large amount of blood underneath the patient. What action reflects safe and accurate nursing care?

  • A. Estimate the amount of blood loss from the sheet and client clothing, and notify the physician.
  • B. Encourage the mother to report any additional bleeding or clots.
  • C. Draw the ordered hematocrit and notify the provider if the result is less than 28.
  • D. Weigh the blood-soaked linens and notify the provider of the additional blood loss.
Correct Answer: D

Rationale: Weighing the blood-soaked linens is a safe and accurate method to estimate blood loss.

What is a risk factor for PPD?

  • A. vaginal birth
  • B. family support
  • C. traumatic birth
  • D. breast-feeding
Correct Answer: C

Rationale: The correct answer is C: traumatic birth. Traumatic birth can lead to postpartum depression (PPD) due to the physical and emotional stress experienced during labor and delivery. This can trigger feelings of anxiety, helplessness, and trauma that contribute to the development of PPD. Vaginal birth (choice A) and breast-feeding (choice D) are not inherently risk factors for PPD. Family support (choice B) is typically considered a protective factor against PPD, providing emotional and practical assistance for new mothers.

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