A nurse is caring for a client that just delivered a 4,100 gram infant via vacuum-assisted delivery.
The nurse identifies this client is most at risk for which of the following postpartum complications?
Thromboembolism.
Postpartum depression.
Mastitis.
Postpartum hemorrhage.
The Correct Answer is D
Choice A rationale
Thromboembolism is a postpartum complication, particularly in women with risk factors such as obesity, immobility, or a history of thromboembolic events. However, it is not the primary risk associated with a 4,100-gram infant and vacuum-assisted delivery.
Choice B rationale
Postpartum depression is a significant concern for new mothers and can impact their well-being and ability to care for their newborn. While it is a relevant postpartum complication, it is not directly associated with the size of the infant or the delivery method.
Choice C rationale
Mastitis is a potential postpartum complication related to breastfeeding. It involves infection and inflammation of the breast tissue but is not specifically linked to the size of the infant or the mode of delivery.
Choice D rationale
Postpartum hemorrhage is the most significant risk for a client who delivered a 4,100-gram infant via vacuum-assisted delivery. The combination of a large infant and instrumental delivery increases the risk of uterine atony and trauma, leading to excessive bleeding.
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Related Questions
Correct Answer is C
Explanation
Choice A rationale
Encouraging the patient to push harder during shoulder dystocia can worsen the situation by further impacting the shoulder against the pelvic bone.
Choice B rationale
Preparing for a cesarean birth is not the immediate priority action in the case of shoulder dystocia. Initial maneuvers should be attempted first.
Choice C rationale
Performing the McRoberts maneuver is the priority action. It involves hyperflexing the mother's legs tightly to her abdomen, which can help free the impacted shoulder.
Choice D rationale
Applying firm fundal pressure can worsen shoulder dystocia and should be avoided. Instead, suprapubic pressure can be applied to help dislodge the shoulder. .
Correct Answer is A
Explanation
Choice A rationale
Monitoring and assessing fetal heart rate immediately after an amniotomy is crucial to detect any signs of fetal distress, such as cord prolapse or changes in fetal heart rate patterns. This intervention helps ensure the baby's well-being following the procedure.
Choice B rationale
Assisting the client to the bathroom is not the priority immediately after an amniotomy. The focus should be on monitoring the fetal heart rate and maternal condition first.
Choice C rationale
Performing pericare is important for maternal comfort and hygiene but should not take precedence over assessing fetal well-being immediately after an amniotomy.
Choice D rationale
Documenting the color, odor, and consistency of the amniotic fluid is necessary for record-keeping and assessing for signs of infection or meconium. However, it should follow the immediate assessment of fetal heart rate.
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