Question 1

The postpartum client who delivered 2 days ago has developed endometritis. Which entry would the nurse expect to find in this client's chart?

Accepted Answer

Endometritis is more common after a cesarean birth, especially following extended labor with ruptured membranes, due to the increased risk of infection.

Question 2

Risk factors associated with increased risk of thromboembolic disease include which of the following?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Accepted Answer

The answer of Risk factors associated with increased risk of...

Question 3

A nurse suspects that a postpartum client has mastitis. Which data support this assessment?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Accepted Answer

The answer of A nurse suspects that a postpartum client...

Question 4

The postpartum client who is being discharged from the hospital experienced severe postpartum depression after her last birth. What should the nurse include in the plan of follow-up care for this client?

Accepted Answer

The answer of The postpartum client who is being discharged...

Question 5

A postpartum client with endometritis is being discharged home on antibiotic therapy. The new mother plans to breastfeed her baby. What should the nurse's discharge instruction include?

Accepted Answer

Antibiotics can disrupt the natural balance of bacteria and yeast in the body, increasing the risk of thrush in both the mother and the breastfeeding baby. It is important to monitor the baby's mouth for signs of thrush.

Question 6

The nurse selects the following diagram to take when making a home visit to a postpartum patient. For which health problem is the nurse preparing educational material?

Accepted Answer

The answer of The nurse selects the following diagram to...

Question 7

The postpartum client is suspected of having acute cystitis. Which symptoms would the nurse expect to see in this client?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Accepted Answer

Acute cystitis, a urinary tract infection, typically presents with symptoms such as urinary frequency and suprapubic pain. High fever, chills, and nausea/vomiting are more indicative of a more severe infection like pyelonephritis.

Question 8

A patient experiencing postpartum hemorrhage is prescribed to receive 741 m L of a crystalloid solution. How many m L of blood did this patient lose from the hemorrhage? (Calculate to the nearest whole number.)

Accepted Answer

The answer of A patient experiencing postpartum hemorrhage is prescribed...

Question 9

The client delivered by cesarean birth 3 days ago and is being discharged. Which statement should the nurse include in the discharge teaching?

Accepted Answer

Increasing pain at the incision site could indicate an infection or other complications, so it's important for the client to contact their doctor if this occurs. Greenish discharge, increasing redness, and fever are not normal signs of healing and could indicate infection or other complications.

Question 10

The nurse provides a postpartum patient with the following diagram. For which procedure is the nurse preparing this patient?

Accepted Answer

The answer of The nurse provides a postpartum patient with...

Question 11

The client delivered vaginally 2 hours ago after receiving an epidural analgesia. She has a slight tingling sensation in both lower extremities, but normal movement. She sustained a second-degree perineal laceration. Her perineum is edematous and ecchymotic. What should the nurse include in the plan of care for this client?

Accepted Answer

The nurse should assist the client to the bathroom to void, as it is important to ensure bladder emptying to prevent urinary retention, which can be common after epidural analgesia and childbirth.

Question 12

The client delivered her second child yesterday, and is preparing to be discharged. She expresses concern to the nurse because she developed an upper urinary tract infection (U T I) after the birth of her first child. Which statement indicates that the client needs additional teaching about this issue?

Accepted Answer

Voiding 2 or 3 times per day is not sufficient to help prevent a urinary tract infection (UTI). It is important to void frequently, approximately every 3 to 4 hours, to flush bacteria from the urinary tract.

Question 13

A patient who is hemorrhaging after a vaginal delivery is being considered for a uterine tamponade. What should the nurse instruct the patient about this process?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Accepted Answer

A uterine tamponade for postpartum hemorrhage involves inserting a balloon into the uterus (A), which is then inflated with saline, typically between 300 to 500 mL (C), to apply pressure and stop the bleeding. The tube often has an open tip to allow for the visualization of bleeding (E), which helps in monitoring the patient's condition. The duration for which the balloon is kept in place and the practice of packing the uterus with sterile gauze after removal are not standard procedures described in the context of uterine tamponade for managing postpartum hemorrhage, making choices B and D incorrect.

Question 14

A postpartum patient weighing 165 l b is prescribed a subcutaneous injection of Enoxaparin 1 m g/k g twice daily. The medication available is 50 m g/m L. How many m L of medication should the nurse provide for each injection? (Calculate to the nearest tenth decimal point.)

Accepted Answer

The answer of A postpartum patient weighing 165 l b...

Question 15

The nurse suspects that a client has developed a perineal hematoma. What assessment findings would lead the nurse to this conclusion?

Accepted Answer

Tense tissues with severe pain are indicative of a perineal hematoma, as the accumulation of blood in the tissue spaces can cause swelling and intense discomfort.

Quiz 35: The Postpartum Family at Risk

The postpartum client who delivered 2 days ago has developed endometritis. Which entry would the nurse expect to find in this client's chart?

Risk factors associated with increased risk of thromboembolic disease include which of the following? Note: Credit will be given only if all correct choices and no incorrect choices are selected.

A nurse suspects that a postpartum client has mastitis. Which data support this assessment? Note: Credit will be given only if all correct choices and no incorrect choices are selected.