Exam 23: Postpartum Complications

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

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:

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

After giving birth to a stillborn infant,the woman turns to the nurse and says,"I just finished painting the baby's room. Do you think that caused my baby to die?" The nurse's best response to this woman is:

What woman is at greatest risk for early postpartum hemorrhage (PPH)?

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:

Complicated bereavement:

What PPH conditions are considered medical emergencies that require immediate treatment?

A woman experienced a miscarriage at 10 weeks of gestation and had a dilation and curettage (D&C). She states that she is just fine and wants to go home as soon as possible. While you are assessing her responses to her loss,she tells you that she had purchased some baby things and had picked out a name. On the basis of your assessment of her responses,what nursing intervention would you use first?

During a follow-up visit,if parents have progressed to the second stage or phase of grieving,the nurse should not expect to see:

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

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?

What infection is contracted mostly by first-time mothers who are breastfeeding?

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:

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:

____________________ is the most common postpartum infection.

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

When helping the mother,father,and other family members actualize the loss of the infant,nurses should:

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

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 __________ and should confirm the diagnosis by ___________.