chapter 16 caring for the woman experiencing complications during the postpartal period nursing school test banks
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Chapter 16: Caring for the Woman Experiencing Complications During the Postpartal Period Nursing School Test Banks
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Chapter 16: CarŤng for the Search …
Woman ExperŤencŤng
ComplŤcatŤons DurŤng the
Postpartal PerŤod NursŤng
School Test Banks
Chapter 16: Caring for the Woman Experiencing
Complications During the Postpartal Period
MULTIPLE CHOICE
1. The perinatal nurse is aware that a key factor
contributing to suboptimal outcomes for pregnant women
and their families is which of the following?
A. Decreased knowledge regarding signs and symptoms of
complications
B. Delayed communication between health-care provider
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,call groups
C. Lack of family and other social support during
pregnancy
D. Suboptimal nursing resources to provide care during
labor and birth
ANS: B
Because perinatal care focuses on wellness, health
promotion maintenance, and education for healthy women
in multiple settings across the childbearing cycle, the
danger of minimizing or misinterpreting pathological signs
and symptoms is ever present. Delayed or absent
communication between care provider call groups,
combined with this wellness focus, can lead to suboptimal
outcomes for women and their families.
Cognitive Level: Knowledge/Remembering
Content Area: Pediatrics/Maternity
Patient Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process: Assessment
Difficulty: Easy
PTS: 1
2. The perinatal nurse accurately defines postpartum
hemorrhage to a group of nursing students by including a
decrease in hematocrit levels from prebirth to postbirth by
which percentage?
A. 5%
B. 8%
C. 10%
D. 15%
ANS: C
Postpartum hemorrhage can be defined as a blood loss of
greater than 500 mL after a vaginal birth or greater than
1,000 mL after a cesarean birth, a decrease in hematocrit
levels by 10% from prebirth to postbirth levels, and the
need for transfusion.
3. The perinatal nurse recognizes that which common
organism is responsible for postpartum infection
manifesting with scant, odorless lochia?
A. Beta-hemolytic streptococcus
B. Chlamydia trachomatis
C. Escherichia coli
D. Treponema pallidum
ANS: A
Endometrial infections caused by beta-hemolytic
streptococcus are characterized by scant, odorless lochia.
4. The perinatal nurse teaches the postpartum woman
about warning signs regarding the development of
postpartum infection. The nurse teaches that fever and
which of the following symptoms need to be assessed by a
health-care provider?
A. Breast engorgement
B. Diarrhea
C. Emotional lability
D. Uterine tenderness
ANS: D
During the immediate postpartum period, the most
common site of infection is the uterine endometrium. This
infection presents with a temperature elevation over 101F
(38.4C), often within the first 24 to 48 hours after
childbirth, followed by uterine tenderness and foul-
smelling lochia.
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, Cognitive Level: Comprehension/Understanding
Content Area: Pediatrics/Maternity
Patient Needs: Health Promotion and Maintenance
Integrated Process: Teaching/Learning
Difficulty: Easy
PTS: 1
5. The perinatal nurse administers heparin as ordered to
the postpartum woman with newly diagnosed deep vein
thrombosis. The patient asks about the purpose of the
medication. Which response by the nurse is best?
A. Assists with breakdown of the thromboses
B. Decreases clotting time and circulatory clotting factors
C. Prevents extension of the clot and new clot formation
D. Prevents the formation of any new clots only
ANS: C
The primary purpose of heparin therapy is to prevent
extension of the current clot and to prevent new clot
formation. The other answers are not correct.
6. A nursing student is preparing to give a pregnant woman
heparin for a deep vein thrombosis (DVT). The student
questions the dose, as it is higher than what the student
has given to other patients. What response by the perinatal
nurse is most appropriate?
A. Have the student hold the dose and double-check the
order with the provider.
B. Inform the student that physiological changes in
pregnancy require higher doses.
C. Remind the student that large doses are needed to
dissolve the existing clot.
D. Tells the student to administer the dose and check
results of the next laboratory draw.
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