Exam 16: Caring for the Woman Experiencing Complications During the Postpartal Period

The perinatal nurse recognizes that which common organism is responsible for postpartum infection manifesting with scant,odorless lochia?

A woman with postpartum depression is being treated with a selective serotonin Reuptake inhibitor (SSRI).What statement by the patient requires further action by the nurse?

The clinic nurse sees a patient and her infant in the clinic for their 2-week follow-up visit.The woman appears to be tired,her clothes and hair appear unwashed,and she does not make eye contact with her infant.Which question would be most appropriate for the nurse to ask?

A nursing student who once lived in the southwest was overheard making disparaging comments about Hispanic immigrants,stating: "They only come here for free medical care." What response by the nursing faculty member is best?

A woman with a deep vein thrombosis (DVT)is receiving IV heparin therapy.Which nursing diagnosis does the nurse address as the priority?

The nursing faculty member who is explaining uterine atony to nursing students informs them of risk factors contributing to this condition.Which factors would place a woman at higher risk of uterine atony?

As a member of the health-care team,the perinatal nurse finds it helpful following a maternal emergency,such as a postpartum hemorrhage,to engage in which of the following activities?

A nurse is caring for a patient who has excessive blood loss post-delivery from uterine atony.The perinatal nurse notifies the health-care provider while another nurse performs uterine massage.Which medication does the nurse anticipate to be given as the priority?

A perinatal clinic nurse develops concerns about a postpartum woman and her infant at the first well-baby checkup.The nurse has assessed several risk factors for depression.Which action by the nurse is most appropriate?

A perinatal nurse is conducting an initial interview and assessment on a new patient in her first trimester of an unplanned pregnancy.The nurse discovers the patient was a victim of child abuse and her husband has left her and returned several times.The nurse should assess this patient for what other issue as the priority?

A postpartum patient is hemorrhaging despite receiving several medications and fundal massage.What action by the nurse takes priority?

A nursing student is preparing to give a pregnant woman heparin for a deep vein thrombosis (DVT).The student questions the dose,as it is higher than what the student has given to other patients.What response by the perinatal nurse is most appropriate?

The perinatal nurse accurately defines postpartum hemorrhage to a group of nursing students by including a decrease in hematocrit levels from prebirth to postbirth by which percentage?

A postpartum woman is about to be dismissed with her baby when she reveals to the nurse that she is homeless and has nowhere to go.What action by the nurse is most appropriate?

As part of a research study on deep vein thrombosis (DVT),a perinatal nurse is collecting blood samples in women at highest risk for factor V Leiden mutation.Which woman would the nurse approach as the priority?

A postpartum patient is ready for discharge from the hospital with her baby.She describes having some "sad feelings" after her last baby.The perinatal nurse explains that she should seek help in which situation?

A postpartum woman has a suspected deep vein thrombosis (DVT).Which diagnostic studies does the nurse prepare the woman to possibly have?

A woman is being taken to the operating room later in the day for incision and drainage of a large perineal hematoma.What action by the nurse is most important to meet the patient's psychosocial needs?

A nurse is caring for a patient on heparin for a deep vein thrombosis (DVT)and realizes that the patient has received an overdose of the medication.When contacting the physician,what orders does the nurse anticipate?

A woman presents to the emergency department in labor and states that she is homeless and has not had prenatal care.The emergency department nurse explains to the nursing student that homeless women face many challenges to getting prenatal care,including which of the following?