Exam 21: Postpartum Complications

The prevalence of urinary incontinence (UI)increases as women age,with more than one third of women in the United States suffering from some form of this disorder.The symptoms of mild to moderate UI can be successfully decreased by a number of strategies.Which of these should the nurse instruct the client to use first?

A mother in late middle age who is certain she is not pregnant tells the nurse during an office visit that she has urinary problems and sensations of bearing down and of something in her vagina.The nurse would realize that the client most likely is suffering from:

Medications used to manage postpartum hemorrhage (PPH)include (Select all that apply):

The perinatal nurse assisting with establishing lactation is aware that acute mastitis can be minimized by:

Complicated bereavement:

One of the first symptoms of puerperal infection to assess for in the postpartum woman is:

A woman delivered a 9-lb,10-oz baby 1 hour ago.When you arrive to perform her 15-minute assessment,she tells you that she "feels all wet underneath." You discover that both pads are completely saturated and that she is lying in a 6-inch-diameter puddle of blood.What is your first action?

The perinatal nurse caring for the postpartum woman understands that late postpartum hemorrhage (PPH)is most likely caused by:

Which condition is a transient,self-limiting mood disorder that affects new mothers after childbirth?

A newborn in the neonatal intensive care unit (NICU)is dying as a result of a massive infection.The parents speak to the neonatologist,who informs them of their son's prognosis.When the father sees his son,he says,"He looks just fine to me.I can't understand what all this is about." The most appropriate response by the nurse would be:

A woman is diagnosed with having a stillborn.At first,she appears stunned by the news,cries a little,and then asks you to call her mother.The phase of bereavement the woman is experiencing is called:

PPH may be sudden and result in rapid blood loss. The nurse must be alert to the symptoms of hemorrhage and hypovolemic shock and be prepared to act quickly to minimize blood loss. Astute assessment of circulatory status can be done with noninvasive monitoring. Please match the type of noninvasive assessment that the RN would perform with the appropriate clinical manifestation or body system. -Arterial pulses

Anxiety disorders are the most common mental disorders that affect women.While providing care to the maternity patient,the nurse should be aware that one of these disorders is likely to be triggered by the process of labor and birth.This disorder is:

When caring for a postpartum woman experiencing hemorrhagic shock,the nurse recognizes that the most objective and least invasive assessment of adequate organ perfusion and oxygenation is:

PPH may be sudden and result in rapid blood loss. The nurse must be alert to the symptoms of hemorrhage and hypovolemic shock and be prepared to act quickly to minimize blood loss. Astute assessment of circulatory status can be done with noninvasive monitoring. Please match the type of noninvasive assessment that the RN would perform with the appropriate clinical manifestation or body system. -Pulse oximetry

The nurse should be aware that a pessary would be most effective in the treatment of what disorder?

During the initial acute distress phase of grieving,parents still must make unexpected and unwanted decisions about funeral arrangements and even naming the baby.The nurse's role should be to:

To provide adequate postpartum care,the nurse should be aware that postpartum depression (PPD)with psychotic features:

Despite popular belief,there is a rare type of hemophilia that affects women of childbearing age.von Willebrand disease is the most common of the hereditary bleeding disorders and can affect males and females alike.It results from a factor VIII deficiency and platelet dysfunction.Although factor VIII levels increase naturally during pregnancy,there is an increased risk for postpartum hemorrhage from birth until 4 weeks after delivery as levels of von Willebrand factor (vWf)and factor VIII decrease.The treatment that should be considered first for the client with von Willebrand disease who experiences a postpartum hemorrhage is:

The perinatal nurse is caring for a woman in the immediate postbirth period.Assessment reveals that the woman is experiencing profuse bleeding.The most likely etiology for the bleeding is: