ATI RN
Complications of Postpartum Questions
Question 1 of 5
Why does the nurse encourage ambulation in a patient who has experienced a cesarean birth?
Correct Answer: B
Rationale: The correct answer is B because ambulation after a cesarean birth helps the patient to lose weight. Walking promotes circulation, aids in healing, and can prevent complications such as blood clots and pneumonia. It also helps to restore strength and energy levels. Choices A, C, and D are incorrect because ambulation primarily benefits the patient's overall well-being and recovery, rather than directly preventing DVT, aiding breastfeeding, or decreasing peristalsis.
Question 2 of 5
What intervention by the nurse can help with PPD?
Correct Answer: B
Rationale: The correct answer is B because encouraging the family to have support available for the person and partner is essential in managing postpartum depression (PPD). Support from loved ones can provide emotional, practical, and social assistance, which are crucial in helping the individual cope with PPD. It promotes a sense of belonging, reduces feelings of isolation, and helps in sharing the responsibilities of caring for the newborn. A: Encouraging the partner to let the postpartum person learn to take care of themself is not the best intervention as it may increase feelings of inadequacy and overwhelm in the individual experiencing PPD. C: Telling the person not to breast-feed if taking antidepressants is incorrect as breastfeeding can still be possible under the guidance of healthcare professionals while taking antidepressants. D: Keeping the newborn in the nursery most of the day and night is not recommended as it can disrupt bonding and caregiving opportunities between the parent and child, which are important for both parties' emotional well-being
Question 3 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 4 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 5 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.