Complications of Postpartum

Complications of Postpartum Related

Review Complications of Postpartum related questions and content

Which is the initial treatment for the client with vWD who experiences a PPH?

  • A. Cryoprecipitate
  • B. Factor VIII and von Willebrand factor (vWf)
  • C. Desmopressin
  • D. Hemabate
Correct Answer: C

Rationale: Desmopressin (DDAVP) is the initial treatment for a client with von Willebrand disease (vWD) who experiences a postpartum hemorrhage (PPH). Desmopressin works by releasing von Willebrand factor (vWF) stored in the endothelial cells, increasing the levels of vWF and factor VIII. This can help improve clotting function in patients with vWD, thereby helping to stop the bleeding. It is a safe and effective treatment for many individuals with vWD and is often used as the first-line therapy in cases of bleeding episodes or surgeries. Cryoprecipitate may also be used in severe bleeding situations if desmopressin is ineffective. Hemabate is not indicated for the treatment of vWD and PPH.

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A 1-day postpartum woman states, 'I think I have a urinary tract infection. I have to go to the bathroom all the time. ' Which of the following actions should the nurse take?

  • A. Assure the woman that frequent urination is normal after delivery.
  • B. Obtain an order for a urine culture.
  • C. Assess the urine for cloudiness.
  • D. Ask the woman if she is prone to urinary tract infections.
Correct Answer: C

Rationale: Frequent urination is common postpartum, but assessing the urine for cloudiness is important in determining whether a urinary tract infection is present.

A 3-day-breastfeeding client who is not immune to rubella is to receive the rubella vaccine at discharge. Which of the following must the nurse include in her discharge teaching regarding the vaccine?

  • A. The woman should not become pregnant for at least 4 weeks.
  • B. The woman should pump and dump her breast milk for 1 week.
  • C. Surgical masks must be worn by the mother when she holds the baby.
  • D. Antibodies transported through the breast milk will protect the baby.
Correct Answer: A

Rationale: The rubella vaccine is a live vaccine, and it is contraindicated during pregnancy. Women should avoid pregnancy for at least 4 weeks after receiving the vaccine to ensure no risk to the developing fetus.

Which of the following nursing interventions would be appropriate for the nurse to perform to achieve the client care goal: The client will not develop postpartum thrombophlebitis?

  • A. Encourage early ambulation.
  • B. Promote oral fluid intake.
  • C. Massage the legs of the client twice daily.
  • D. Provide the client with high-fiber foods.
Correct Answer: A

Rationale: Early ambulation promotes circulation and reduces the risk of thrombophlebitis after delivery.

The nurse is assessing a patient who is 36 hours postpartum following a cesarean delivery. Which findings cause the nurse to conclude that a wound infection is developing? Select all that apply.

  • A. Temperature increase from 99.8°F to 100.5°F
  • B. Incisional tenderness with palpation
  • C. Increased margins of incisional redness
  • D. Notably warm skin around the incision
Correct Answer: C

Rationale: An increase in redness in the incisional margins is a likely sign of developing wound infection. When the skin around a surgical incision is notably warm to the touch, it is likely a sign of a developing wound infection.

The nurse is caring for a breastfeeding mother who asks advice on foods that will provide both vitamin A and iron. Which of the following should the nurse recommend?

  • A. 1/2 cup raw celery dipped in 1 ounce cream cheese.
  • B. 8 ounce yogurt mixed with 1 medium banana.
  • C. 12 ounce strawberry milk shake.
  • D. 1 1/2 cup raw broccoli.
Correct Answer: D

Rationale: Raw broccoli is a good source of vitamin A and iron, making it an ideal choice for the patient.

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