ATI RN
Complication Postpartum Questions
Question 1 of 5
A young mother is excited about her first baby. Choose the best teaching to help her obtain adequate rest after discharge.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
To help the postpartum woman avoid constipation, the nurse should teach her to:
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 5
What is the most common reason for late postpartum hemorrhage (PPH)?
Correct Answer: A
Rationale: The correct answer is A: Subinvolution of the uterus. This is the most common cause of late postpartum hemorrhage (PPH) due to incomplete contraction and retraction of the uterus leading to persistent bleeding. Subinvolution can result from retained placental fragments, uterine infections, or inadequate involution. Choice B, defective vascularity of the decidua, is less common and not typically associated with late PPH. Cervical lacerations (Choice C) usually cause immediate bleeding after delivery, not late PPH. Coagulation disorders (Choice D) can cause both early and late PPH but are less common than subinvolution.
Question 4 of 5
The nurse suspects that her postpartum client is experiencing hemorrhagic shock. Which observation indicates or would confirm this diagnosis?
Correct Answer: D
Rationale: The correct answer is D because a urinary output of at least 30 ml/hr indicates adequate perfusion and kidney function, which is crucial in managing hemorrhagic shock. Low urine output is a sign of poor perfusion and impending organ failure. Absence of cyanosis in the buccal mucosa (choice A) is not specific to hemorrhagic shock. Cool, dry skin (choice B) is a late sign of shock. A calm mental status (choice C) can be seen in the compensatory stage of shock.
Question 5 of 5
What is one of the initial signs and symptoms of puerperal infection in the postpartum client?
Correct Answer: D
Rationale: The correct answer is D because a temperature of 38°C (100.4°F) or higher on 2 successive days is a key sign of puerperal infection. This is due to the body's response to infection. Fatigue (choice A) can be a symptom but is nonspecific. Pain with voiding (choice B) may indicate a urinary tract infection. Profuse vaginal lochia (choice C) may be normal postpartum.