Research has shown that with lesbian parents, the non-birthing person can feel role resentment, exclusion from health-care services, and feelings of neglect. How can the nurse include the non-birthing partner?

Correct Answer: C

Rationale: In this scenario, the correct answer is C) Demonstrate newborn care to both parents. The nurse should include the non-birthing partner by involving them in the newborn care process. This approach fosters bonding, enhances family dynamics, and promotes shared responsibility in childcare. Option A is incorrect because asking the non-birthing partner to leave the room during the newborn assessment can exacerbate feelings of exclusion and resentment. It goes against promoting inclusivity and involvement in the postpartum care process. Option B is incorrect as it suggests segregating responsibilities based on birth status, which can further alienate the non-birthing partner. It does not address the underlying issues of role resentment and neglect that may arise. Option D is incorrect because involving the person's family in assessing the relationship dynamics does not directly address the issue of including the non-birthing partner in postpartum care. This option may not lead to meaningful involvement of the partner in newborn care. Educationally, nurses should be aware of the importance of inclusive care practices in diverse family structures. They should strive to involve all parents or caregivers in postpartum care to support family bonding, enhance parenting skills, and promote a positive postpartum experience for all individuals involved. This approach aligns with patient-centered care principles and supports the well-being of the entire family unit.

Correct Answer: D

Rationale: In the context of postpartum complications, the correct answer is D) postpartum endometritis. This infection is commonly caused by sexually transmitted infections (STIs) and chorioamnionitis, which is an inflammation of the fetal membranes due to a bacterial infection. Postpartum endometritis specifically refers to an infection of the endometrial lining of the uterus after childbirth. It typically presents with symptoms such as fever, abdominal pain, and abnormal vaginal discharge. Mastitis (option A) is a breast infection commonly seen in breastfeeding mothers, characterized by breast pain, redness, and swelling. Pneumonia (option B) is a respiratory infection affecting the lungs and is not directly associated with STIs or chorioamnionitis. Cesarean wound infection (option C) pertains to an infection of the surgical incision site after a cesarean delivery, which is not directly linked to STIs or chorioamnionitis. Understanding postpartum complications, including their etiology and clinical manifestations, is crucial for healthcare providers involved in maternal care. Recognizing the specific causes and presentations of these infections is essential for timely diagnosis and appropriate management to ensure optimal postpartum outcomes for both the mother and the newborn.

Correct Answer: A

Rationale: In the context of postpartum complications, a painful fundal massage suggests a possible infection. This is because uterine tenderness and pain during fundal massage can be indicative of endometritis, which is a common postpartum infection. This assessment finding is crucial for early detection and timely intervention to prevent further complications. Option B, breast-feeding every 2-3 hours, is a normal postpartum activity and does not specifically suggest an infection. Option C, pulse 72, may be within normal range and is not a definitive sign of infection. Option D, WBCs 10, is a bit vague without a specified unit of measurement or reference range, so it does not conclusively point towards infection either. Educationally, understanding the signs and symptoms of postpartum complications, such as infection, is vital for healthcare providers working with postpartum patients. Recognizing subtle indications like a painful fundal massage can help in prompt diagnosis and appropriate management, ultimately improving maternal outcomes. It also emphasizes the importance of thorough assessments in postpartum care to ensure early detection of any potential issues.

Correct Answer: A

Rationale: In the case of mastitis, a common complication of postpartum, the correct nursing intervention of providing antipyretics (Option A) is essential for managing the condition. Antipyretics help to reduce fever, which is a common symptom of mastitis. By controlling the fever, the nurse can help the person feel more comfortable and prevent any potential complications associated with high fevers. Options B, C, and D are incorrect interventions for mastitis. Stopping antibiotics when redness is resolved (Option B) is not recommended as antibiotics should be completed as prescribed to ensure complete eradication of the infection. Encouraging the person to stop breastfeeding (Option C) is also not the appropriate intervention, as breastfeeding should continue to help clear the blocked ducts in mastitis. Starting an IV and preparing for signs of sepsis (Option D) is an extreme intervention that is not typically warranted in uncomplicated cases of mastitis. Educationally, understanding the correct nursing interventions for mastitis is crucial for nurses caring for postpartum individuals. By providing accurate and timely interventions like antipyretics, nurses can effectively manage mastitis, promote breastfeeding continuation, and prevent further complications, ultimately enhancing the overall postpartum care provided.

Correct Answer: C

Rationale: In managing a perineal laceration infection, the nursing intervention of encouraging the use of a peri-bottle for cleaning front to back is crucial. This intervention promotes proper hygiene, reduces the risk of introducing new pathogens, and prevents the spread of infection. By using the peri-bottle, the patient can cleanse the perineal area effectively without causing further trauma to the laceration site. Option A, demonstrating the use of a urinary catheter, is incorrect as it is not a recommended intervention for treating a perineal laceration infection unless specifically indicated for urinary retention or other medical reasons. Using a catheter in this context may increase the risk of introducing bacteria and worsening the infection. Option B, providing an abdominal binder, is also incorrect as it is not directly related to managing a perineal laceration infection. An abdominal binder is typically used for providing support postpartum or after abdominal surgeries and does not address the specific care needs of a perineal laceration infection. Option D, discouraging the use of pain medications, is not appropriate as pain management is an essential aspect of care for a person with a perineal laceration infection. Pain medications help alleviate discomfort, promote rest, and improve the patient's overall well-being during the healing process. Educationally, understanding the rationale behind each intervention helps nurses provide evidence-based care tailored to the patient's needs. By prioritizing proper hygiene practices like using a peri-bottle, nurses can contribute to the effective management of perineal laceration infections and promote positive patient outcomes.