Chapter 37 The Postpartum Family at Risk My Nursing Test Banks

Olds Maternal-Newborn Nursing and Womens Health, 10e (Davidson)

Chapter 37 The Postpartum Family at Risk

1) The charge nurse is assessing several postpartum clients. Which client has the greatest risk for postpartum hemorrhage?

1. The client who was overdue and delivered vaginally

2. The client who delivered by scheduled cesarean delivery

3. The client who had oxytocin augmentation of labor

4. The client who delivered vaginally at 36 weeks

Answer: 3

Explanation: 3. Uterine atony is a cause of postpartal hemorrhage. A contributing factor to uterine atony is oxytocin augmentation of labor.

Page Ref: 968

Cognitive Level: Applying

Client Need/Sub: Physiological Integrity: Reduction of Risk Potential

Standards: QSEN Competencies: V. B. 1. Demonstrate effective use of technology and standardized practices that support safety and quality. | AACN Essentials Competencies: IX. 1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches. | NLN Competencies: Relationship-Centered Care: Factors that contribute to or threaten health. | Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 1 Identify the causes, contributing factors, signs and symptoms, clinical therapy, and nursing interventions for early and late hemorrhage during the postpartum period.

MNL LO: 5.3.2 Compare the various etiologies and management of postpartum hemorrhage.

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2) The nurse is assisting a multiparous woman to the bathroom for the first time since her delivery 3 hours ago. When the client stands up, blood runs down her legs and pools on the floor. The client turns pale and feels weak. What would be the first action of the nurse?

1. Assist the client to empty her bladder

2. Help the client back to bed to check the fundus

3. Assess her blood pressure and pulse

4. Begin an IV of lactated Ringers solution

Answer: 2

Explanation: 2. Massaging the fundus is the top priority because of the excessive blood loss. If the fundus is not firm, gentle fundal massage is performed until the uterus contracts.

Page Ref: 969

Cognitive Level: Applying

Client Need/Sub: Health Promotion and Maintenance: Ante/Intra/Postpartum and Newborn Care

Standards: QSEN Competencies: V. B. 1. Demonstrate effective use of technology and standardized practices that support safety and quality. | AACN Essentials Competencies: IX. 8. Implement evidence-based nursing interventions as appropriate for managing the acute and chronic care of patients and promoting health across the lifespan. | NLN Competencies: Quality and Safety: Current best practices. | Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 1 Identify the causes, contributing factors, signs and symptoms, clinical therapy, and nursing interventions for early and late hemorrhage during the postpartum period.

MNL LO: 5.3.2 Compare the various etiologies and management of postpartum hemorrhage.

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3) A client is experiencing excessive bleeding immediately after the birth of her newborn. After speeding up the IV fluids containing oxytocin, with no noticeable decrease in the bleeding, the nurse should anticipate the physician requesting which medications?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Select all that apply.

1. Methergine

2. Coumadin

3. Misoprostol

4. Serotonin reuptake inhibitors (SSRIs)

5. Nonsteroidal anti-inflammatory drugs

Answer: 1, 3

Explanation: 1. Methergine is commonly used orally for postpartum hemorrhage.

3. Misoprostol is commonly used rectally for postpartum hemorrhage.

Page Ref: 971, 972

Cognitive Level: Applying

Client Need/Sub: Physiological Integrity: Reduction of Risk Potential

Standards: QSEN Competencies: V. B. 1. Demonstrate effective use of technology and standardized practices that support safety and quality. | AACN Essentials Competencies: IX. 8. Implement evidence-based nursing interventions as appropriate for managing the acute and chronic care of patients and promoting health across the lifespan. | NLN Competencies: Relationship-Centered Care: Current best practices. | Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 1 Identify the causes, contributing factors, signs and symptoms, clinical therapy, and nursing interventions for early and late hemorrhage during the postpartum period.

MNL LO: 5.3.2 Compare the various etiologies and management of postpartum hemorrhage.

3

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4) The client has experienced a postpartum hemorrhage at 6 hours postpartum. After controlling the hemorrhage, the clients partner asks what would cause a hemorrhage. How should the nurse respond?

1. Sometimes the uterus relaxes and excessive bleeding occurs.

2. The blood collected in the vagina and poured out when your partner stood up.

3. Bottle-feeding prevents the uterus from getting enough stimulation to contract.

4. The placenta had embedded in the uterine tissue abnormally.

Answer: 1

Explanation: 1. Uterine atony (relaxation of the uterus) is the leading cause of early postpartum hemorrhage, accounting for over 50% of postpartum hemorrhage cases.

Page Ref: 968

Cognitive Level: Understanding

Client Need/Sub: Health Promotion and Maintenance: Ante/Intra/Postpartum and Newborn Care

Standards: QSEN Competencies: I. A. 1. Integrate understanding of multiple dimensions of patient-centered care. | AACN Essentials Competencies: IX. 7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care. | NLN Competencies: Relationship-Centered Care: Communicate information effectively; listen openly and cooperatively. | Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 1 Identify the causes, contributing factors, signs and symptoms, clinical therapy, and nursing interventions for early and late hemorrhage during the postpartum period.

MNL LO: 5.3.2 Compare the various etiologies and management of postpartum hemorrhage.

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5) The nurse is assessing a client who has been diagnosed with an early postpartum hemorrhage. Which findings would the nurse expect?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Select all that apply.

1. A boggy fundus that does not respond to massage

2. Small clots and a moderate amount of lochia rubra on the pad

3. Decreased pulse and increased blood pressure

4. Hematoma formation or bulging/shiny skin in the perineal area

5. Rise in the level of the fundus of the uterus

Answer: 1, 4, 5

Explanation: 1. A boggy fundus indicates that the uterus is not contracted and will continue to bleed.

4. Shiny or bulging skin could indicate the presence of a hematoma.

5. The uterine cavity can distend with up to 1000 mL or more of blood causing the fundus to rise.

Page Ref: 969, 973, 976

Cognitive Level: Applying

Client Need/Sub: Physiological Integrity: Physiological Adaptation

Standards: QSEN Competencies: V. B. 2. Demonstrate effective use of strategies to reduce risk of harm to self or others. | AACN Essentials Competencies: IX. 1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches. | NLN Competencies: Relationship-Centered Care: Factors that contribute to or threaten health. | Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 1 Identify the causes, contributing factors, signs and symptoms, clinical therapy, and nursing interventions for early and late hemorrhage during the postpartum period.

MNL LO: 5.3.2 Compare the various etiologies and management of postpartum hemorrhage.

5

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6) The nurse is caring for a postpartum client who is at risk for developing early postpartum hemorrhage. What interventions would be included in the plan of care to detect this complication?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Select all that apply.

1. Weigh perineal pads if the client has a slow, steady, free flow of blood from the vagina.

2. Massage the uterus every 2 hours.

3. Maintain vascular access.

4. Obtain blood specimens for hemoglobin and hematocrit.

5. Encourage the client to void if the fundus is displaced upward or to one side.

Answer: 1, 4

Explanation: 1. Weighing the perineal pads will indicate whether the client is bleeding more than anticipated.

4. The nurse reviews hemoglobin and hematocrit levels when available, and compares them to the admission baseline.

Page Ref: 973, 974

Cognitive Level: Applying

Client Need/Sub: Physiological Integrity: Reduction of Risk Potential

Standards: QSEN Competencies: V. B. 1. Demonstrate effective use of technology and standardized practices that support safety and quality. | AACN Essentials Competencies: IX. 3. Implement holistic, patient-centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management, and nursing management across the health-illness continuum, across lifespan, and in all healthcare settings. | NLN Competencies: Quality and Safety: Current best practices. | Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 1 Identify the causes, contributing factors, signs and symptoms, clinical therapy, and nursing interventions for early and late hemorrhage during the postpartum period.

MNL LO: 5.3.2 Compare the various etiologies and management of postpartum hemorrhage.

6

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7) A client had a cesarean birth 3 days ago. She has tenderness, localized heat, and redness of the left leg. She is afebrile. As a result of these symptoms, what would the nurse anticipate would be the next course of action?

1. That the client would be encouraged to ambulate freely

2. That the client would be given aspirin 650 mg by mouth

3. That the client would be given Methergine IM

4. That the client would be placed on bed rest

Answer: 4

Explanation: 4. These symptoms indicate the presence of superficial thrombophlebitis. The treatment involves bed rest, elevation of the affected limb, analgesics, and use of elastic support hose.

Page Ref: 987, 988

Cognitive Level: Applying

Client Need/Sub: Physiological Integrity: Reduction of Risk Potential

Standards: QSEN Competencies: V. B. 2. Demonstrate effective use of strategies to reduce risk of harm to self or others. | AACN Essentials Competencies: IX. 8. Implement evidence-based nursing interventions as appropriate for managing the acute and chronic care of patients and promoting health across the lifespan. | NLN Competencies: Quality and Safety: Current best practices. | Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 3 Develop a nursing care plan that reflects knowledge of etiology, pathophysiology, current clinical therapy, nursing and preventive management for the woman experiencing urinary tract infection, lactation mastitis, thromboembolic disease, or a postpartum psychiatric disorder.

MNL LO: 5.3.1 Apply the nursing process to the care of women with postpartum complications.

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8) The postpartum client is concerned about mastitis because she experienced it with her last baby. Preventive measures the nurse can teach include which of the following?

1. Wearing a tight-fitting bra

2. Limiting breastfeedings

3. Frequent breastfeedings

4. Restricting fluid intake

Answer: 3

Explanation: 3. Treatment of mastitis includes frequent and complete emptying of the breasts.

Page Ref: 984

Cognitive Level: Applying

Client Need/Sub: Physiological Integrity: Reduction of Risk Potential

Standards: QSEN Competencies: V. B. 2. Demonstrate effective use of strategies to reduce risk of harm to self or others. | AACN Essentials Competencies: IX. 8. Implement evidence-based nursing interventions as appropriate for managing the acute and chronic care of patients and promoting health across the lifespan. | NLN Competencies: Quality and Safety: Current best practices. | Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 3 Develop a nursing care plan that reflects knowledge of etiology, pathophysiology, current clinical therapy, nursing and preventive management for the woman experiencing urinary tract infection, lactation mastitis, thromboembolic disease, or a postpartum psychiatric disorder.

MNL LO: 5.3.1 Apply the nursing process to the care of women with postpartum complications.

8

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9) A postpartum client reports sharp, shooting pains in her nipple during breastfeeding and flaky, itchy skin on her breasts. Which of the following does the nurse suspect?

1. Nipple soreness

2. Engorgement

3. Mastitis

4. Letdown reflex

Answer: 3

Explanation: 3. Signs of mastitis include late-onset nipple pain, followed by shooting pain between feedings, often radiating to the chest wall. Eventually, the skin of the affected breast may become pink, flaking, and pruritic.

Page Ref: 983

Cognitive Level: Applying

Client Need/Sub: Health Promotion and Maintenance: Ante/Intra/Postpartum and Newborn Care

Standards: QSEN Competencies: V. B. 2. Demonstrate effective use of strategies to reduce risk of harm to self or others. | AACN Essentials Competencies: IX. 1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches. | NLN Competencies: Quality and Safety: Current best practices. | Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 3 Develop a nursing care plan that reflects knowledge of etiology, pathophysiology, current clinical therapy, nursing and preventive management for the woman experiencing urinary tract infection, lactation mastitis, thromboembolic disease, or a postpartum psychiatric disorder.

MNL LO: 5.3.1 Apply the nursing process to the care of women with postpartum complications.

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10) Which relief measure would be most appropriate for a postpartum client with superficial thrombophlebitis?

1. Urge ambulation

2. Apply ice to the leg

3. Elevate the affected limb

4. Massage her calf

Answer: 3

Explanation: 3. Treatment for superficial thrombophlebitis involves application of local heat, elevation of the affected limb, and analgesic agents.

Page Ref: 987

Cognitive Level: Applying

Client Need/Sub: Physiological Integrity: Reduction of Risk Potential

Standards: QSEN Competencies: I. B. 7. Initiate effective treatments to relieve pain and suffering in light of patient values, preferences, and expressed needs. | AACN Essentials Competencies: IX. 8. Implement evidence-based nursing interventions as appropriate for managing the acute and chronic care of patients and promoting health across the lifespan. | NLN Competencies: Relationship-Centered Care: Respect the patients dignity, uniqueness, integrity, and self-determination, and his or her own power and self-healing process. | Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 3 Develop a nursing care plan that reflects knowledge of etiology, pathophysiology, current clinical therapy, nursing and preventive management for the woman experiencing urinary tract infection, lactation mastitis, thromboembolic disease, or a postpartum psychiatric disorder.

MNL LO: 5.3.1 Apply the nursing process to the care of women with postpartum complications.

11) Which of the following would be considered a clinical sign of hemorrhage?

1. Increased blood pressure

2. Increasing pulse

3. Increased urinary output

4. Hunger

Answer: 2

Explanation: 2. Increasing pulse, widening pulse pressure would be considered a clinical sign of hemorrhage.

Page Ref: 968

Cognitive Level: Understanding

Client Need/Sub: Physiological Integrity: Physiological Adaptation

Standards: QSEN Competencies: V. B. 1. Demonstrate effective use of technology and standardized practices that support safety and quality. | AACN Essentials Competencies: IX. 1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches. | NLN Competencies: Relationship-Centered Care: Factors that contribute to or threaten health. | Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 1 Identify the causes, contributing factors, signs and symptoms, clinical therapy, and nursing interventions for early and late hemorrhage during the postpartum period.

MNL LO: 5.3.2 Compare the various etiologies and management of postpartum hemorrhage.

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12) Which findings would indicate the presence of a perineal wound infection?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Select all that apply.

1. Redness

2. Tender at the margins

3. Vaginal bleeding

4. Hardened tissue

5. Purulent drainage

Answer: 1, 2, 4, 5

Explanation: 1. Redness is a classic sign of a perineal wound infection.

2. The wound is typically red, indurated, tender at the margins, and draining purulent exudate.

4. The wound is typically red, indurated, tender at the margins, and draining purulent exudate.

5. Purulent drainage is a classic signs of a perineal wound infection.

Page Ref: 978

Cognitive Level: Applying

Client Need/Sub: Physiological Integrity: Reduction of Risk Potential

Standards: QSEN Competencies: V. B. 1. Demonstrate effective use of technology and standardized practices that support safety and quality. | AACN Essentials Competencies: IX. 1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches. | NLN Competencies: Relationship-Centered Care: Factors that contribute to or threaten health. | Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 2 Identify the causes, contributing factors, signs and symptoms, clinical therapy, and nursing interventions for reproductive tract infection.

MNL LO: 5.3.3 Relate assessment findings to the management of a woman diagnosed with a postpartum infection.

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13) A postpartum woman is at increased risk for developing urinary tract problems because of which of the following?

1. Decreased bladder capacity

2. Inhibited neural control of the bladder following the use of anesthetic agents

3. Increased bladder sensitivity

4. Abnormal postpartum diuresis

Answer: 2

Explanation: 2. A postpartum woman is at increased risk for developing urinary tract problems because of inhibited neural control of the bladder following the use of anesthetic agents.

Page Ref: 981

Cognitive Level: Applying

Client Need/Sub: Health Promotion and Maintenance: Ante/Intra/Postpartum and Newborn Care

Standards: QSEN Competencies: V. B. 1. Demonstrate effective use of technology and standardized practices that support safety and quality. | AACN Essentials Competencies: IX. 1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches. | NLN Competencies: Relationship-Centered Care: Factors that contribute to or threaten health. | Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 3 Develop a nursing care plan that reflects knowledge of etiology, pathophysiology, current clinical therapy, nursing and preventive management for the woman experiencing urinary tract infection, lactation mastitis, thromboembolic disease, or a postpartum psychiatric disorder.

MNL LO: 5.3.3 Relate assessment findings to the management of a woman diagnosed with a postpartum infection.

12

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14) Which of the following is a risk factor for urinary retention after childbirth?

1. Multiparity

2. Precipitous labor

3. Unassisted childbirth

4. Not sufficiently recovering from the effects of anesthesia

Answer: 4

Explanation: 4. Women who have not sufficiently recovered from the effects of anesthesia and cannot void spontaneously are at risk for urinary retention after childbirth.

Page Ref: 981

Cognitive Level: Understanding

Client Need/Sub: Safe and Effective Care Environment: Management of Care

Standards: QSEN Competencies: V. B. 1. Demonstrate effective use of technology and standardized practices that support safety and quality. | AACN Essentials Competencies: IX. 8. Implement evidence-based nursing interventions as appropriate for managing the acute and chronic care of patients and promoting health across the lifespan. | NLN Competencies: Relationship-Centered Care: Factors that contribute to or threaten health. | Nursing/Integrated Concepts: Nursing Process: Diagnosis

Learning Outcome: 3 Develop a nursing care plan that reflects knowledge of etiology, pathophysiology, current clinical therapy, nursing and preventive management for the woman experiencing urinary tract infection, lactation mastitis, thromboembolic disease, or a postpartum psychiatric disorder.

MNL LO: 5.3.1 Apply the nursing process to the care of women with postpartum complications.

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15) The nurse is calling clients at 4 weeks postpartum. Which of the following clients should be seen immediately?

1. The client who describes feeling sad all the time

2. The client who reports hearing voices talking about the baby

3. The client who states she has no appetite and wants to sleep all day

4. The client who says she needs a refill on her sertraline (Zoloft) next week

Answer: 2

Explanation: 2. Hearing voices is an indication the client is experiencing postpartum psychosis, and is the highest priority because the voices might tell her to harm her baby.

Page Ref: 993

Cognitive Level: Applying

Client Need/Sub: Health Promotion and Maintenance: Ante/Intra/Postpartum and Newborn Care

Standards: QSEN Competencies: V. B. 1. Demonstrate effective use of technology and standardized practices that support safety and quality. | AACN Essentials Competencies: IX. 1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches. | NLN Competencies: Relationship-Centered Care: Factors that contribute to or threaten health. | Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 3 Develop a nursing care plan that reflects knowledge of etiology, pathophysiology, current clinical therapy, nursing and preventive management for the woman experiencing urinary tract infection, lactation mastitis, thromboembolic disease, or a postpartum psychiatric disorder.

MNL LO: 5.3.4 Recognize mood disorders associated with the postpartum client.

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16) The home health nurse is visiting a new mother whose baby was delivered by emergency cesarean after a car accident. The mother seems dazed, irritable, and unaware of her surroundings. She tells the nurse she has had trouble sleeping. What would the nurse suspect that the mother has?

1. Post-traumatic stress disorder

2. Postpartum blues

3. Postpartum psychosis

4. Disenfranchised grief

Answer: 1

Explanation: 1. Because of the traumatic nature of the birth and the clients symptoms, this condition is most likely post-traumatic stress disorder (PTSD). At particular risk for PTSD are women who have histories of prior trauma and/or prior psychiatric histories and women who undergo emergency cesarean sections.

Page Ref: 994

Cognitive Level: Understanding

Client Need/Sub: Psychosocial Integrity: Crisis Intervention

Standards: QSEN Competencies: V. B. 1. Demonstrate effective use of technology and standardized practices that support safety and quality. | AACN Essentials Competencies: IX. 1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches. | NLN Competencies: Relationship-Centered Care: Promote and accept the patients emotions; accept and respond to distress in patient and self; facilitate hope, trust, and faith. | Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 3 Develop a nursing care plan that reflects knowledge of etiology, pathophysiology, current clinical therapy, nursing and preventive management for the woman experiencing urinary tract infection, lactation mastitis, thromboembolic disease, or a postpartum psychiatric disorder.

MNL LO: 5.3.4 Recognize mood disorders associated with the postpartum client.

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17) To prevent the spread of infection, the nurse teaches the postpartum client to do which of the following?

1. Address pain early

2. Change peri-pads frequently

3. Avoid overhydration

4. Report symptoms of uterine cramping

Answer: 2

Explanation: 2. Changing peri-pads frequently decreases skin contact with a moist medium that favors bacteria growth.

Page Ref: 979

Cognitive Level: Applying

Client Need/Sub: Physiological Integrity: Reduction of Risk Potential

Standards: QSEN Competencies: V. B. 1. Demonstrate effective use of technology and standardized practices that support safety and quality. | AACN Essentials Competencies: IX. 8. Implement evidence-based nursing interventions as appropriate for managing the acute and chronic care of patients and promoting health across the lifespan. | NLN Competencies: Relationship-Centered Care: Factors that contribute to or threaten health. | Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 2 Identify the causes, contributing factors, signs and symptoms, clinical therapy, and nursing interventions for reproductive tract infection.

MNL LO: 5.3.3 Relate assessment findings to the management of a woman diagnosed with a postpartum infection.

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18) A postpartal client recovering from deep vein thrombosis is being discharged. What areas of teaching on self-care and anticipatory guidance should the nurse discuss with the client?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Select all that apply.

1. Avoid crossing the legs.

2. Avoid prolonged standing or sitting.

3. Take frequent walks.

4. Take a daily aspirin dose of 650 mg.

5. Avoid long car trips.

Answer: 1, 2, 3

Explanation: 1. Women should be taught to avoid prolonged standing or sitting in one position or sitting with legs crossed.

2. Women should be taught to avoid prolonged standing or sitting in one position or sitting with legs crossed.

3. Women should be advised to avoid a sedentary lifestyle and to exercise as much as possible (walking is ideal).

Page Ref: 987

Cognitive Level: Applying

Client Need/Sub: Health Promotion and Maintenance: Management of Care

Standards: QSEN Competencies: I. B. 10. Engage patients or designated surrogates in active partnerships that promote health, safety and well-being, and self-care management. | AACN Essentials Competencies: IX. 7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care. | NLN Competencies: Relationship-Centered Care: Communicate information effectively; listen openly and cooperatively. | Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 5 Identify the womans knowledge of self-care measures, signs of complications to be reported to the primary care provider, and measures that can be taken to prevent recurrence of complications.

MNL LO: 5.3.1 Apply the nursing process to the care of women with postpartum complications.

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19) The postpartum multipara is breastfeeding her new baby. The client states that she developed mastitis with her first child, and asks whether there is something she can do to prevent mastitis this time. What would the best response of the nurse be?

1. Massage your breasts on a daily basis, and if you find a hardened area, massage it towards the nipple.

2. Most first-time moms experience mastitis. It is really quite unusual for a woman having her second baby to get it again.

3. Apply cabbage leaves to any areas that feel thickened or firm to relieve the swelling.

4. Take your temperature once a day. This will help you to pick up the infection early, before it becomes severe.

Answer: 1

Explanation: 1. If the mother finds that one area of her breast feels distended or lumpy, she can massage the lumpy area toward the nipple as the infant nurses.

Page Ref: 985

Cognitive Level: Applying

Client Need/Sub: Physiological Integrity: Basic Care and Comfort

Standards: QSEN Competencies: I. B. 10. Engage patients or designated surrogates in active partnerships that promote health, safety and well-being, and self-care management. | AACN Essentials Competencies: IX. 7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care. | NLN Competencies: Relationship-Centered Care: Communicate information effectively; listen openly and cooperatively. | Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 5 Identify the womans knowledge of self-care measures, signs of complications to be reported to the primary care provider, and measures that can be taken to prevent recurrence of complications.

MNL LO: 5.3.1 Apply the nursing process to the care of women with postpartum complications.

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20) The postpartum client states that she doesnt understand why she cant enjoy being with her baby. What would the nurse be concerned about?

1. Postpartum psychosis

2. Postpartum infection

3. Postpartum depression

4. Postpartum blues

Answer: 3

Explanation: 3. Postpartum depression can impair maternal-infant bonding and can cause developmental and cognitive delays in the child.

Page Ref: 992

Cognitive Level: Analyzing

Client Need/Sub: Psychosocial Integrity: Crisis Intervention

Standards: QSEN Competencies: V. B. 4. Communicate observations or concerns related to hazards and errors to patients, families, and the health care team. | AACN Essentials Competencies: IX. 1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches. | NLN Competencies: Quality and Safety: Communicate potential risk factors and actual errors. | Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 3 Develop a nursing care plan that reflects knowledge of etiology, pathophysiology, current clinical therapy, nursing and preventive management for the woman experiencing urinary tract infection, lactation mastitis, thromboembolic disease, or a postpartum psychiatric disorder.

MNL LO: 5.3.4 Recognize mood disorders associated with the postpartum client.

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21) The nurse understands that the classic symptom of endometritis in a postpartum client is which of the following?

1. Purulent, foul-smelling lochia

2. Decreased blood pressure

3. Flank pain

4. Breast is hot and swollen

Answer: 1

Explanation: 1. Assessment findings consistent with endometritis are foul-smelling lochia, fever, uterine tenderness on palpation, lower abdominal pain, tachycardia, and chills.

Page Ref: 978

Cognitive Level: Understanding

Client Need/Sub: Physiological Integrity: Reduction of Risk Potential

Standards: QSEN Competencies: V. B. 1. Demonstrate effective use of technology and standardized practices that support safety and quality. | AACN Essentials Competencies: IX. 1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches. | NLN Competencies: Quality and Safety: Communicate potential risk factors and actual errors. | Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 2 Identify the causes, contributing factors, signs and symptoms, clinical therapy, and nursing interventions for reproductive tract infection.

MNL LO: 5.3.3 Relate assessment findings to the management of a woman diagnosed with a postpartum infection.

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22) The client delivered her second child 1 day ago. The clients temperature is 101.4 F, her pulse is 100, and her blood pressure is 110/70. Her lochia is moderate, serosanguinous, and malodorous. She is started on IV antibiotics. The nurse provides education for the client and her partner. Which statement indicates that teaching has been effective?

1. This condition is called parametritis.

2. Gonorrhea is the most common organism that causes this type of infection.

3. My Beta-strep cultures being positive might have contributed to this problem.

4. If I had walked more yesterday, this probably wouldnt have happened.

Answer: 3

Explanation: 3. Clinical findings of metritis in the initial 24 to 36 hours postpartum tend to be related to group B streptococcus (GBS).

Page Ref: 977

Cognitive Level: Applying

Client Need/Sub: Health Promotion and Maintenance: Ante/Intra/Postpartum and Newborn Care

Standards: QSEN Competencies: I. B. 10. Engage patients or designated surrogates in active partnerships that promote health, safety and well-being, and self-care management. | AACN Essentials Competencies: IX. 7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care. | NLN Competencies: Relationship-Centered Care: Communicate information effectively; listen openly and cooperatively. | Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome: 2 Identify the causes, contributing factors, signs and symptoms, clinical therapy, and nursing interventions for reproductive tract infection.

MNL LO: 5.3.3 Relate assessment findings to the management of a woman diagnosed with a postpartum infection.

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23) The postpartum client has developed thrombophlebitis in her right leg. Which finding requires immediate intervention?

1. The client reports she had this condition after her last pregnancy.

2. The client develops pain and swelling in her left lower leg.

3. The client appears anxious, and describes pressure in her chest.

4. The client becomes upset that she cannot go home yet.

Answer: 3

Explanation: 3. The most common clinical findings of a pulmonary embolism include dyspnea, pleuritic chest pain, cough with or without hemoptysis, cyanosis, tachypnea and tachycardia, panic, syncope, or sudden hypotension and require immediate intervention.

Page Ref: 988

Cognitive Level: Applying

Client Need/Sub: Physiological Integrity: Reduction of Risk Potential

Standards: QSEN Competencies: V. B. 1. Demonstrate effective use of technology and standardized practices that support safety and quality. | AACN Essentials Competencies: IX. 1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches. | NLN Competencies: Quality and Safety: Communicate potential risk factors and actual errors. | Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 3 Develop a nursing care plan that reflects knowledge of etiology, pathophysiology, current clinical therapy, nursing and preventive management for the woman experiencing urinary tract infection, lactation mastitis, thromboembolic disease, or a postpartum psychiatric disorder.

MNL LO: 5.3.1 Apply the nursing process to the care of women with postpartum complications.

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24) A nurse suspects that a postpartum client has mastitis. Which data support this assessment?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Select all that apply.

1. Shooting pain between breastfeedings

2. Late onset of nipple pain

3. Pink, flaking, pruritic skin of the affected nipple

4. Nipple soreness when the infant latches on

5. Pain radiating to the underarm area from the breast

Answer: 1, 2, 3

Explanation: 1. Mastitis is characterized by shooting pain between feedings, often radiating to the chest wall.

2. Mastitis is characterized by late-onset nipple pain.

3. The skin of the affected breast becomes pink, flaking, and pruritic.

Page Ref: 983

Cognitive Level: Applying

Client Need/Sub: Physiological Integrity: Reduction of Risk Potential

Standards: QSEN Competencies: V. B. 1. Demonstrate effective use of technology and standardized practices that support safety and quality. | AACN Essentials Competencies: IX. 1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches. | NLN Competencies: Quality and Safety: Communicate potential risk factors and actual errors. | Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 3 Develop a nursing care plan that reflects knowledge of etiology, pathophysiology, current clinical therapy, nursing and preventive management for the woman experiencing urinary tract infection, lactation mastitis, thromboembolic disease, or a postpartum psychiatric disorder.

MNL LO: 5.3.3 Relate assessment findings to the management of a woman diagnosed with a postpartum infection.

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25) The postpartum client who delivered 2 days ago has developed endometritis. Which entry would the nurse expect to find in this clients chart?

1. Cesarean birth after extended labor with ruptured membranes.

2. Unassisted childbirth and afterbirth.

3. External fetal monitoring used throughout labor.

4. The client has history of pregnancy-induced hypertension.

Answer: 1

Explanation: 1. Cesarean birth is the single most significant risk of postpartum endometritis as well as prolonged premature rupture of the amniotic membranes (PPROM).

Page Ref: 978

Cognitive Level: Applying

Client Need/Sub: Health Promotion and Maintenance: Ante/Intra/Postpartum and Newborn Care

Standards: QSEN Competencies: V. B. 1. Demonstrate effective use of technology and standardized practices that support safety and quality. | AACN Essentials Competencies: IX. 1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches. | NLN Competencies: Relationship-Centered Care: Factors that contribute to or threaten health. | Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 3 Develop a nursing care plan that reflects knowledge of etiology, pathophysiology, current clinical therapy, nursing and preventive management for the woman experiencing urinary tract infection, lactation mastitis, thromboembolic disease, or a postpartum psychiatric disorder.

MNL LO: 5.3.3 Relate assessment findings to the management of a woman diagnosed with a postpartum infection.

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26) The nurse suspects that a client has developed a perineal hematoma. What assessment findings would the nurse have detected to lead to this conclusion?

1. Facial petechiae

2. Large, soft hemorrhoids

3. Tense tissues with severe pain

4. Elevated temperature

Answer: 3

Explanation: 3. Tenseness of tissues that overlie the hematoma is characteristic of perineal hematomas.

Page Ref: 973

Cognitive Level: Applying

Client Need/Sub: Physiological Integrity: Basic Care and Comfort

Standards: QSEN Competencies: V. B. 1. Demonstrate effective use of technology and standardized practices that support safety and quality. | AACN Essentials Competencies: IX. 1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches. | NLN Competencies: Relationship-Centered Care: Factors that contribute to or threaten health. | Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 1 Identify the causes, contributing factors, signs and symptoms, clinical therapy, and nursing interventions for early and late hemorrhage during the postpartum period.

MNL LO: 5.3.2 Compare the various etiologies and management of postpartum hemorrhage.

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27) The postpartum client is suspected of having acute cystitis. Which symptoms would the nurse expect to see in this client?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Select all that apply.

1. High fever

2. Frequency

3. Suprapubic pain

4. Chills

5. Nausea and vomiting

Answer: 2, 3

Explanation: 2. Frequency is characteristic of acute cystitis.

3. Suprapubic pain is characteristic of acute cystitis.

Page Ref: 982

Cognitive Level: Applying

Client Need/Sub: Physiological Integrity: Physiological Adaptation

Standards: QSEN Competencies: V. B. 1. Demonstrate effective use of technology and standardized practices that support safety and quality. | AACN Essentials Competencies: IX. 1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches. | NLN Competencies: Relationship-Centered Care: Factors that contribute to or threaten health. | Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 3 Develop a nursing care plan that reflects knowledge of etiology, pathophysiology, current clinical therapy, nursing and preventive management for the woman experiencing urinary tract infection, lactation mastitis, thromboembolic disease, or a postpartum psychiatric disorder.

MNL LO: 5.3.3 Relate assessment findings to the management of a woman diagnosed with a postpartum infection.

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28) The client delivered vaginally 2 hours ago after receiving an epidural analgesia. She has a slight tingling sensation in both lower extremities, but normal movement. She sustained a second-degree perineal laceration. Her perineum is edematous and ecchymotic. What should the nurse include in the plan of care for this client?

1. Assist the client to the bathroom in 2 hours to void.

2. Place a Foley catheter now.

3. Apply warm packs to the perineum three times a day.

4. Allow the client to rest for the next 8 hours.

Answer: 1

Explanation: 1. This client is at risk for urinary retention and bladder overdistention. Overdistention occurs postpartum when the woman is unable to empty her bladder, usually because of trauma or the effects of anesthesia. After the effects of anesthesia have worn off, if the woman cannot void, postpartum urinary retention is highly indicative of a urinary tract infection (UTI). Assisting the client to the bathroom is the most likely intervention that will prevent urinary retention.

Page Ref: 981

Cognitive Level: Analyzing

Client Need/Sub: Health Promotion and Maintenance: Ante/Intra/Postpartum and Newborn Care

Standards: QSEN Competencies: V. B. 1. Demonstrate effective use of technology and standardized practices that support safety and quality. | AACN Essentials Competencies: IX. 8. Implement evidence-based nursing interventions as appropriate for managing the acute and chronic care of patients and promoting health across the lifespan. | NLN Competencies: Quality and Safety: Current best practices. | Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 3 Develop a nursing care plan that reflects knowledge of etiology, pathophysiology, current clinical therapy, nursing and preventive management for the woman experiencing urinary tract infection, lactation mastitis, thromboembolic disease, or a postpartum psychiatric disorder.

MNL LO: 5.3.3 Relate assessment findings to the management of a woman diagnosed with a postpartum infection.

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29) Risk factors associated with increased risk of thromboembolic disease include which of the following?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Select all that apply.

1. Diabetes mellitus

2. Varicose veins

3. Hypertension

4. Adolescent pregnancy

5. Malignancy

Answer: 1, 2, 5

Explanation: 1. Diabetes mellitus is a risk factor for thromboembolic disease.

2. Varicose veins are a risk factor for thromboembolic disease.

5. Malignancy is a risk factor for thromboembolic disease.

Page Ref: 986

Cognitive Level: Applying

Client Need/Sub: Health Promotion and Maintenance: Ante/Intra/Postpartum and Newborn Care

Standards: QSEN Competencies: V. B. 2. Demonstrate effective use of strategies to reduce risk of harm to self or others. | AACN Essentials Competencies: IX. 8. Implement evidence-based nursing interventions as appropriate for managing the acute and chronic care of patients and promoting health across the lifespan. | NLN Competencies: Quality and Safety: Current best practices. | Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 3 Develop a nursing care plan that reflects knowledge of etiology, pathophysiology, current clinical therapy, nursing and preventive management for the woman experiencing urinary tract infection, lactation mastitis, thromboembolic disease, or a postpartum psychiatric disorder.

MNL LO: 5.3.1 Apply the nursing process to the care of women with postpartum complications.

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30) A postpartum client with endometritis is being discharged home on antibiotic therapy. The new mother plans to breastfeed her baby. What should the nurses discharge instruction include?

1. The client can douche every other day.

2. Sexual intercourse can be resumed when the client feels up to it.

3. Light housework will provide needed exercise.

4. The babys mouth should be examined for thrush.

Answer: 4

Explanation: 4. A breastfeeding mother on antibiotics should check her babys mouth for signs of thrush, which should be reported to the physician.

Page Ref: 981

Cognitive Level: Applying

Client Need/Sub: Physiological Integrity: Reduction of Risk Potential

Standards: QSEN Competencies: I. B. 10. Engage patients or designated surrogates in active partnerships that promote health, safety and well-being, and self-care management. | AACN Essentials Competencies: IX. 7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care. | NLN Competencies: Relationship-Centered Care: Communicate information effectively; listen openly and cooperatively. | Nursing/Integrated Concepts: Nursing Process: Diagnosis

Learning Outcome: 2 Identify the causes, contributing factors, signs and symptoms, clinical therapy, and nursing interventions for reproductive tract infection.

MNL LO: 5.3.3 Relate assessment findings to the management of a woman diagnosed with a postpartum infection.

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31) The client delivered by cesarean birth 3 days ago and is being discharged. Which statement should the nurse include in the discharge teaching?

1. If your incision becomes increasingly painful, call the doctor.

2. It is normal for the incision to ooze greenish discharge in a few days.

3. Increasing redness around the incision is a part of the healing process.

4. A fever is to be expected because you had a surgical delivery.

Answer: 1

Explanation: 1. The client should call the doctor if the incision becomes increasingly painful. After cesarean delivery, wound infection is most often associated with concurrent endometritis. The wound is typically red, indurated, tender at the margins, and draining purulent exudate. Some women have cellulitis without actual purulent drainage.

Page Ref: 978

Cognitive Level: Applying

Client Need/Sub: Health Promotion and Maintenance: Ante/Intra/Postpartum and Newborn Care

Standards: QSEN Competencies: I. B. 10. Engage patients or designated surrogates in active partnerships that promote health, safety and well-being, and self-care management. | AACN Essentials Competencies: IX. 7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care. | NLN Competencies: Relationship-Centered Care: Communicate information effectively; listen openly and cooperatively. | Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 2 Identify the causes, contributing factors, signs and symptoms, clinical therapy, and nursing interventions for reproductive tract infection.

MNL LO: 5.3.3 Relate assessment findings to the management of a woman diagnosed with a postpartum infection.

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32) The client delivered her second child yesterday, and is preparing to be discharged. She expresses concern to the nurse because she developed an upper urinary tract infection (UTI) after the birth of her first child. Which statement indicates that the client needs additional teaching about this issue?

1. If I start to have burning with urination, I need to call the doctor.

2. Drinking 8 glasses of water each day will help prevent another UTI.

3. I will remember to wipe from front to back after I move my bowels.

4. Voiding 2 or 3 times per day will help prevent a recurrence.

Answer: 4

Explanation: 4. Voiding only 2 or 3 times per day is not sufficient to prevent recurrence of a urinary tract infection (UTI). The woman needs to empty her bladder whenever she feels the urge to void at least every 2 to 4 hours while awake.

Page Ref: 983

Cognitive Level: Applying

Client Need/Sub: Safe Effective Care Environment: Safety and Infection Control

Standards: QSEN Competencies: I. B. 10. Engage patients or designated surrogates in active partnerships that promote health, safety and well-being, and self-care management. | AACN Essentials Competencies: IX. 7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care. | NLN Competencies: Relationship-Centered Care: Communicate information effectively; listen openly and cooperatively. | Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome: 3 Develop a nursing care plan that reflects knowledge of etiology, pathophysiology, current clinical therapy, nursing and preventive management for the woman experiencing urinary tract infection, lactation mastitis, thromboembolic disease, or a postpartum psychiatric disorder.

MNL LO: 5.3.3 Relate assessment findings to the management of a woman diagnosed with a postpartum infection.

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33) The postpartum client who is being discharged from the hospital experienced severe postpartum depression after her last birth. What should the nurse include in the plan of follow-up care for this client?

1. One visit from a homecare nurse, to take place in 2 days

2. Two visits from a public health nurse over the next month

3. An appointment with a mental health counselor

4. Follow-up with the obstetrician in 6 weeks

Answer: 3

Explanation: 3. Postpartum depression has a high recurrence rate. Women with a history of postpartum psychosis or depression or other risk factors may benefit from a referral to a mental health professional for counseling during pregnancy or postpartum.

Page Ref: 992, 994

Cognitive Level: Applying

Client Need/Sub: Psychosocial Integrity: Crisis Intervention

Standards: QSEN Competencies: V. B. 1. Demonstrate effective use of technology and standardized practices that support safety and quality. | AACN Essentials Competencies: IX. 8. Implement evidence-based nursing interventions as appropriate for managing the acute and chronic care of patients and promoting health across the lifespan. | NLN Competencies: Quality and Safety: Communicate potential risk factors and actual errors. | Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 3 Develop a nursing care plan that reflects knowledge of etiology, pathophysiology, current clinical therapy, nursing and preventive management for the woman experiencing urinary tract infection, lactation mastitis, thromboembolic disease, or a postpartum psychiatric disorder.

MNL LO: 5.3.4 Recognize mood disorders associated with the postpartum client.

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34) Which interventions can the nurse utilize to provide continuity of care for the postpartal client who experienced a complication and is now ready to return home?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Select all that apply.

1. Encourage the client to take advantage of home visits.

2. Make telephone calls as a follow-up to check on the client and newborn.

3. Provide information about postpartal support groups.

4. Refer to mental health professionals to help screen the client for any mental health problems as a result of the complications experienced in the hospital.

5. Supply information about postpartum expectations designed to meet the specific needs of a variety of families.

Answer: 1, 2, 3, 5

Explanation: 1. Home visits, especially for early discharge families, are invaluable in fostering positive adjustments for the new family.

2. Telephone follow-up at 2 to 3 weeks postpartum to ask whether the mother is experiencing difficulties is also helpful.

3. Support groups in which child care is available can be an invaluable community service for the postpartum client.

5. Social support teaching guides are available to assist in helping postpartum women explore their needs for postpartum support.

Page Ref: 997, 998

Cognitive Level: Applying

Client Need/Sub: Health Promotion and Maintenance: Ante/Intra/Postpartum and Newborn Care

Standards: QSEN Competencies: V. B. 1. Demonstrate effective use of technology and standardized practices that support safety and quality. | AACN Essentials Competencies: IX. 8. Implement evidence-based nursing interventions as appropriate for managing the acute and chronic care of patients and promoting health across the lifespan. | NLN Competencies: Quality and Safety: Communicate potential risk factors and actual errors. | Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 5 Identify the womans knowledge of self-care measures, signs of complications to be reported to the primary care provider, and measures that can be taken to prevent recurrence of complications.

MNL LO: 5.3.1 Apply the nursing process to the care of women with postpartum complications.

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35) Clinical features of posttraumatic stress disorder (PTSD) include which of the following?

1. Difficulty sleeping

2. Acute awareness

3. Flashbacks

4. The need to be constantly around others

5. Irritability

Answer: 1, 3, 5

Explanation: 1. A clinical feature of PTSD is difficulty thinking.

3. A clinical feature of PTSD is intrusive thoughts and flashbacks to the threatening event.

5. A clinical feature of PTSD is irritability.

Page Ref: 994

Cognitive Level: Understanding

Client Need/Sub: Health Promotion and Maintenance: Ante/Intra/Postpartum and Newborn Care

Standards: QSEN Competencies: V. B. 1. Demonstrate effective use of technology and standardized practices that support safety and quality. | AACN Essentials Competencies: IX. 8. Implement evidence-based nursing interventions as appropriate for managing the acute and chronic care of patients and promoting health across the lifespan. | NLN Competencies: Quality and Safety: Communicate potential risk factors and actual errors. | Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 3 Develop a nursing care plan that reflects knowledge of etiology, pathophysiology, current clinical therapy, nursing and preventive management for the woman experiencing urinary tract infection, lactation mastitis, thromboembolic disease, or a postpartum psychiatric disorder.

MNL LO: 5.3.4 Recognize mood disorders associated with the postpartum client.

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