ATI RN
Complication Postpartum Questions
Question 1 of 5
What symptom differentiates baby blues from PPD?
Correct Answer: A
Rationale: The correct answer is A) Baby blues last longer than 14 days. The key difference between baby blues and postpartum depression (PPD) lies in the duration of symptoms. Baby blues typically occur in the first few days to two weeks postpartum and are characterized by mood swings, tearfulness, and mild depressive symptoms. These feelings usually resolve on their own without the need for extensive treatment. Option B) Baby blues causing hallucinations is incorrect as hallucinations are not a common symptom of baby blues but can be seen in more severe conditions like postpartum psychosis. Option C) Baby blues occurring in the first few days of the postpartum period is partially correct, but the critical distinguishing factor is the duration of symptoms lasting longer than 14 days. Option D) Baby blues are not typically treated with inpatient therapy as they are considered a milder and self-limiting condition. Inpatient therapy is more commonly used for severe cases of PPD or postpartum psychosis. Understanding the differences between baby blues and PPD is crucial for healthcare providers working with postpartum women to provide appropriate support and intervention. Recognizing the duration and severity of symptoms can help in early identification and management of postpartum mood disorders, ultimately improving outcomes for both the mother and the baby.
Question 2 of 5
The nurse and provider estimate the blood loss at delivery to be 400 mL in the measuring drape; now when doing the initial perineal care, the nurse finds a large amount of blood underneath the patient. What action reflects safe and accurate nursing care?
Correct Answer: D
Rationale: The correct answer is D) Weigh the blood-soaked linens and notify the provider of the additional blood loss. This action reflects safe and accurate nursing care because it provides an objective measurement of the blood loss, which is crucial in postpartum management. Weighing the linens allows for a more accurate estimation of the blood loss compared to visual assessments. Option A is incorrect because estimating blood loss from sheets and clothing is subjective and less accurate than weighing the blood-soaked linens. Option B is incorrect as it does not provide an objective measurement of blood loss. Option C is not the best initial action as drawing a hematocrit requires time and may not provide immediate information on the extent of blood loss. In an educational context, it is essential for nurses to understand the importance of accurate assessment and measurement of blood loss in the postpartum period to prevent and manage complications such as hemorrhage. Weighing blood-soaked linens is a evidence-based practice that helps in prompt identification and appropriate management of excessive bleeding, ensuring optimal patient outcomes.
Question 3 of 5
The nurse is performing an assessment of the uterus 30 minutes after a normal delivery and finds the fundus to be soft and boggy. IV Pitocin is infusing at 150 mL/hr. What is the priority nursing intervention?
Correct Answer: B
Rationale: In this scenario, the correct answer is B) Perform external massage of the uterus until it is firm, assess for additional bleeding on the pad, and update the licensed provider. The priority nursing intervention in this situation is to address the soft and boggy fundus, which could indicate uterine atony, a common cause of postpartum hemorrhage. Massaging the uterus helps in promoting uterine contractions and preventing excessive bleeding. Assessing for additional bleeding is crucial to monitor the patient's condition and notify the healthcare provider promptly if needed. Option A is incorrect because increasing Pitocin without addressing the soft fundus may not be effective in controlling bleeding. Option C is incorrect because notifying the provider of increased blood loss is important but not the immediate priority when the fundus is soft. Option D is incorrect as assisting the patient to the bathroom does not address the primary issue of uterine atony and potential hemorrhage. Educationally, understanding the importance of timely assessment and intervention in postpartum complications like uterine atony is critical for nurses caring for postpartum patients. This case highlights the significance of quick, appropriate actions to prevent complications and ensure optimal patient outcomes.
Question 4 of 5
The nurse is caring for a postpartum woman and her 2-hour-old baby. The new mother has been preoccupied with breastfeeding and visitors, but suddenly she complains of dizziness and is light-headed. Which response by the nurse is appropriate?
Correct Answer: D
Rationale: In this scenario, option D is the most appropriate response by the nurse. The sudden onset of dizziness and light-headedness in a postpartum woman could indicate postpartum hemorrhage, a serious complication requiring immediate attention. By obtaining vital signs, assessing fundal tone, and observing for excessive lochia, the nurse can quickly assess for signs of hemorrhage and take prompt action if necessary to ensure the mother's safety. Option A is incorrect because simply advising the mother to drink more fluids and eat may delay necessary interventions in case of postpartum hemorrhage. Option B is also incorrect as it fails to address the potential seriousness of the symptoms and delays appropriate assessment. Option C is incorrect because assuming the dizziness is related to pain medication without further assessment could overlook a critical issue like hemorrhage. Educationally, this scenario highlights the importance of prompt assessment and intervention in postpartum care. Nurses caring for postpartum women should be vigilant for signs of complications like postpartum hemorrhage and respond quickly to ensure the well-being of both the mother and the newborn. Understanding the significance of early detection and appropriate action in such situations is crucial for nursing practice in postpartum care.
Question 5 of 5
The nurse is caring for a woman who is 6 hours postpartum after a vaginal delivery. She has a history of labial varicose veins and is reporting perineal pain of 8 on a 10-point scale. What interventions should the nurse include in the plan of care?
Correct Answer: C
Rationale: The correct answer is C: Assess the perineum for a hematoma or inflamed varicosities, and administer oral pain medication. This option is the most appropriate because it addresses the immediate concern of the patient's perineal pain after delivery and acknowledges her history of labial varicose veins. By assessing the perineum for potential complications like hematoma or inflamed varicosities, the nurse can identify any underlying issues contributing to the pain and provide targeted interventions. Administering oral pain medication will help alleviate the discomfort and improve the patient's postpartum experience. Option A is incorrect because while providing an inflatable donut ring may offer some relief, it does not address the need for a thorough assessment of potential complications. Option B is incorrect as it dismisses the patient's pain as normal without further evaluation, potentially overlooking a treatable issue. Option D is also incorrect as it focuses on bowel management rather than addressing the immediate perineal pain concern. In an educational context, it is essential for nurses to understand the importance of thorough assessment and individualized care in postpartum patients, especially when managing pain and potential complications related to delivery. By prioritizing assessment and targeted interventions, nurses can provide optimal care and support for women during the postpartum period.