BSN 346 ISB Postpartum Test Questions and Answers

BSN 346 ISB Postpartum Test Questions and Answers What is the purpose of the postpartum assessment? - Answer-1. Healthy transition to pre-pregnancy state. 2. Identify risk factors and complications. 3. Educate about self-care and well-being. 4. Support and advocate for autonomy. How does the nurse begin the postpartum assessment? - Answer-The nurse will review the client's chart, gather the required supplies, follow infection prevention and control protocols, introduce themselves to the client and explain the assessment process. True or False: It is important to keep the fundus firm and midline. - Answer-True The uterus should feel like a BLANK when contracted and like a BLANK when it is relaxed. - Answer-The uterus should feel like a grapefruit when contracted and like a sponge when it is relaxed, a state referred to as "boggy". What do you do when the uterus feels boggy? - Answer-When the uterus feels boggy, begin to massage it in a circular motion until the uterus is firm, which may feel uncomfortable to the woman. Teach the woman to self-massage to encourage involution of the uterus. What is the most common cause of retained placental fragments and infections? - Answer-Subinvolution (A medical condition in which after childbirth, the uterus does not return to its normal size.) Which nursing interventions should the nurse implement for non-breastfeeding mothers? - Answer-Breast binder Which factors predispose a woman to thromboembolism? - Answer-Hypercoagulability and immobility Which postpartum symptoms may indicate hemorrhage? - Answer-Decreased BP, increased HR, heavily soaked pads in less than 15 minutes Which client should the nurse administer a Rh immune globulin injection within 72 hours after birth to prevent sensitization? - Answer-Rh-negative woman who gave birth to a Rh-positive infant Which integumentary system change usually disappears after birth, though can persist in approximately 30% of women? - Answer-Melasma What psychosocial changes can occur in the postpartum period? - Answer-1. Perspectives in self-concept related to new role as a mother 2. Postpartum body image 3. Impact of physical changes to providing care to newborn and available social supports Why does the nurse need to ask about the cause of fatigue when expressed by a patient? - Answer-There are various reasons for fatigue during the postpartum period. Examples of fatigue include: prolonged labour, constant care of newborn (i.e. breastfeeding), postpartum complication (i.e. infection, hemorrhage) or minimal rest to visitors. Depending of the cause of the woman's fatigue, will determine the nurse's interventions. If a client experiences fatigue, reduced energy, and no sleep past the three week mark, what should the nurse assess for? - Answer-Postpartum blues usually resolve in a few days and treatment is not needed. However, since this client's symptoms have lasted more than 3 weeks, the nurse should assess the client for postpartum depression and refer to the appropriate interprofessional healthcare team members. What is the nurse's role when a patient expresses anxiety over caring for a new baby? - Answer-When a nurse uses therapeutic communication, including active listening and empathy, it can assist the client to share her uncertainty, her feelings and participate in decision making process on strategies to decrease her worry about caring for her newborn. One of the nurse's roles is to assist the client's transition into her new role of motherhood. For example, learning about how to care for self and the newborn, reading the newborn's cues and linking to resources. What are strategies for introducing older siblings to newborns? - Answer-Some strategies include: bringing sibling on tour of hospital prior to birth; having sibling choosing special gift for newborn; allow sibling to touch and hold newborn with assistance and supervision from mother/parent; and schedule alone time for sibling without newborn. When can a patient resume sexual activity postpartum? - Answer-Once the lochia has stopped and the perineum and vagina has healed the patient will be able to resume sexual intercourse. However, sex can be painful after birth while the perineum heals. Concerns about having sex may be related to the women's perception of her postpartum body. The nurse needs to assess the reasons for fear regarding sexual activity. Prior to discharge, sexual health practices should be discussed, including: woman's self-concept, sexual health practices (i.e. intimacy practices, when to resume sexual activity), and risk factors of having sexual intercourse early. What symptoms indicate postpartum blues? - Answer-Mood swings, feelings of sadness, crying that resolve within a few days Which infant behaviour can facilitate parental attachment? - Answer-Tracking or following parent's faces Which symptoms and characteristics indicate postpartum depression? - Answer-Low mood, energy and general lack of e