OB Week 9 PP

A nurse is assessing a client 30 minutes after a vaginal birth. Which finding requires the nurse's priority intervention?

Saturated perineal pad in 15 minutes with a boggy uterus

Which assessment finding is most consistent with uterine atony?

Boggy uterus with excessive bleeding

The nurse recalls the "5 Ts" of postpartum hemorrhage. Which "T" refers to retained placental fragments?

Tissue

A postpartum client has a firm uterus but continues to have heavy vaginal bleeding. Which cause should the nurse suspect first?

Cervical laceration

Which medication is the first-line uterotonic used to prevent or treat postpartum hemorrhage?

Oxytocin (Pitocin)

Which postpartum client has the highest risk for uterine atony?

Multiple gestation

A nurse is calculating quantitative blood loss (QBL). Which method is considered the gold standard?

Weighing blood-soaked items and subtracting dry weight

Which assessment finding is most consistent with uterine inversion?

Sudden severe hemorrhage with uterus absent from abdomen

Which intervention is appropriate for a postpartum client with a distended bladder contributing to uterine atony?

Encourage the client to void

Subinvolution is best described as:

Failure of the uterus to return to prepregnancy size

A nurse is assessing a client with postpartum hemorrhage. Which laboratory value is most important?

Hemoglobin and hematocrit

A Bakri balloon is used primarily to:

Stop postpartum uterine bleeding

Which postpartum client is at greatest risk for deep vein thrombosis?

Cesarean birth and obesity

Which intervention helps prevent postpartum thromboembolism?

Sequential compression devices

Which medication is commonly prescribed for postpartum DVT?

Heparin or anticoagulants

A postpartum client develops calf pain, warmth, and unilateral swelling. Which complication is suspected?

DVT

A postpartum temperature of 101°F occurring on postpartum day 3 is most concerning for:

Infection

Which postpartum infection commonly develops between postpartum days 2 and 4?

Endometritis

Which symptom is most characteristic of endometritis?

Malodorous lochia

The nurse expects which treatment for endometritis?

IV antibiotics

Which client has the highest risk for postpartum endometritis?

Cesarean birth after prolonged rupture of membranes

Which symptom is most consistent with postpartum UTI?

Dysuria and urgency

A breastfeeding client has unilateral breast redness, warmth, fever, and pain. Which complication is most likely?

Mastitis

Which teaching should the nurse provide to help prevent mastitis?

Breastfeed frequently and ensure proper latch.

Which intervention is appropriate for mastitis?

Continue breastfeeding frequently.

Which postpartum mood disorder affects approximately 80% of mothers?

Baby blues

Which statement by a postpartum client suggests postpartum depression?

"I've felt hopeless for over a month and don't want to hold my baby."

Which symptom requires immediate intervention?

Hallucinations about harming the infant

A nurse teaches the family about postpartum psychosis. Which statement indicates understanding?

"It is a psychiatric emergency."

The nurse is caring for a postpartum client with a history of major depression. Which intervention is most appropriate?

Encourage prophylactic treatment and early follow-up.