Exam 23: Postpartum Complications

To provide adequate postpartum care, the nurse should be aware that postpartum depression (PPD) without psychotic features:

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:

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 patient to use first?

Nurses need to know the basic definitions and incidence data about postpartum hemorrhage (PPH). For instance:

A woman who has recently given birth complains of pain and tenderness in her leg. On physical examination, the nurse notices warmth and redness over an enlarged, hardened area. The nurse should suspect:

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

A primary nursing responsibility when caring for a woman experiencing an obstetric hemorrhage associated with uterine atony is to:

With shortened hospital stays, new mothers are often discharged before they begin to experience symptoms of the baby blues or postpartum depression. As part of the discharge teaching, the nurse can prepare the mother for this adjustment to her new role by instructing her regarding self-care activities to help prevent postpartum depression. The most accurate statement as related to these activities is to:

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:

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 patient with von Willebrand disease who experiences a postpartum hemorrhage is:

When a woman is diagnosed with postpartum depression (PPD) with psychotic features, one of the main concerns is that she may:

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

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

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

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

Abnormal adherence of the placenta occurs for reasons unknown. Attempts to remove the placenta in the usual manner are unsuccessful, and laceration and perforation of the uterine wall may result, putting the woman at risk for severe PPH and infection. Placental adherence may be partial or complete. Which is not a recognized degree of placental attachment?

____________________ is the most common cause of postpartum infection.