ATI RN
Complications of Postpartum Questions
Question 1 of 5
What symptom can partners of persons with PPD experience?
Correct Answer: B
Rationale: The correct answer is B: psychosis. Partners of individuals with Paranoid Personality Disorder (PPD) may experience shared psychosis due to the intense distrust and suspicion exhibited by the person with PPD. This can lead partners to develop similar delusions or false beliefs. Depression (A), bipolar disorder (C), and mania (D) are not directly associated with PPD and are less likely to be experienced solely as a result of being in a relationship with someone with PPD.
Question 2 of 5
The nurse is taking the postpartum patient’s vital signs. The newborn is across the room in the bassinet, and the postpartum person refuses to hold the newborn. What should the nurse do?
Correct Answer: B
Rationale: The correct answer is B. The nurse should ask the postpartum person if they are feeling depressed, hopeless, afraid, or overwhelmed. This is important because it can help assess the person's mental and emotional state, which could be contributing to their refusal to hold the newborn. It also shows empathy and support for the person's feelings. Choice A is incorrect because calling Child Protective Services (CPS) would be premature and could escalate the situation unnecessarily. Choice C is incorrect as starting an antidepressant should only be considered after a thorough evaluation by a healthcare provider. Choice D is incorrect because it does not address the underlying issue of the person's emotional state and may come off as judgmental.
Question 3 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 4 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 5 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