ATI RN
Complications of Postpartum Questions
Question 1 of 5
The nurse is providing postpartum care for a patient after a vaginal delivery. Which assessment finding causes the nurse to suspect endometritis from beta-hemolytic streptococcus?
Correct Answer: D
Rationale: The correct answer is D, an elevated temperature greater than 100.4°F. Endometritis, an infection of the uterine lining, commonly caused by beta-hemolytic streptococcus, often presents with a fever. This is a key sign of infection, indicating the presence of an inflammatory process. The other choices are incorrect because: A: Scant amount of odorless lochia is indicative of normal postpartum discharge, not necessarily endometritis. B: Headache, malaise, and chills are non-specific symptoms that could be present in various conditions, not specific to endometritis. C: Pain or discomfort in the midline lower abdomen could be related to postpartum uterine contractions or other causes, but it is not a specific finding for endometritis.
Question 2 of 5
The nurse is providing care for a patient who is 1 day postpartum and exhibiting symptoms of postpartum psychosis. Which medical management does the nurse expect for this patient?
Correct Answer: C
Rationale: Step 1: Postpartum psychosis is a psychiatric emergency requiring immediate intervention. Step 2: Immediate hospitalization in a psychiatric unit ensures safety and specialized care. Step 3: Hospitalization allows for close monitoring, medication management, and therapy. Step 4: Discharge to home or prescribed neonate visits are not appropriate due to the severity of symptoms in postpartum psychosis.
Question 3 of 5
The nurse is preparing a postpartum patient for discharge. For which reasons does the nurse instruct the patient to call the primary care provider? Select all that apply.
Correct Answer: A
Rationale: The correct answer is A: Foul-smelling lochia. This indicates a possible infection in the uterus, which requires medical attention to prevent complications. Hot, red, painful breasts (B) may indicate mastitis, which also requires medical intervention. Mild headache (C) and not sleeping well (D) are common postpartum issues but do not typically require immediate medical attention. In summary, choices B, C, and D are incorrect because they are common postpartum symptoms that do not necessarily warrant contacting the primary care provider, unlike foul-smelling lochia (A), which could indicate a serious issue.
Question 4 of 5
The nurse is assessing a patient who is 36 hours postpartum following a cesarean delivery. Which findings cause the nurse to conclude that a wound infection is developing? Select all that apply.
Correct Answer: C
Rationale: The correct answer is C because increased margins of incisional redness are indicative of a wound infection, showing an inflammatory response. This can be a sign of localized infection spreading. The other choices are incorrect as follows: A: A slight temperature increase alone is not specific to wound infection and can be attributed to other factors. B: Incisional tenderness can be expected post-surgery and does not necessarily indicate infection. D: Notably warm skin around the incision can also occur due to normal healing processes and inflammation. Therefore, only choice C directly indicates a developing wound infection.
Question 5 of 5
The nurse is collecting information during a follow-up OB appointment with a patient who delivered 3 months ago. The patient reports her partner has become cynical, irritable, and verbally abusive. The nurse will screen for which risks related to paternal postnatal depression (PPND)? Select all that apply.
Correct Answer: B
Rationale: The correct answer is B. The birth of a fourth child being unexpected and unplanned can be a risk factor for paternal postnatal depression (PPND) due to increased stress and pressure. Choice A is incorrect because past depression during pregnancy doesn't directly correlate with PPND. Choice C is incorrect as feeling bored and underappreciated at work is not a direct risk factor for PPND. Choice D is incorrect as being recently estranged from family members doesn't directly relate to PPND.