ATI RN
Complication Postpartum Questions
Question 1 of 5
The lactation nurse takes a phone call from a mother who is breastfeeding her 2-month-old infant. The mother reports an area of redness and warmth on the breast and a painful burning sensation when breastfeeding. Which statement by the nurse is correct if mastitis is suspected?
Correct Answer: D
Rationale: The correct answer is D: Continuing to breastfeed will help clear up the condition. Rationale: 1. Continuing to breastfeed helps to empty the breast and prevent milk stasis, which can worsen mastitis. 2. Breastfeeding helps maintain milk production and prevents engorgement, which can exacerbate the infection. 3. Breast milk has antibacterial properties that can help fight the infection. 4. Stopping breastfeeding abruptly can lead to more serious complications like abscess formation. Summary: A: Incorrect. Stopping breastfeeding abruptly can lead to complications and does not address the underlying infection. B: Incorrect. Pumping and throwing away milk does not address the underlying infection and can lead to decreased milk supply. C: Incorrect. Mastitis is not caused by the baby, and antibiotics are not always necessary if managed promptly with breastfeeding and self-care.
Question 2 of 5
The nurse is aware of concern about the increasing numbers of severe maternal morbidity (SMM). It is believed to be related to changes in the overall health of the population of women giving birth. Which reasons does the nurse identify as causes of SMM? Select all that apply.
Correct Answer: B
Rationale: The correct answer is B: Prepregnancy obesity. This is because obesity is a well-established risk factor for severe maternal morbidity. Obesity increases the likelihood of complications during pregnancy and childbirth, such as gestational diabetes, preeclampsia, and cesarean deliveries. A: Increases in maternal age may be a risk factor for certain complications but not directly related to SMM. C: Cesarean deliveries can be a risk factor for SMM, but it is not the main cause. D: Inability to pay for health care is a social determinant of health and may impact access to care, but it is not a direct cause of SMM.
Question 3 of 5
A postpartum patient informs the nurse of a frequent urge and burning when attempting to urinate. The nurse reviews the patient’s medical record and associates which risk factors related to a possible urinary tract infection (UTI)? Select all that apply.
Correct Answer: C
Rationale: The correct answer is C: Poor oral fluid intake. Postpartum patients are at increased risk for UTIs due to physiological changes and decreased fluid intake. Poor hydration can lead to concentrated urine, making it easier for bacteria to grow. Neonatal macrosomia (A) and use of a vacuum extractor (B) are not directly associated with UTIs. While a urinary catheter during labor (D) can increase the risk of UTIs, it is not the most relevant factor in this scenario compared to poor oral fluid intake.
Question 4 of 5
The labor and delivery unit nurses are adopting methods to reduce the number of women who develop postpartum depression. Research from Dennis and Dowswell (2013) provides evidence-based suggestions regarding beneficial interventions. Which suggestions do the nurses consider? Select all that apply.
Correct Answer: C
Rationale: The correct answer is C: Interpersonal psychotherapy. This is supported by research as an evidence-based intervention for reducing postpartum depression. It focuses on improving relationships and communication skills, which can help women cope with the challenges of motherhood. A: Telephone-based peer support may be helpful, but it is not specifically mentioned in the research by Dennis and Dowswell (2013) as a beneficial intervention. B: Partner report of symptoms can be useful in identifying postpartum depression, but it is not a recommended intervention according to the research. D: Teaching for self-recognition of problems is important, but it is not as effective as interpersonal psychotherapy in reducing postpartum depression according to the research.
Question 5 of 5
What postpartum infection is caused by STIs and chorioamnionitis?
Correct Answer: D
Rationale: The correct answer is D, postpartum endometritis. This infection is commonly caused by sexually transmitted infections (STIs) and chorioamnionitis. Endometritis is inflammation of the endometrium lining the uterus after childbirth. Mastitis (A) is a breast infection, pneumonia (B) is a lung infection, and cesarean wound infection (C) is an infection at the site of the cesarean incision. These options are incorrect as they do not specifically relate to the postpartum infection caused by STIs and chorioamnionitis.