Research has shown what intervention increases involvement of the adolescent partner postpartum?

Correct Answer: A

Rationale: The correct answer is A: involvement of the partner during the prenatal period. This intervention increases the involvement of the adolescent partner postpartum by fostering a sense of responsibility, connection, and support early on in the pregnancy. By actively engaging the partner in prenatal care and decision-making processes, they are more likely to feel invested in the pregnancy and the well-being of the newborn. This involvement also promotes better communication and shared responsibilities between the partners, leading to a smoother transition into parenthood. Summary of why other choices are incorrect: B: Involvement of parents in decision making may be beneficial but does not directly address the involvement of the adolescent partner postpartum. C: Restricting people in the labor room does not promote partner involvement postpartum and may hinder support networks. D: Providing newborn care in the nursery may be helpful for short-term respite but does not enhance the involvement of the partner postpartum.

Correct Answer: A

Rationale: The correct answer is A because narcotic medications commonly cause constipation, a common side effect that postpartum patients should be aware of. It is important to include this information in discharge instructions to ensure patient safety and comfort. Choice B is incorrect because the discontinuation of iron supplements should be discussed with a healthcare provider, not automatically stopped after birth. Choice C is incorrect because some NSAIDs are safe to take while breastfeeding, and this blanket statement may not apply to all medications in this category. Choice D is incorrect because acetaminophen is generally considered safe for postpartum pain relief and should not be avoided without medical guidance.

Correct Answer: A

Rationale: The correct answer is A) My lower back hurts all of a sudden. The complaint of sudden lower back pain in a client receiving a blood transfusion post placenta accreta and hysterectomy would warrant immediately discontinuing the infusion as it could indicate an adverse reaction such as a transfusion reaction, which may lead to serious complications including kidney damage. Option B) My hands feel so cold is less concerning as cold hands can be a common side effect of blood transfusion and may not necessarily indicate a severe reaction. Option C) I feel like my heart is beating fast could be due to the body's response to the blood transfusion and may not always indicate a need for immediate discontinuation. Option D) I feel like I need to have a bowel movement is unrelated to a potential adverse reaction to the blood transfusion and would not warrant discontinuing the infusion. Educationally, it is crucial for healthcare providers to be able to recognize signs and symptoms of adverse reactions to blood transfusions, as prompt action is essential in ensuring patient safety and well-being. Monitoring for such reactions and knowing when to intervene is a critical aspect of postpartum care for clients who have undergone complex procedures like placenta accreta and hysterectomy.

Correct Answer: D

Rationale: The correct response by the nurse in this scenario is option D: "The physician should see you. Please go to the emergency department." This is the most appropriate because the client's symptoms of heavy bleeding postpartum could indicate a potential complication such as postpartum hemorrhage, which requires immediate medical attention to prevent serious consequences like excessive blood loss, infection, or even death. Option A is incorrect because it is not normal to have heavy bleeding 2 weeks postpartum, and mistaking this for menstruation could delay necessary medical intervention. Option B is also incorrect because complete bed rest is not the appropriate management for postpartum bleeding, which requires medical evaluation. Option C is incorrect as well, as the description of the client's symptoms does not suggest that the bleeding is related to stitches loosening during bowel movements. From an educational perspective, it is crucial for healthcare providers to recognize the signs and symptoms of postpartum complications such as postpartum hemorrhage and understand the urgency of seeking medical care in such cases. This scenario highlights the importance of prompt assessment and intervention in postpartum clients to ensure their safety and well-being. Healthcare professionals must be prepared to act swiftly and decisively in responding to postpartum concerns to optimize outcomes for both the mother and the newborn.

Correct Answer: B

Rationale: In this scenario, option B, "Urinary output 240 mL/12 hr," is the correct answer as a precipitating factor for the client's findings. A decreased urinary output indicates renal impairment, which can lead to magnesium sulfate toxicity. Magnesium sulfate is used to prevent seizures in severe preeclampsia; however, in excessive amounts, it can depress the central nervous system, causing decreased reflexes and respiratory depression. Option A, "Apical heart rate 104 bpm," is incorrect as it is within the normal range and not directly related to the client's current presentation. Option C, "Blood pressure 160/120," while indicative of hypertension, is not the precipitating factor for the client's decreased reflexes and respiratory rate. Option D, "Temperature 100°F," is also not directly related to the client's symptoms. Educationally, understanding the effects and side effects of medications used in the management of preeclampsia, such as magnesium sulfate, is crucial for nurses and healthcare providers caring for postpartum clients. Monitoring urinary output, reflexes, and respiratory status is essential to prevent and detect potential complications related to medication toxicity.