ATI RN
Complications of Postpartum Questions
Question 1 of 5
Choose the best independent nursing action to aid episiotomy healing in the woman who is 24 hours postpartum.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
What is the primary nursing responsibility when caring for a client who is experiencing an obstetric hemorrhage associated with uterine atony?
Correct Answer: B
Rationale: The correct answer is B: Performing fundal massage. Fundal massage helps to stimulate contractions of the uterus, which can help control bleeding in cases of uterine atony. This is a primary nursing responsibility to address the immediate cause of the hemorrhage. Establishing venous access (choice A) is important but not the primary responsibility in this situation. Preparing for surgical intervention (choice C) may be necessary if conservative measures fail, but it is not the initial step. Catheterizing the bladder (choice D) is not directly related to managing obstetric hemorrhage associated with uterine atony.
Question 3 of 5
Which client is at greatest risk for early PPH?
Correct Answer: B
Rationale: The correct answer is B because a woman with severe preeclampsia on magnesium sulfate is at the greatest risk for early postpartum hemorrhage (PPH) due to the increased risk of placental abruption, coagulopathy, and uterine atony associated with preeclampsia and magnesium sulfate use. Preeclampsia can lead to poor placental perfusion, increasing the risk of hemorrhage during and after delivery. Magnesium sulfate can also affect blood clotting mechanisms, further increasing the risk of excessive bleeding. The other choices are less likely to be at greatest risk for early PPH. Choice A involves a primiparous woman with cesarean delivery, which may have controlled bleeding. Choice C is a multiparous woman with a relatively short labor duration, which is not a significant risk factor for early PPH. Choice D is a primigravida with preterm twins, which does not inherently increase the risk of early PPH
Question 4 of 5
The most effective and least expensive treatment of puerperal infection is prevention. What is the most important strategy for the nurse to adopt?
Correct Answer: C
Rationale: Rationale: Choice C is correct because strict aseptic technique, including hand washing, is crucial in preventing puerperal infection by minimizing the transmission of pathogens. Proper hand hygiene is a fundamental practice in infection control. Choices A, B, and D are incorrect because large doses of vitamin C, prophylactic antibiotics, and limited protein and fat intake do not directly address the primary mode of infection transmission and prevention for puerperal infection. Vitamin C, antibiotics, and dietary restrictions are not the primary strategies in preventing puerperal infections compared to the importance of proper hand hygiene and aseptic technique.
Question 5 of 5
Nurses need to understand the basic definitions and incidence data regarding PPH. Which statement regarding this condition is most accurate?
Correct Answer: B
Rationale: The correct answer is B because it accurately defines the criteria for postpartum hemorrhage (PPH). PPH is traditionally defined as losing more than 1000 ml of blood after vaginal birth and 2500 ml after cesarean birth. This definition helps healthcare providers recognize and manage PPH effectively. Now, let's analyze why the other choices are incorrect: A: This statement is incorrect because PPH may not always be easy to recognize early based solely on visible bleeding. Other signs and symptoms, such as tachycardia and hypotension, also play a crucial role in identifying PPH. C: This statement is incorrect because underestimating, rather than overestimating, the amount of blood loss in PPH can lead to delayed intervention and potentially worsen the patient's condition. D: This statement is incorrect because PPH is not classified based on timing (early or late PPH), but rather on the amount of blood loss as defined in choice B.