ATI RN
Complications of Postpartum Questions
Question 1 of 5
What intervention by the nurse can help with PPD?
Correct Answer: B
Rationale: The correct answer is B because encouraging the family to have support available for the person and partner is essential in managing postpartum depression (PPD). Support from loved ones can provide emotional, practical, and social assistance, which are crucial in helping the individual cope with PPD. It promotes a sense of belonging, reduces feelings of isolation, and helps in sharing the responsibilities of caring for the newborn. A: Encouraging the partner to let the postpartum person learn to take care of themself is not the best intervention as it may increase feelings of inadequacy and overwhelm in the individual experiencing PPD. C: Telling the person not to breast-feed if taking antidepressants is incorrect as breastfeeding can still be possible under the guidance of healthcare professionals while taking antidepressants. D: Keeping the newborn in the nursery most of the day and night is not recommended as it can disrupt bonding and caregiving opportunities between the parent and child, which are important for both parties' emotional well-being
Question 2 of 5
A patient delivered vaginally 20 minutes ago. Prophylactic Pitocin is infusing intravenously. During the initial postpartum assessment, the nurse notes a heavy amount of bleeding on the perineal pad. What are the priority nursing actions?
Correct Answer: B
Rationale: The correct answer is B. Assess the fundus and massage the uterus to determine uterine tone and location. This is the priority action because heavy bleeding postpartum could indicate uterine atony, a common cause of postpartum hemorrhage. By assessing the fundus and massaging the uterus, the nurse can determine if the uterus is firm and well contracted, which helps to control bleeding. Other choices are incorrect as they do not address the immediate concern of uterine atony. Choice A focuses on the perineum and does not address the potential cause of bleeding. Choice C addresses bladder fullness, which is important but not as urgent as assessing for uterine atony. Choice D focuses on clots and privacy but does not address the primary concern of uterine tone.
Question 3 of 5
The nurse is admitting a 38-year-old patient to triage in early labor with ruptured membranes. Her history includes a previous vaginal delivery 4 years ago and the presence of a uterine fibroid. What interventions are appropriate based on the hemorrhage risk for this patient?
Correct Answer: A
Rationale: Step 1: The patient is in early labor with ruptured membranes, which increases the risk of hemorrhage. Step 2: The presence of a uterine fibroid also contributes to the hemorrhage risk. Step 3: Previous vaginal delivery 4 years ago does not significantly alter the hemorrhage risk. Step 4: Ordering a type and screen will allow for rapid access to blood products if needed in case of hemorrhage. Step 5: This is a moderate hemorrhage risk situation, warranting the need for preparing for potential blood transfusion. Summary: - Choice B is incorrect as ordering 4 units of packed red blood cells is excessive for a moderate hemorrhage risk. - Choice C is incorrect as a hold tube will not provide immediate access to blood products in case of hemorrhage. - Choice D is incorrect as blood should be drawn to be prepared for potential hemorrhage in a moderate risk situation.
Question 4 of 5
A woman is 1 hour postcesarean delivery with nausea and an estimated blood loss of 1,200 mL. She is currently experiencing heavy vaginal bleeding and has a uterus that firms with massage. She has a history of asthma with a current O2 saturation of 89%. The licensed provider has ordered Cytotec 800 mcg and Methergine 0.2 mg. What collaborative communication should occur between the nurse and provider?
Correct Answer: D
Rationale: The correct answer is D: Recommend that the patient not get Methergine because she has a history of asthma. Methergine is contraindicated in patients with a history of asthma due to its potential to cause bronchospasm and worsen respiratory function. As the patient has a history of asthma with a current low O2 saturation, administering Methergine could exacerbate her respiratory status. Collaborative communication between the nurse and provider is crucial to ensure patient safety and avoid potential complications. Summary of other choices: A: Delaying administration of Cytotec and Methergine is not appropriate as the patient is experiencing heavy vaginal bleeding and needs prompt management. B: Giving Cytotec rectally and considering the route for Methergine do not address the contraindication of Methergine in a patient with asthma. C: Removing the abdominal dressing to inspect for incisional bleeding may be necessary but does not address the contraindication of Methergine in a
Question 5 of 5
A postpartum patient calls the clinic 4 days after the birth of her newborn because she is extremely tired and her vaginal bleeding is heavier. Which does the nurse anticipate when advising her to come in to the office right now?
Correct Answer: A
Rationale: The correct answer is A. The nurse anticipates that a hematocrit will be drawn and the provider will check for retained placental fragments because heavy vaginal bleeding and extreme fatigue could indicate postpartum hemorrhage due to retained placental tissue. This is a serious complication that requires immediate medical attention to prevent further complications such as infection or hemorrhagic shock. Choice B is incorrect because prescribing sleeping medication does not address the underlying cause of the symptoms. Choice C is incorrect because lacerations would typically have been evaluated and repaired during delivery, and would not likely be missed. Choice D is incorrect because reassuring the client without further evaluation could lead to potential serious consequences if the underlying issue of retained placental fragments is not addressed promptly.