The person with a cesarean birth has additional nursing concerns beyond those of a person with a vaginal birth. What concern should the nurse anticipate for the cesarean birth?

Correct Answer: A

Rationale: In the context of pharmacology and postpartum care, the correct answer is A) increased risk for DVT (deep vein thrombosis) for a person with a cesarean birth. This is because individuals who undergo cesarean births are at higher risk for developing DVT due to factors such as decreased mobility post-surgery, venous stasis, and hypercoagulability associated with pregnancy itself. Option B) faster recovery is incorrect because cesarean births typically require a longer recovery time compared to vaginal births due to the surgical nature of the procedure. Option C) less use of pain medication is incorrect as cesarean births usually entail more pain and discomfort, thus necessitating the use of pain medication for adequate pain management. Option D) less risk for infection is also incorrect as cesarean births are associated with a higher risk of infection compared to vaginal births due to the surgical incision and the potential for bacterial exposure during the procedure. Understanding these distinctions is crucial for nurses caring for postpartum individuals to anticipate and address potential complications effectively, highlighting the importance of pharmacological interventions and monitoring for post-cesarean care.

Correct Answer: A

Rationale: In the context of postpartum care, involving the adolescent partner during the prenatal period is crucial for several reasons. Firstly, research has shown that when partners are engaged and involved throughout the prenatal period, they are more likely to actively participate in postpartum care, leading to better outcomes for both the mother and the newborn. This involvement can include attending prenatal appointments, birthing classes, and discussions about postpartum expectations and responsibilities. On the other hand, the incorrect options present in the question lack the same level of direct correlation to increased involvement of the adolescent partner postpartum. Involvement of parents in decision-making may be important but does not directly address the role of the partner postpartum. Restricting people in the labor room or providing newborn care in the nursery are not interventions that specifically target increasing the involvement of the adolescent partner postpartum. From an educational perspective, understanding the importance of involving partners in prenatal care and postpartum support is essential for healthcare providers working with adolescent mothers. This knowledge can help providers offer more comprehensive care that considers the needs of both the mother and her partner, ultimately leading to better health outcomes for the entire family unit.

Correct Answer: D

Rationale: The correct answer is option D: Ask about the patient's expectations for having newborn photos or video. This is the most appropriate intervention for the nurse caring for a birth mother who is relinquishing her newborn because it demonstrates empathy, sensitivity, and a focus on the mother's emotional needs during this difficult time. By asking about newborn photos or videos, the nurse acknowledges the significance of the mother's experience and provides an opportunity for her to create lasting memories. Options A, B, and C are incorrect interventions. Option A is inappropriate as it uses insensitive language that can be hurtful to the mother who is already experiencing a challenging situation. Option B is incorrect because denying the mother the opportunity to hold her baby can be emotionally distressing and lacks compassion. Option C is also inappropriate as it may come across as judgmental and intrusive, potentially causing the mother further emotional distress. In an educational context, it is essential for healthcare providers, especially nurses, to approach sensitive situations with empathy and respect. Understanding the emotional needs of patients and providing support tailored to their individual circumstances is crucial in fostering a trusting and therapeutic nurse-patient relationship. By choosing option D, the nurse demonstrates a patient-centered approach that acknowledges the mother's emotions and respects her autonomy in decision-making regarding her newborn.

Correct Answer: A

Rationale: In postpartum care, it is crucial to provide clear and comprehensive discharge instructions to new mothers, including information about pain medication. Option A, stating that narcotic medications can cause constipation, is the correct choice. This information is important because constipation is a common side effect of narcotics, which are often prescribed for postpartum pain relief. Educating mothers about this potential side effect empowers them to take preventive measures, such as increasing fiber intake and staying hydrated, to manage constipation effectively. Options B, C, and D are incorrect. Option B, advising to stop taking iron after birth, is unrelated to pain medication and postpartum pain management. Iron supplementation is often recommended postpartum to replenish iron stores depleted during pregnancy. Option C, stating not to take NSAIDs while breastfeeding, is not entirely accurate. While some NSAIDs are safe during breastfeeding when used in moderation, mothers should consult healthcare providers for guidance. Option D, suggesting that acetaminophen should be avoided, is incorrect. Acetaminophen is a safe and commonly recommended pain reliever for postpartum women, especially those who are breastfeeding, as it is considered compatible with breastfeeding. In an educational context, understanding the effects and considerations related to pain medications postpartum is essential for healthcare professionals providing discharge instructions. By explaining the rationale behind the correct answer and debunking the misconceptions in the incorrect options, caregivers can equip new mothers with accurate and practical information to ensure their well-being during the postpartum period.

Correct Answer: C

Rationale: In the context of postpartum complications, it is crucial to understand the potential risks associated with breastfeeding. The correct answer is C) thrush. Thrush is a fungal infection caused by Candida albicans that can be transmitted between the breastfeeding person and the newborn if not treated appropriately. This infection can present as white patches in the infant's mouth or on the mother's nipples, causing pain and discomfort for both. Option A) wound infection typically refers to infections at the site of a surgical incision or tear during childbirth and is not directly related to breastfeeding transmission. Option B) urinary tract infection is a common postpartum complication but is not typically transmitted between the breastfeeding person and the newborn. Option D) mastitis is a breast infection that can occur in breastfeeding individuals due to blocked milk ducts or bacteria entering the breast tissue. While mastitis is a common postpartum complication related to breastfeeding, it is not typically transmitted directly between the breastfeeding person and the newborn. Understanding these distinctions is essential for healthcare providers and caregivers to provide appropriate care and prevent the spread of infections during the postpartum period. Educating individuals about the signs, symptoms, and proper treatment of postpartum infections like thrush is crucial for promoting maternal and infant health during the breastfeeding journey.