depression, delusions and thoughts by the mother of harming either the infant or herself
A. Postpartum Depression B. Postpartum Blues C. Postpartum Psychosis
________ is the most common form of postpartum thrombophlebitis. It is characterized by pain and tenderness in the lower extremities. Physical examination may reveal warmth, redness and enlarged, hardened vein over site of thrombosis
After childbirth, the uterus of the mother did not go back to its normal size. What is the name of this condition?
A. Recoil failure B. Subinvolution C. Involution arrest D. Uterine Atony
Give 2 most common causes of failure of the uterus to return to a nonpregnant state? What type of milk is present in the mothers breasts 7 to 10 days postpartum?
A. Colostrum B. Hind milk C. Mature milk D. Transitional milk
On which of the postpartum days can the client expect lochia serosa?
A. days 3 and 4 post partum B. Days 4 to 10 post partum C. days 10 - 14 post partum D. days 14 - 42 post partum
Which of the following complications is most likely responsible for a delayed postpartum hemorrhage?
A. Cervical laceration B. Clotting deficiency C. Perineal laceration D. Uterine subinvolution
TRUE or FALSE
Chloasma of pregnancy usually disappears at the end of pregnancy. A nurse is assessing four postpartum clients with vaginal births. Which are at risk for uterine atony? Select all that apply.
A. The client who received magnesium sulphate B. The client who had an oxytocin induction C. The client who had a precipitous labor D. The client who had a cerclage A nurse is caring for a client who is 4 hours postpartum with postpartum hemorrhage. Which nursing diagnosis has the highest priority?
A. Fluid Volume Deficit, related to blood loss secondary to uterine atony B. Fatigue, related to anemia from postpartum bleeding C. Activity Intolerance, related to enforced bed rest to control postpartum bleeding D. Knowledge Deficit, related to lack of information about signs of postpartum hemorrhage
As part of the postpartum assessment, the nurse examines the breasts of a primiparous breastfeeding woman who is one day postpartum. An expected finding would be:
A. Soft, non-tender; colostrum is present B. Leakage of milk at let down C. Swollen, warm, and tender upon palpation D. A few blisters and a bruise on each areola
A primiparous woman is in the taking-in stage of psychosocial recovery and adjustment following birth. The nurse, recognizing the needs of women during this stage, should:
A. Foster an active role in the babys care B. Provide time for the mother to reflect on the events of and her behavior during childbirth C. Recognize the womans limited attention span by giving her written materials to read when she gets home rather than doing a teaching session now D. Promote maternal independence by encouraging her to meet her own hygiene and comfort needs
A nurse is preparing to assess the uterine fundus of a client in the immediate postpartum period. When the nurse locates the fundus, she notes that the uterus feels soft and boggy. Which of the following nursing interventions would be most appropriate initially?
A. Massage the fundus until it is firm B. Elevate the mothers legs C. Push on the uterus to assist in expressing clots D. Encourage the mother to void A nurse is preparing to perform a fundal assessment on a postpartum client. The initial nursing action in performing this assessment is which of the following?
A. Ask the client to turn on her side B. Ask the client to lie flat on her back with the knees and legs flat and straight. C. Ask the mother to urinate and empty her bladder D. Massage the fundus gently before determining the level of the fundus.