ATI RN
Complication Postpartum Questions
Question 1 of 5
A nurse is counseling a woman about postpartum blues. Which of the following should be included in the discussion?
Correct Answer: B
Rationale: In the context of pharmacology and postpartum care, it is crucial for nurses to educate women about postpartum blues. Option B, which states that postpartum blues typically last about a week or two, is the correct answer. This information is important for the woman to understand that these feelings are temporary and usually resolve on their own without the need for medical intervention. Option A is incorrect because while it is true that the father may also experience emotional changes during the postpartum period, this information is not directly related to the discussion about postpartum blues. Option C is incorrect because medications are not typically needed to relieve the symptoms of postpartum blues, as it is a normal part of the postpartum experience. Option D is incorrect as postpartum blues are actually quite common, affecting a significant number of women after childbirth. Educationally, this question helps reinforce the importance of providing accurate and relevant information to women regarding their postpartum experience. Nurses play a vital role in supporting women through this period of adjustment, and by understanding the duration and nature of postpartum blues, they can better assist women in coping with these temporary emotional changes.
Question 2 of 5
The nurse is caring for a Seventh Day Adventist woman who delivered a baby boy by cesarean section. Which of the following questions should be asked regarding this woman 's care?
Correct Answer: B
Rationale: In this scenario, the correct question to ask the Seventh Day Adventist woman who delivered a baby boy by cesarean section is option B) "Is there anything special you will need for your Sabbath on Sunday?" This question is important because Seventh Day Adventists observe the Sabbath from Friday sunset to Saturday sunset and have specific dietary and religious practices during this time. By asking this question, the nurse shows cultural competence and respect for the patient's beliefs, ensuring that her religious needs are met during her hospital stay. Options A, C, and D are incorrect in this context because they do not address the specific religious beliefs and practices of Seventh Day Adventists. Option A assumes all Seventh Day Adventists follow a vegetarian diet, which is not universally true. Option C assumes the woman wants to schedule a baptism immediately after delivery, which may not align with her beliefs or practices. Option D is irrelevant as it pertains to the circumcision of the baby, not the mother's religious needs. Educationally, this question highlights the importance of cultural competence and patient-centered care in nursing practice. Understanding and respecting the religious beliefs and practices of patients is crucial for providing holistic care that meets their physical, emotional, and spiritual needs. By incorporating these aspects into nursing practice, nurses can establish trusting relationships with patients and promote positive health outcomes.
Question 3 of 5
A medication order reads: Methergine (ergonovine) 0.2 mg po q 6 h × 4 doses. Which of the following assessments should be made before administering each dose of this medication?
Correct Answer: C
Rationale: In the context of postpartum care, the correct assessment to be made before administering Methergine (ergonovine) is blood pressure (Option C). Methergine is a uterotonic medication commonly used to prevent or treat postpartum hemorrhage by causing uterine contractions. Monitoring blood pressure is crucial because Methergine can cause hypertension as a side effect. By assessing blood pressure before administration, healthcare providers can ensure that the patient's blood pressure is within safe limits to receive the medication. Option A (Apical pulse) is not the primary assessment needed before administering Methergine because the medication's effect on blood pressure is more critical in this context. Option B (Lochia flow) and Option D (Episiotomy) are not directly related to the administration of Methergine and do not impact the safety or efficacy of the medication. In an educational context, understanding the rationale behind assessing blood pressure before administering specific medications is essential for providing safe and effective patient care. By emphasizing the importance of monitoring vital signs and understanding the potential side effects of medications like Methergine, healthcare professionals can ensure they are administering treatments responsibly and minimizing risks to their patients during the postpartum period.
Question 4 of 5
The nurse should warn a client who is about to receive Methergine (ergonovine) of which of the following side effects?
Correct Answer: A
Rationale: In the context of pharmacology, Methergine (ergonovine) is commonly used to prevent or control postpartum hemorrhage by causing uterine contractions. The correct side effect to warn a client about when receiving Methergine is a headache. This is because Methergine can cause vasoconstriction, which may lead to increased blood pressure and subsequent headaches. Regarding the incorrect options: - Nausea is a common side effect of Methergine but it is not the primary side effect that the client should be warned about. - Cramping is expected with the use of Methergine as it causes uterine contractions to prevent hemorrhage. - Fatigue is not typically associated with Methergine use and is not a significant side effect to warn the client about in this scenario. Educationally, it is important for nurses to understand the specific side effects of medications to effectively educate clients on what to expect and how to manage them. By providing accurate information, nurses can enhance patient safety and promote better adherence to treatment regimens.
Question 5 of 5
The nurse has provided teaching to a post-op cesarean client who is being discharged on Colace (docusate sodium) 100 mg po tid. Which of the following would indicate that the teaching was successful?
Correct Answer: D
Rationale: The correct answer is D) The woman understands that her urine may turn orange. Rationale: Docusate sodium (Colace) is a stool softener commonly prescribed postpartum to prevent constipation, a common issue after cesarean delivery. One of the side effects of docusate sodium is that it may cause the urine to turn a pinkish or reddish color, which is a harmless and expected outcome. Understanding this side effect is crucial for the client to prevent unnecessary anxiety or concern. Option A is incorrect because swallowing the tablets whole does not impact the effectiveness of the medication. Option B is incorrect as there is no specific requirement to take docusate sodium between meals. Option C is incorrect as developing a headache is not typically associated with taking Colace and does not require immediate physician notification. In an educational context, this question emphasizes the importance of teaching clients about medication side effects to promote informed decision-making and reduce anxiety related to potential unexpected outcomes. Understanding common side effects empowers clients to manage their health effectively and seek appropriate care when needed.