The nurse expects which of the following to be included in the active management of the third stage of labor? SELECT ALL THAT APPLY.

Delayed cord clamping.

Controlled traction on the umbilical cord.

Administration of oxytocin or Pitocin before placental delivery.

Fundal massage before placental delivery.

Answer and Explanation

Correct Answer : B,C

Choice A rationale

Delayed cord clamping, or waiting for a period after birth. before clamping and cutting the umbilical cord, is not included in the active. management of the third stage of labor. Active management focuses on interventions. that expedite the delivery of the placenta and reduce postpartum blood loss. Delayed cord clamping is typically part of physiologic or expectant management. and can increase blood loss, which is why it is avoided in active management.

Choice B rationale

Controlled traction on the umbilical cord is a key component. of active management of the third stage of labor. After the placenta has. separated, gentle, downward traction is applied to the cord while simultaneously. applying fundal counter-pressure. This maneuver assists in the expulsion of the. placenta and helps to minimize the risk of uterine inversion. The procedure. should be done with caution and expertise.

Choice C rationale

Administration of oxytocin, typically within one minute. of the baby's birth, is a critical part of the active management of the third. stage of labor. This prophylactic administration of a uterotonic drug stimulates. uterine contractions, which hastens the separation and expulsion of the placenta. and significantly reduces the risk of postpartum hemorrhage. The usual dose is 10. units intramuscularly.

Choice D rationale

Fundal massage is part of postpartum care, but it is not. typically performed before placental delivery as part of active management. Massaging a flaccid or atonic uterus helps it to contract and reduce bleeding, but. this is done after the placenta has been expelled. Performing fundal massage. prior to this can interfere with the natural placental separation process. *.

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Correct Answer is ["A","C"]

Explanation

Choice A rationale

A personal or family history of depression and/or anxiety is a significant risk factor for developing postpartum depression. The biological and psychological factors that predispose an individual to these conditions, such as hormonal fluctuations and brain chemistry imbalances, can be exacerbated by the hormonal changes and stresses of the postpartum period. A history of these conditions indicates a pre-existing vulnerability to mood disorders.

Choice B rationale

Having a third baby is not an inherent risk factor for postpartum depression. In fact, some studies suggest that multiparous women may have a lower risk than first-time mothers, as they may have more experience and social support. However, it is the overall context, such as a history of depression, lack of social support, or a stressful life event, that contributes to the risk, not the number of children alone.

Choice C rationale

A lack of social support is a major risk factor for postpartum depression. Moving far from family, who are often a primary source of emotional and practical support, creates a sense of isolation. When combined with a husband who works long hours, the mother is left to manage the significant demands of a newborn with minimal assistance, increasing stress and feelings of loneliness, which are all key contributors to postpartum depression.

Choice D rationale

While some studies indicate that primiparous (first-time) mothers may be at a slightly higher risk of postpartum depression due to the novelty of the experience and the steep learning curve, it is not a definite risk factor in itself. The risk is more closely tied to pre-existing conditions and external stressors, such as a history of mood disorders and lack of social support. This is her first baby is a less influential factor compared to a history of anxiety/depression and a lack of social support

A. Wearing a nipple shield for the first few days of breastfeeding. B. Wearing a tight sports bra 24 hours a day. C. Frequent breastfeeding or pumping. D. Avoiding feeding if the nipple is cracked.

Correct Answer is C

Explanation

Choice A rationale

A nipple shield is a device used to help with latch difficulties or for sore nipples, but it is not a primary preventative measure for mastitis. In fact, improper use can sometimes lead to incomplete milk removal and milk stasis, which can increase the risk of developing mastitis.

Choice B rationale

Wearing a tight sports bra can cause breast compression, which may lead to milk stasis and clogged milk ducts. This can increase the risk of developing mastitis. Frequent and complete milk removal is the most effective preventative strategy.

Choice C rationale

Frequent and complete milk removal is the most effective way to prevent mastitis. By breastfeeding or pumping often, milk ducts are kept clear, preventing milk stasis. Milk stasis provides a perfect environment for bacterial growth, which is the primary cause of mastitis.

Choice D rationale

Avoiding feeding from a cracked nipple can lead to milk stasis in the affected breast, which increases the risk for mastitis. It is important to continue feeding or pumping from the affected breast, using proper technique and addressing the cause of the cracked nipple to promote healing.

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The nurse expects which of the following to be included in the active management of the third stage of labor? SELECT ALL THAT APPLY.

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Naxlex Comprehensive Predictor Exams

The nurse enters the patient's room and notices the new mother quietly weeping as she packs up to take her newborn home. After talking with the patient, the nurse notes that the following factors increase this patient's risk for postpartum depression:

Correct Answer is ["A","C"]

Explanation

The perinatal nurse assisting with establishing lactation is aware that acute mastitis can be minimized by:

Correct Answer is C

Explanation

A patient with a history of chronic hypertension begins to hemorrhage following a precipitous vaginal delivery. The nurse knows that all of the following medications can be administered to this patient, EXCEPT:

Which of the following postpartum patients would the nurse expect to resume her menses first?

If a woman is at risk for thrombus and is not ready to ambulate, nurses might intervene by doing all of these interventions except:

Which of the following statements about "baby blues" does the nurse understand to be correct?

A woman gave birth 48 hours ago to a healthy infant girl. She has decided to bottle-feed. During your assessment, you notice that both of her breasts are swollen, warm, and tender on palpation. The woman should be advised that this condition can best be treated by:

The nurse notes a hemorrhoid when performing a postpartum physical exam. She instructs the patient to do all of the following to encourage healing, except:

The first and most important nursing intervention when a nurse observes profuse postpartum bleeding is to:

To reduce swelling and discomfort in the perineal area following a vaginal delivery, the nurse applies which of the following to the patient’s perineum in the first 24 hours postpartum?