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Exam 28: Postpartum Maternal Complications

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Question 1

Multiple Choice

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If a late postpartum hemorrhage is documented on a client who delivered 3 days ago, the nurse recognizes that this hemorrhage occurred:

A) on the first postpartum day.
B) during recovery phase of labor.
C) during the third stage of labor.
D) on the second postpartum day.

E) A) and D)
F) B) and C)

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Question 2

Multiple Choice

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For the client diagnosed with endometritis, the nurse recognizes that the client should be positioned in the:

A) prone position.
B) side-lying position.
C) Fowler position.
D) supine position with the head flat.

E) None of the above
F) A) and B)

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Question 3

Multiple Choice

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The client who is being treated for endometritis is placed in the Fowler position because it:

Which measure may prevent mastitis in a breastfeeding client?

Which instruction should be included in the discharge teaching plan to assist the client in recognizing early signs of complications?

A postpartum client has developed deep vein thrombosis (DVT) and treatment with warfarin (Coumadin) has been initiated. Which dietary selection should be modified in view of this treatment regimen?

The visiting nurse must be aware that women who have had a postpartum hemorrhage are subject to a variety of complications after discharge from the hospital. These include which of the following? (Select all that apply.)

Prior to ambulating the client to the bathroom whose admission hemoglobin level was 10.2 g/dL, the nurse should:

Which client data received during report should the nurse recognize as being a postpartum risk factor?

A client with mastitis is concerned about breastfeeding while she has an active infection. Which is an appropriate response by the nurse?

Which information should the nurse recognize as contributing to mastitis in the breastfeeding mother? (Select all that apply.)

A client has been treated with oxytocin (Pitocin) for postpartum hemorrhage. Bleeding has stabilized and slowed down considerably. The peripad in place reveals a moderate amount of bright red blood, with no clots expelled when massaging the fundus. The client now complains of having difficulty breathing. Auscultation of breath sounds reveals adventitious sounds. Based on this clinical presentation, the priority nursing action is to:

A multiparous client is admitted to the postpartum unit after a rapid labor and birth of a 4000-g infant. Her fundus is boggy, lochia is heavy, and vital signs are unchanged. The nurse has the client void and massages her fundus, but the fundus remains difficult to find and the rubra lochia remains heavy. Which action should the nurse take next?

If nonsurgical treatment for subinvolution is ineffective, which surgical procedure is appropriate to correct the cause of this condition?

To prevent infection of the urinary tract, the nurse should instruct the client to:

The nurse expecting a uterine infection in a postpartum client should assess the:

Following a difficult vaginal birth of a singleton pregnancy, the client starts bleeding heavily. Clots are expressed and a Foley catheter is inserted to empty the bladder because the uterine fundus is soft and displaced laterally from midline. Vital signs are 99.8° F, pulse 90 beats/min, respirations 20 breaths/min, and BP 130/90 mm Hg. Which pharmacologic intervention is indicated?

What data in the client's history should the nurse recognize as being pertinent to a possible diagnosis of postpartum depression?

The nurse recognizes that infection may be present in her postpartum client when the client exhibits a temperature of:

If the nurse suspects a complication of a low forceps birth labor, she should immediately: