What nursing diagnosis would be appropriate for the person with a coagulation disorder?

Correct Answer: B

Rationale: In the context of a person with a coagulation disorder in the postpartum period, the most appropriate nursing diagnosis would be "risk for bleeding" (Option B). This is because individuals with coagulation disorders are at a higher risk for excessive bleeding due to impaired clotting mechanisms. Option A, "risk for hypertension," is not directly related to a coagulation disorder and would not be the most immediate concern in this scenario. Option C, "risk for fluid overload," is also not directly linked to a coagulation disorder. While fluid management is important in postpartum care, it is not the primary concern for a person with a coagulation disorder. Option D, "risk for breast-feeding failure," is not directly associated with a coagulation disorder. While breastfeeding may need to be managed differently in the presence of a coagulation disorder, the immediate risk of bleeding takes precedence. Understanding the nursing diagnosis in the context of specific medical conditions is crucial for providing safe and effective care to patients. By prioritizing the risk for bleeding in a person with a coagulation disorder, nurses can implement appropriate interventions to prevent complications and promote recovery.

Correct Answer: C

Rationale: The correct answer is C) Pain with movement is more intense after a cesarean birth. This is because during a cesarean birth, the incision is made through the abdominal wall and uterus, which leads to more extensive tissue damage compared to a vaginal birth. This increased tissue trauma results in more intense pain with movement as the muscles and tissues around the incision site are affected. Option A) Breast-feeding is discouraged after cesarean birth due to pain medications taken is incorrect because breast-feeding is encouraged after both cesarean and vaginal births, and there are safe pain medication options for breastfeeding mothers. Option B) Lochia will be heavier after a cesarean birth is incorrect because the amount and duration of lochia flow are not typically affected by the mode of delivery. Option D) Gas pain is more intense after a vaginal birth is incorrect because gas pain can occur after any type of birth due to the physiological changes that happen during pregnancy and delivery, not specifically related to the mode of delivery. Understanding the differences in postpartum recovery between cesarean and vaginal births is crucial for healthcare providers to provide appropriate care and support to women during this period. It is essential for pharmacology students to learn about these differences to optimize pain management strategies and promote better outcomes for postpartum women.

Correct Answer: A

Rationale: In the postpartum period, especially after a cesarean birth, encouraging ambulation is essential for several reasons. The correct answer is A) Ambulation helps to prevent DVT (Deep Vein Thrombosis). After surgery, immobility can lead to blood pooling in the lower extremities, increasing the risk of DVT. Ambulation promotes blood circulation, reducing the likelihood of clot formation. Option B) Ambulation causes the person to lose weight in the hospital is incorrect as ambulation primarily serves therapeutic purposes related to postpartum recovery, not weight loss. Option C) Ambulation helps with breastfeeding is incorrect as while ambulation may indirectly support breastfeeding by promoting overall well-being, its primary benefit in this context is preventing complications like DVT. Option D) Ambulation decreases peristalsis is incorrect as ambulation actually helps to stimulate peristalsis and prevent complications like constipation post-surgery. Understanding the rationale behind encouraging ambulation after a cesarean birth is crucial for nurses to provide optimal care and prevent potential complications in postpartum patients.

Correct Answer: A

Rationale: In the context of postpartum depression (PPD), partners may experience symptoms of depression. This can occur due to various factors, including stress, lack of sleep, feeling overwhelmed, or witnessing their loved one's struggle with PPD. Partners may feel helpless, anxious, or sad themselves, leading to depressive symptoms. Option A, depression, is the correct answer because partners are at increased risk of developing depression when their significant other is experiencing PPD. It is important to recognize and address these symptoms to provide support and prevent further complications. Options B, C, and D (psychosis, bipolar disorder, mania) are less likely in partners of individuals with PPD. Psychosis is a severe condition characterized by a loss of touch with reality, which is not typically associated with partners of those with PPD. Bipolar disorder and mania are mood disorders with distinct symptoms not commonly linked to partners of individuals with PPD. Understanding the potential impact of PPD on partners is crucial in providing holistic care to families. Educating partners about the signs of depression and offering support and resources can help mitigate the effects of PPD on the entire family unit.

Correct Answer: B

Rationale: The correct answer is B) encouraging the family to have support available for the person and partner. Postpartum depression (PPD) is a serious issue that affects many new mothers, and having a strong support system in place can significantly help in managing and recovering from PPD. Family support can provide emotional comfort, practical assistance with daily tasks, and create a nurturing environment for the new parent and baby. Option A is incorrect because while it is important for the postpartum person to learn self-care, encouraging the partner to let them do it alone may not be the most beneficial approach when dealing with PPD. Option C is incorrect as it is essential to consult a healthcare provider before making any decisions regarding medication and breastfeeding. Option D is also incorrect as keeping the newborn in the nursery most of the time can hinder the bonding process between the parent and baby, which is crucial for both their well-being. In an educational context, it is vital for nurses to understand the complexities of postpartum complications, particularly PPD, and the role of support systems in aiding recovery. Nurses play a crucial role in assessing, educating, and providing resources for new parents experiencing PPD, emphasizing the importance of a supportive environment for optimal outcomes.