The nurse educates the person with a newborn in the NICU. What guidance does the nurse provide?

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Complication Postpartum Questions

Question 1 of 5

The nurse educates the person with a newborn in the NICU. What guidance does the nurse provide?

Correct Answer: C

Rationale: The correct answer is C because skin-to-skin contact promotes bonding, regulates the baby's temperature, and encourages breastfeeding. This guidance is crucial for newborns in the NICU to establish a strong connection with their caregiver and support breastfeeding. Choice A is incorrect as breast milk is highly beneficial for premature babies. Choice B is incorrect because premature babies may struggle with breastfeeding due to their developmental stage. Choice D is incorrect as bottles are not recommended for all feedings, especially for premature infants who may have difficulty latching and feeding effectively.

Question 2 of 5

What is a risk factor for PPD?

Correct Answer: C

Rationale: The correct answer is C: traumatic birth. Traumatic birth can lead to postpartum depression (PPD) due to the physical and emotional stress experienced during labor and delivery. This can trigger feelings of anxiety, helplessness, and trauma that contribute to the development of PPD. Vaginal birth (choice A) and breast-feeding (choice D) are not inherently risk factors for PPD. Family support (choice B) is typically considered a protective factor against PPD, providing emotional and practical assistance for new mothers.

Question 3 of 5

What symptom differentiates baby blues from PPD?

Correct Answer: A

Rationale: The correct answer is A: Baby blues last longer than 14 days. Baby blues typically resolve within 1-2 weeks postpartum. If symptoms persist for more than 14 days, it may indicate postpartum depression (PPD). Choice B is incorrect as hallucinations are not a common symptom of baby blues. Choice C is incorrect because baby blues can occur within the first few weeks postpartum, not just the first few days. Choice D is incorrect because baby blues are usually managed with support, counseling, and self-care, not inpatient therapy.

Question 4 of 5

What important assessment should the nurse perform on all postpartum persons?

Correct Answer: A

Rationale: The correct answer is A because screening for Postpartum Depression (PPD) with the Edinburgh Postnatal Depression Scale (EPDS) is crucial for the well-being of postpartum individuals. PPD is a common and serious condition that can affect the mother's mental health and bonding with the baby. Early detection and intervention are key to ensuring proper support and treatment. Choice B, screening for drug use, is not a routine assessment for all postpartum persons unless there are specific risk factors present. Choice C, screening for breast-feeding failure, is important but not the most critical assessment to perform on all postpartum individuals. Choice D, screening for contraception contraindications, is important for family planning but is not as immediate or essential as screening for PPD.

Question 5 of 5

The nurse and provider estimate the blood loss at delivery to be 400 mL in the measuring drape; now when doing the initial perineal care, the nurse finds a large amount of blood underneath the patient. What action reflects safe and accurate nursing care?

Correct Answer: D

Rationale: The correct answer is D. Weighing the blood-soaked linens provides an accurate measurement of the additional blood loss, which is crucial for assessing the patient's condition accurately. Here's the rationale step-by-step: 1. Weighing the blood-soaked linens is an objective and precise method to quantify the additional blood loss. 2. This measurement helps to determine the total blood loss accurately, which is essential for assessing postpartum hemorrhage. 3. Providing this quantitative data to the provider enables them to make informed decisions about further interventions. 4. Estimating blood loss visually is subjective and can be inaccurate, leading to potential underestimation or overestimation. 5. Drawing hematocrit levels (choice C) may provide valuable information but does not directly address the immediate need to quantify the additional blood loss. 6. Encouraging the mother to report bleeding (choice B) is important for ongoing assessment but does not provide an objective measurement of the blood loss. In summary

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