ATI RN
Complications of Postpartum Questions
Question 1 of 5
What is characteristic of a late (secondary) PPH?
Correct Answer: B
Rationale: The correct answer is B because late (secondary) postpartum hemorrhage (PPH) is typically caused by subinvolution of the uterus, leading to persistent bleeding after the first 24 hours postpartum. This is due to inadequate contraction of the uterus to stop bleeding from the placental site. Choice A is incorrect because a late PPH occurs after the first 24 hours, not within it. Choice C is incorrect because late PPH can occur after cesarean births as well. Choice D is incorrect because Methergine is commonly used to treat late PPH by promoting uterine contractions and controlling bleeding.
Question 2 of 5
The nurse notices the uterus is boggy and the bladder is full. What intervention should the nurse perform next?
Correct Answer: D
Rationale: Step-by-step rationale: 1. A boggy uterus indicates uterine atony, a common cause of postpartum hemorrhage. 2. A full bladder can prevent the uterus from contracting effectively. 3. Massaging the fundus helps stimulate contractions to prevent further bleeding. 4. Assessing lochia provides information on the amount and type of bleeding. 5. This intervention addresses the underlying issue and promotes uterine contraction, reducing the risk of hemorrhage. Other choices are incorrect: A: Calling for help is not the immediate intervention needed to address the uterine atony and full bladder. B: Starting an IV bolus may be necessary later but is not the priority in this situation. C: Getting the person out of bed is not appropriate when managing postpartum hemorrhage; addressing uterine atony is crucial.
Question 3 of 5
What assessment finding would indicate a fluid volume deficit?
Correct Answer: A
Rationale: The correct answer is A because skin tenting with testing of skin turgor is a classic sign of fluid volume deficit. When there is a lack of fluid in the body, the skin loses its elasticity, causing it to tent or stay elevated when pinched. This indicates dehydration. Choice B, hypertension, is incorrect because fluid volume deficit typically leads to hypotension, not hypertension. Choice C, bradycardia, is also incorrect as fluid volume deficit usually causes tachycardia to compensate for decreased blood volume. Choice D, bounding pulse, is incorrect as it is associated with fluid overload, not deficit.
Question 4 of 5
What is the most common reason for cracked, sore nipples?
Correct Answer: C
Rationale: The correct answer is C: ineffective latch. An ineffective latch during breastfeeding can lead to cracked, sore nipples due to improper positioning and poor attachment of the baby to the breast. This can cause friction and irritation on the nipples, leading to pain and discomfort. It is crucial for the baby to have a deep latch to ensure proper milk transfer and to prevent nipple damage. Summary: A: A hungry infant may lead to more frequent feedings but not necessarily cause cracked, sore nipples. B: Pumping alone does not directly cause cracked, sore nipples; it is more related to how the baby latches during breastfeeding. D: While a lack of supportive bra may contribute to discomfort, it is not the primary reason for cracked, sore nipples.
Question 5 of 5
The nurse develops a plan to increase a patient’s milk supply. What is an intervention they can implement?
Correct Answer: A
Rationale: The correct answer is A: Pump between nursing sessions. This intervention helps stimulate milk production by emptying the breasts more frequently. Pumping increases demand for milk, signaling the body to produce more. Nursing every 6 hours (B) reduces milk supply due to less frequent stimulation. Keeping newborn in bassinet (C) limits nursing opportunities. Offering a pacifier (D) may decrease milk supply by reducing nursing frequency. Therefore, option A is the most effective intervention to increase milk supply.