ATI RN
Complication Postpartum Questions
Question 1 of 5
What postpartum infection is caused by STIs and chorioamnionitis?
Correct Answer: D
Rationale: The correct answer is D, postpartum endometritis. This infection is commonly caused by sexually transmitted infections (STIs) and chorioamnionitis. Endometritis is inflammation of the endometrium lining the uterus after childbirth. Mastitis (A) is a breast infection, pneumonia (B) is a lung infection, and cesarean wound infection (C) is an infection at the site of the cesarean incision. These options are incorrect as they do not specifically relate to the postpartum infection caused by STIs and chorioamnionitis.
Question 2 of 5
What nursing intervention does the nurse include in the plan of care for a person with mastitis?
Correct Answer: A
Rationale: Correct Answer: A. Provide antipyretic. Rationale: 1. Mastitis is an inflammation of the breast tissue usually caused by infection. 2. Antipyretics help reduce fever, a common symptom of infection. 3. Providing antipyretics can help alleviate discomfort and promote healing. 4. Stopping antibiotics when redness is resolved (choice B) may lead to recurrence of infection. 5. Encouraging the person to stop breast-feeding (choice C) can negatively impact milk production and bonding. 6. Starting an IV and preparing for signs of sepsis (choice D) is an extreme measure not indicated unless sepsis is confirmed.
Question 3 of 5
What nursing intervention does the nurse include in the plan of care for a person with a perineal laceration infection?
Correct Answer: C
Rationale: The correct answer is C because using a peri-bottle for cleaning front to back helps prevent introducing more bacteria into the infected perineal laceration. This method maintains proper hygiene, reduces the risk of further infection, and promotes healing. A urinary catheter (A) is not typically indicated for a perineal laceration infection. An abdominal binder (B) may provide support but does not directly address the infection. Discouraging pain medications (D) is not appropriate as pain management is important for patient comfort and healing.
Question 4 of 5
What is characteristic of an early (primary) PPH?
Correct Answer: C
Rationale: The correct answer is C because early (primary) postpartum hemorrhage (PPH) often occurs due to uterine atony, which is the inability of the uterus to contract effectively after childbirth. This leads to excessive bleeding within 24 hours of delivery. Choice A is incorrect because early PPH occurs within 24 hours postpartum, not after 12 weeks. Choice B is incorrect because early PPH is indeed an emergency due to the risk of rapid blood loss. Choice D is incorrect as early PPH is typically diagnosed before or shortly after discharge, not after.
Question 5 of 5
When referring to the 4 T’s of PPH, what does tissue refer to?
Correct Answer: A
Rationale: The correct answer is A because in the context of Postpartum Hemorrhage (PPH), the 4 T’s stand for Tone, Trauma, Tissue, and Thrombin. Tissue refers to placental tissue or membranes being retained, leading to excessive bleeding. This can be a common cause of PPH. Option B is incorrect because it refers to perineal tears, which are related to trauma and not specifically related to tissue retention causing PPH. Option C is incorrect as it refers to uterine tissue tears, which is more related to trauma rather than retained tissue. Option D is incorrect because it refers to tissue not being perfused, which is not directly related to the concept of tissue retention causing PPH.