Postpartum Care

The patient tells the nurse, “I’ve had two children. I do not want to have any more. What can I do?” While you will discuss various options, which treatment best suits the patient’s needs based on the current information?

The nurse is obtaining the history of a new mother who gave birth to her first child 3 months ago. Over the 3 months since the delivery, although the patient says she is happy her child is doing well, she says the majority of the time she feels negative and depressed about herself. This has progressively gotten worse over the past 3 months and for the last month, she cannot recall taking any pleasure at interacting with her child. She also feels constantly anxious that the child will develop a serious health problem and is not growing as she should. Which of the following statements is accurate regarding this new mother’s condition?

Which statement by the patient with placenta accreta indicates they understand the nurse’s teaching?

An infant of 32 weeks gestation is born precipitously and is noted to be pale and limp. Resuscitative actions are initiated. At one minute of life, the infant has a pinkish central body, bluish hands and feet, a heart rate of 135 bpm, grimaces with painful stimuli, remains limp, and exhibits gasping respiration. Assign an Apgar score to this neonate using a whole number.

The nurse in the neonatal intensive care unit receives report from the Labor and Delivery nurse about a full-term neonate and learns the patient’s Apgar scores were 0-0-1-5 at 1, 5, 10, and 15 minutes of life, respectively. How does the nurse interpret this information?

The full-term neonate is born via normal spontaneous vaginal delivery (NSVD). The neonate cries at the perineum and maintained flexion against gravity but is noted to be bluish gray. Which intervention is appropriate?

The neonate of 36 weeks estimated gestational age is born via emergency cesarean section, appears limp, blue, and apneic, and is brought to the warming table. He is warmed, dried, and stimulated, and a pulse oximeter is placed on his right wrist. At 30 seconds of life, his heart rate is 66 bpm and his oxygen saturation is 54%. Positive pressure ventilation is initiated via CPAP bag and mask. At one minute of life, the heart rate is 118 bpm, the extremities are still blue but the trunk is pink, and he begins to move and cry with stimulation. The nurse documents which number for the Apgar score? Enter your answer using a whole number.

A newborn was delivered one minute ago. He is not breathing, has a heart rate of 128 bpm, has a moderate amount of lanugo, has some muscle tone without active movement, does not grimace with stimuli, and has a pink body with blue extremities. Which APGAR score is correct?

A cesarean section is the only safe method of delivery for the fetus when the pregnant woman has which condition? 

The 34-year-old G1P1 patient who just delivered a healthy baby via cesarean section four hours ago. The patient sits on the bed watching her newborn lying in the bed but does not touch or hold the baby. Which response by the nurse is most appropriate? 

A new mother is discussing alcohol consumption while breastfeeding her baby. Which statement indicates a need for further teaching? 

The 29-year-old female patient who presents at six weeks postpartum for a routine checkup requests to start taking oral contraceptives again. The patient reports successful breastfeeding and a desire to continue for the next year. Which oral contraceptive is recommended for this patient?

The nurse is performing an assessment of an infant born 8 hours ago. The infant’s POC blood glucose level is 25 mg/dL. Which action does the nurse take first?

The woman who delivered her first baby will be discharged tomorrow. After a bedside education program in the hospital, the patient tells the nurse that she does not have a crib, bottles, or diapers to care for her new baby. Which action is most appropriate?

The gravida 1 para 1 woman delivered an infant at 41 weeks gestation that weighed 9 lbs. 2 oz. She received oxytocin during labor and forceps were used to assist in the delivery. The nurse is most concerned for which complication?

The 1.9 kg neonate is born precipitously via vaginal delivery to a 32-year-old mother who received no prenatal care or infectious disease serology testing before delivery. The mother has a history of intravenous drug use. Which intervention does the nurse perform first?

The nurse receives report on four patients at the start of the shift. Which patient does the nurse visit first?

The nurse educates parents on the care of their 3-day-old infant prior to discharge from the hospital. Which instruction does the nurse include in the teaching?

Which symptom can occur following vertical transmission of Neisseria gonorrhoeae?

The full-term neonate (3.2 kg) born precipitously to a mother of unknown infectious disease status has had a positive rapid plasma reagin (RPR) test. The nurse plans care to perform which intervention first?

The nurse is teaching a woman ways to prevent mastitis. Which statement by the patient indicates that more teaching is needed?

The nurse is vigilant for which symptoms of a life-threatening complication of the woman's precipitous vaginal delivery?

The nurse is caring for a woman who gave birth via forceps delivery within the last 24 hours. The patient describes significant rectal pressure but has had normal bowel movements. The nurse reports the finding to the provider with concerns for which postpartum complication?

Which term is used to describe normal dark red vaginal bleeding in the postpartum period?

Which hormone is produced in the mother as a result of breastfeeding?

The fetus is delivered in which stage of labor?

The postpartum nurse is supervising new parents placing their newborn into the car seat to drive home during a snowstorm. Which observation is most concerning?

Which information does the nurse include when preparing an informational session for expectant first-time parents about car seat safety? Select all that apply

The 2-day-old full term child has been rooming in with the mother who reports successful breastfeeding. Which information is most important to report to the provider?

The 36-hour-old neonate who was born at 37 weeks gestation to a G3P2 mother has yet to pass meconium. The baby was born by cesarean section due to refractory preeclampsia with severe features. The mother reports the baby has been breastfeeding well after a slow first 12 hours. Upon assessment, the baby appears well with good tone and responsiveness. The baby’s anus is patent and the abdomen is soft and rounded; bowel sounds present. The mother denies emesis in the baby. An abdominal x-ray is obtained, which is normal. The nurse informs the mother that which test will be performed next?