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: The correct answer is A: increased risk for DVT. Cesarean birth increases the risk of Deep Vein Thrombosis (DVT) due to reduced mobility and potential blood clot formation. This is a critical concern as DVT can lead to serious complications like pulmonary embolism. Choices B and C are incorrect as cesarean birth typically results in longer recovery time and increased need for pain medication compared to vaginal birth. Choice D is incorrect as cesarean birth poses a higher risk of infection due to the surgical incision.

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: D

Rationale: The correct answer is D because asking about the patient's expectations for newborn photos or video shows empathy and support for the mother's emotional needs during this difficult time. It allows the nurse to provide personalized care and helps the mother create lasting memories. A: Using phrases like "giving away your child" is insensitive and can be hurtful to the mother. B: Discouraging the mother from holding the baby can be emotionally damaging and is not supportive. C: Asking why she is giving up her baby can be intrusive and may not be helpful at this moment.

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.