Question 1

A postpartum woman has a suspected deep vein thrombosis (DVT).Which diagnostic studies does the nurse prepare the woman to possibly have? (Select all that apply.)

Accepted Answer

Diagnostic tests for DVT include D-dimer (a fibrin degradation product),venous duplex ultrasound,and possibly an MRI.The venogram is contraindicated in pregnancy.A V/Q scan might be ordered if a question of pulmonary embolism existed,but in pregnancy,a spiral CT scan would be the better option.

Question 2

A perinatal nurse explains to the nursing student that pregnant women have risk factors for deep vein thrombosis (DVT)as a result of their pregnancy.To which components of Virchow's triad is the nurse referring? (Select all that apply.)

Accepted Answer

Virchow's triad refers to the pathophysiology of DVT.It includes hypercoagulability,venous stasis,and trauma to vessels.One or more of these factors must be present in order to develop DVT.Hypercoagulability and venous stasis are normal changes during pregnancy and increase a woman's risk of developing DVT.Vascular distension and dehydration are not part of Virchow's triad,although dehydration can lead to hypercoagulability.

Question 3

A woman presents to the emergency department in labor and states that she is homeless and has not had prenatal care.The emergency department nurse explains to the nursing student that homeless women face many challenges to getting prenatal care,including which of the following?

Accepted Answer

Many barriers exist that discourage homeless women from seeking prenatal care,including waiting times,lack of transportation,caring for other children,lack of family support and encouragement,concerns about having children taken away from them,and finances.Fear of violence is not a recognized risk factor for lack of prenatal care in this population.

Question 4

A nurse manager in the perinatal clinic wants to begin screening male partners for risk factors for committing intimate partner abuse.What risk factors does the manager include on the new screening form? (Select all that apply.)

Accepted Answer

Research has shown that factors such as low income, male-dominant family structure, unemployment, and young age are associated with increased risk for committing intimate partner abuse. Confidence is not necessarily a risk factor for intimate partner abuse.

Question 5

The nursing faculty member explains to a class of nursing students the risk factors for developing postpartum depression (PPD).Which of the following does the faculty include? (Select all that apply.)

Accepted Answer

Risk factors for PPD include undesired/unplanned pregnancy,history of depression,recent major life change,isolation due to lack of family/social support or recent move into a new community,financial stress,marital problems,being an adolescent,low self-esteem,and homelessness.Being a stay-at-home mother may or may not cause financial stress,so the nurse would have to assess this condition further.

Question 6

A woman is hospitalized after an incision and drainage of a large breast abscess that cultured methicillin-resistant Staphylococcus aureus.What dietary choices indicate that she has understood teaching regarding nutrition and wound healing? (Select all that apply.)

Accepted Answer

Wound healing and recovery from illness require high protein and vitamin C.Foods high in protein include animal products such as fish,chicken,beef,pork,seafood,lamb,eggs,cheese,and milk.Foods high in vitamin C include many fruits (cantaloupe,kiwi,oranges,papaya)and vegetables (spinach,brussels sprouts,and all colors of bell peppers).Whole-wheat bread,although a healthy choice,is not a good source of either protein or vitamin C.

Question 7

A perinatal nurse is teaching a woman who is in a violent relationship about safety-promoting behaviors.Which of the following does the nurse include in teaching? (Select all that apply.)

Accepted Answer

The nurse teaches the woman several safety-promoting behaviors,including hiding money and extra keys,removing weapons/bullets from the home,asking neighbors to call the police should they detect violence,establishing a code with family and friends,and obtaining and securing items such as important documents.

Question 8

A postpartum woman who had a prolonged labor presents to the clinic complaining of abdominal pain,high fevers with chills,and back pain.The nurse notes the patient's heart rate is 142 beats/minute,and her abdomen is tender with hypoactive bowel sounds.The patient will be admitted,and when giving report to the hospital nurse,the clinic nurse advises that the patient will probably receive what initial treatment? (Select all that apply.)

Accepted Answer

This woman has manifestations of a septic pelvic thrombophlebitis.Initial treatment includes rest;compression stockings;a high-protein,high-vitamin C diet;antibiotics;increased fluids;heparin;and ibuprofen for fever and pain.Coumadin may be needed for long-term therapy but not as a first-line treatment.

Question 9

A woman is hospitalized emergently for postpartum psychosis.For which of the following does the nurse prepare the patient as initial treatment? (Select all that apply.)

Accepted Answer

Initial treatment for postpartum psychosis often involves a combination of mood stabilizers such as lithium,antipsychotic medications such as chlorpromazine,and anxiolytics such as diazepam.Adderall is used to treat ADHD and ECT is usually not a first line treatment.

Question 10

The perinatal nurse explains risk factors for hematoma formation to a group of nursing students.What risk factors does the nurse include in the teaching? (Select all that apply.)

Accepted Answer

Risk factors for hematoma development include genital tract lacerations,episiotomies,operative vaginal deliveries,a difficult or prolonged second stage of labor,and nulliparity.

Quiz 16: Caring for the Woman Experiencing Complications During the Postpartal Period

A postpartum woman has a suspected deep vein thrombosis (DVT) .Which diagnostic studies does the nurse prepare the woman to possibly have? (Select all that apply.)

A perinatal nurse explains to the nursing student that pregnant women have risk factors for deep vein thrombosis (DVT) as a result of their pregnancy.To which components of Virchow's triad is the nurse referring? (Select all that apply.)