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Review of a primiparous woman's labor and birth record reveals a
prolonged second stage of labor and extended time in the stirrups. Based
on an interpretation of these findings, the nurse would be especially alert
for which of the following?
A) Retained placental fragments
B) Hypertension
C) Thrombophlebitis
D) Uterine subinvolution - 🧠 ANSWER ✔✔Ans: C
Feedback:
The woman is at risk for thrombophlebitis due to the prolonged second
stage of labor, necessitating an increased amount of time in bed, and
,venous pooling that occurs when the woman's legs are in stirrups for a long
period of time. These findings are unrelated to retained placental
fragments, which would lead to uterine subinvolution, or hypertension.
As part of an inservice program, a nurse is describing a transient, self-
limiting mood disorder that affects mothers after childbirth. The nurse
correctly identifies this as postpartum:
A) Depression
B) Psychosis
C) Bipolar disorder
D) Blues - 🧠 ANSWER ✔✔Ans: D
Feedback:
Postpartum blues are manifested by mild depressive symptoms of anxiety,
irritability, mood swings, tearfulness, increased sensitivity, feelings of being
overwhelmed, and fatigue. They are usually self-limiting and require no
formal treatment other than reassurance and validation of the woman's
experience as well as assistance in caring for herself and her newborn.
Postpartum depression is a major depressive episode associated with
childbirth. Postpartum psychosis is at the severe end of the continuum of
, postpartum emotional disorders. Bipolar disorder refers to a mood disorder
typically involving episodes of depression and mania.
A woman who is 2 weeks postpartum calls the clinic and says, "My left
breast hurts." After further assessment on the phone, the nurse suspects
the woman has mastitis. In addition to pain, the nurse would assess for
which of the following?
A) An inverted nipple on the affected breast
B) No breast milk in the affected breast
C) An ecchymotic area on the affected breast
D) Hardening of an area in the affected breast - 🧠 ANSWER ✔✔Ans: D
Feedback:
Mastitis is characterized by a tender, hot, red, painful area on the affected
breast. An inverted nipple is not associated with mastitis. With mastitis, the
breast is distended with milk, the area is inflamed (not ecchymotic), and
there is breast tenderness.
A group of students are reviewing the causes of postpartum hemorrhage.
The students demonstrate understanding of the information when they
identify which of the following as the most common cause?
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