The nurse is caring for a G4P1, 31 weeks and 2 days gestation, 41-year-old patient, with premature prolonged rupture of membranes (PPROM) 7 hours after delivery. Which interventions will the nurse include in the plan of care? Select all that apply.

Facilitate an early discharge.

Discontinue oxycodone administration.

Restrict visitor time.

Provide breast pump.

Answer and Explanation

Correct Answer : B,C,D

Choice A reason: Facilitating an early discharge is not appropriate in this case. Patients with PPROM require careful monitoring and management to prevent infections and other complications.

Choice B reason: Discontinuing oxycodone administration may be necessary to prevent potential adverse effects on both the patient and the baby, especially considering the patient's recent delivery and current condition.

Choice C reason: Restricting visitor time can help reduce the risk of infection, especially for a patient with PPROM and a newborn who may have a compromised immune system.

Choice D reason: Providing a breast pump is important to help the mother establish and maintain lactation, especially if the baby is premature and may have difficulty breastfeeding directly.

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Correct Answer is A

Explanation

Choice A reason: Providing patients with information regarding postpartum depression is crucial. Educating patients about the signs, symptoms, and treatment options for postpartum depression helps raise awareness and encourages early detection and intervention. Knowledge empowers patients and their families to seek help if needed.

Choice B reason: Encouraging patients to focus on positive aspects of pregnancy and birth is generally beneficial for emotional well-being, but it is not a specific strategy for addressing postpartum depression. Focusing solely on positive aspects may inadvertently dismiss the real and serious concerns of those experiencing postpartum depression.

Choice C reason: Consulting with the patient's spiritual advisor can be supportive, but it is not a primary strategy for addressing postpartum depression. While spiritual support can be a valuable component of holistic care, it should complement, not replace, medical and psychological interventions.

Choice D reason: Avoiding the assessment of suicidal thoughts to not upset the patient is dangerous and counterproductive. It is essential to assess for suicidal ideation in patients with postpartum depression to ensure their safety and provide appropriate interventions. Open and compassionate discussions about mental health are critical in addressing postpartum depression effectively.

A. Misoprostol B. Magnesium Sulphate C. Butorphanol D. Metoprolol E. Tint

Correct Answer is B

Explanation

Choice A reason: Misoprostol is used to induce Labor and is not typically used to manage irregular contractions at 32 weeks gestation.

Choice B reason: Magnesium Sulphate is often used in cases of preterm Labor to relax the uterine muscles and prevent contractions, thereby helping to delay delivery and reduce the risk of complications for the baby.

Choice C reason: Butorphanol is a pain reliever and is not typically used to manage irregular contractions in pregnancy.

Choice D reason: Metoprolol is a beta-blocker used to treat high blood pressure and other heart conditions, but it is not used to manage irregular contractions in pregnancy.

Choice E reason: "Tint" is not a medication and does not relate to the management of irregular contractions in pregnancy.

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The nurse is caring for a G4P1, 31 weeks and 2 days gestation, 41-year-old patient, with premature prolonged rupture of membranes (PPROM) 7 hours after delivery. Which interventions will the nurse include in the plan of care? Select all that apply.

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Naxlex Comprehensive Predictor Exams

The nurse is teaching the student nurse about postpartum depression. Which strategy will the nurse include in the teaching?

Correct Answer is A

Explanation

The nurse is caring for a patient at 32 weeks gestation experiencing irregular contractions. Which medication order will the nurse anticipate being included in the plan of care?

Correct Answer is B

Explanation

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