Postpartum Body Changes

Postpartum Body Changes Related

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Which of the following behaviors would be applicable to a nursing diagnosis of Risk for Impaired Parenting?

  • A. En face behavior is observed between father and infant.
  • B. Mother relates that she feels exhilarated postbirth.
  • C. Mother states that she feels excessive fatigue as a result of the childbirth
  • D. Father displays finger tipping behavior toward infant.
Correct Answer: C

Rationale: The correct answer is C because excessive fatigue post-childbirth can indicate a risk for impaired parenting due to the physical and emotional toll it takes on the mother's ability to care for her infant. This aligns with the defining characteristics of Risk for Impaired Parenting.

A: En face behavior is a positive interaction between parent and infant, not indicative of impaired parenting.
B: Feeling exhilarated post-birth is a normal emotional response and does not necessarily indicate impaired parenting.
D: Finger tipping behavior towards infant is vague and does not specifically relate to impaired parenting.

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A nurse is developing a teaching plan for parents who are taking home their 2-day-old breastfed baby. Which of the following should the nurse include in the plan?

  • A. Wash hands well before picking up the baby.
  • B. Refrain from having visitors for the first month.
  • C. Wear a mask to prevent transmission of a cold.
  • D. Sterilize the breast pump supplies after every use.
Correct Answer: A

Rationale: Hand hygiene is crucial to prevent infection.

During the first 8 hours postpartum, the nurse will demonstrate how to perform a fundal massage and assist with breast-feeding techniques. What other assessment is important at this time?

  • A. assessment of partner changing a diaper
  • B. assessment of vaginal bleeding
  • C. assessment of social support
  • D. assessment of family dynamics
Correct Answer: B

Rationale: The correct answer is B: assessment of vaginal bleeding. During the first 8 hours postpartum, it is crucial to monitor vaginal bleeding to assess for any signs of excessive bleeding or hemorrhage, which are common postpartum complications. This assessment helps in early detection and prompt intervention if necessary.

Other choices are incorrect:
A: assessment of partner changing a diaper - While involving the partner in care is beneficial, it is not a priority assessment during this crucial postpartum period.
C: assessment of social support - Important for overall well-being but not as critical as monitoring vaginal bleeding for immediate postpartum complications.
D: assessment of family dynamics - While family dynamics play a role in postpartum care, it is not a priority assessment in the initial 8 hours.

The nurse is assessing a newborn on admission to the newborn nursery. Which of the following findings should the nurse report to the neonatologist?

  • A. Intracostal retractions.
  • B. Caput succedaneum.
  • C. Epstein's pearls.
  • D. Harlequin sign.
Correct Answer: A

Rationale: Intracostal retractions indicate respiratory distress and require immediate attention.

A mother is told that she should bottle feed her child for medical reasons. Which of the following maternal disease states are consistent with the recommendation? Select all that apply.

  • A. Untreated
  • B. active tuberculosis.
  • C. Hepatitis B surface antigen positive.
  • D. Human immunodeficiency virus positive.
Correct Answer: A

Rationale: Breastfeeding is contraindicated in untreated TB and HIV.

A client has just received Hemabate (carboprost) because of uterine atony not controlled by IV oxytocin. For which of the following side effects of the medication will the nurse monitor this patient? Select one that doesn't apply.

  • A. Hyperthermia.
  • B. Diarrhea.
  • C. Hypotension.
  • D. Palpitations.
Correct Answer: B

Rationale: Hemabate can cause hyperthermia, hypotension, and palpitations.

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