When teaching the postpartum woman about peripads, the nurse should tell her that:

Correct Answer: D

Rationale: The correct answer is D) The pads should be applied and removed in a front to back direction. This is crucial to prevent the introduction of bacteria from the rectal area to the vaginal area, reducing the risk of infection, especially in the postpartum period when the perineum is healing. Option A is incorrect because tampons are not recommended during the postpartum period due to the increased risk of infection. Option B is incorrect as pads with cold packs are typically used for soothing purposes but do not necessarily hold more lochia. Option C is incorrect because blood-soaked pads do not need to be returned to the hospital but should be disposed of properly following hygiene guidelines. In an educational context, it is essential to emphasize proper peripad usage to postpartum women to promote healing and prevent infections. Teaching them the correct way to apply and remove pads helps ensure their well-being during this critical period of recovery. This information empowers women to take charge of their postpartum care and recovery.

Correct Answer: A

Rationale: In this scenario, the correct answer is A) Determine whether the bleeding slows to normal or remains as a large volume. This is the priority action because sudden large gushes of lochia rubra could indicate postpartum hemorrhage, a serious complication that requires immediate attention to prevent hypovolemic shock. By assessing the bleeding, the nurse can determine the severity of the situation and initiate appropriate interventions promptly. Option B) Observe vital signs for signs of hypovolemic shock is not the first action to take because vital signs may not immediately reflect the extent of blood loss, and direct assessment of the bleeding is more crucial in this case. Option C) Check to see what her previous lochia flow has been is not the most appropriate action as the current sudden gush of blood is more concerning than previous flow patterns. Option D) Identify the type of pain relief that was given when she was in labor is not relevant in this situation as the priority is to address the potential postpartum hemorrhage. In an educational context, understanding the importance of prompt assessment and intervention in postpartum complications like hemorrhage is crucial for nurses caring for postpartum women. Recognizing the signs of postpartum hemorrhage and knowing the appropriate actions to take can help prevent serious consequences and ensure optimal outcomes for both the mother and the newborn.

Correct Answer: B

Rationale: The correct answer is B: Performing fundal massage. Fundal massage helps to stimulate contractions of the uterus, which can help control bleeding in cases of uterine atony. This is a primary nursing responsibility to address the immediate cause of the hemorrhage. Establishing venous access (choice A) is important but not the primary responsibility in this situation. Preparing for surgical intervention (choice C) may be necessary if conservative measures fail, but it is not the initial step. Catheterizing the bladder (choice D) is not directly related to managing obstetric hemorrhage associated with uterine atony.

Correct Answer: B

Rationale: The correct answer is B because a woman with severe preeclampsia on magnesium sulfate is at the greatest risk for early postpartum hemorrhage (PPH) due to the increased risk of placental abruption, coagulopathy, and uterine atony associated with preeclampsia and magnesium sulfate use. Preeclampsia can lead to poor placental perfusion, increasing the risk of hemorrhage during and after delivery. Magnesium sulfate can also affect blood clotting mechanisms, further increasing the risk of excessive bleeding. The other choices are less likely to be at greatest risk for early PPH. Choice A involves a primiparous woman with cesarean delivery, which may have controlled bleeding. Choice C is a multiparous woman with a relatively short labor duration, which is not a significant risk factor for early PPH. Choice D is a primigravida with preterm twins, which does not inherently increase the risk of early PPH

Correct Answer: C

Rationale: Rationale: Choice C is correct because strict aseptic technique, including hand washing, is crucial in preventing puerperal infection by minimizing the transmission of pathogens. Proper hand hygiene is a fundamental practice in infection control. Choices A, B, and D are incorrect because large doses of vitamin C, prophylactic antibiotics, and limited protein and fat intake do not directly address the primary mode of infection transmission and prevention for puerperal infection. Vitamin C, antibiotics, and dietary restrictions are not the primary strategies in preventing puerperal infections compared to the importance of proper hand hygiene and aseptic technique.