The nurse is educating her G5P5 postpartum patient at discharge after experiencing a postpartum hemorrhage post-delivery. Which education topics are appropriate for this patient?
Postpartum hemorrhage can occur late, even 2–4 weeks after delivery.
Do not breastfeed for at least 24 hours.
We may send you home on Oxytocin.
Report to the midwife or physician if you saturate your peri-pad in 1 hour or less.
Postpartum hemorrhage only occurs 24–48 hours after birth.
Correct Answer : A,C,D
Choice A rationale
Postpartum hemorrhage may occur weeks after delivery due to subinvolution of the uterus or retained placental fragments. Educating about late risks ensures patients monitor symptoms and seek timely care.
Choice B rationale
Breastfeeding is encouraged even after postpartum hemorrhage as it helps stimulate uterine contractions, reducing bleeding risk. Recommending avoidance could delay recovery and is scientifically unsupported unless contraindicated.
Choice C rationale
Oxytocin may be prescribed for ongoing uterine atony or to prevent late postpartum hemorrhage. It is essential to educate patients about its purpose and correct administration for safety and effectiveness.
Choice D rationale
Saturating a peri-pad within 1 hour may indicate active bleeding. Reporting this promptly ensures swift intervention to prevent further complications, aligning with standard postpartum care protocols.
Choice E rationale
Postpartum hemorrhage is not limited to 24–48 hours after birth; late-onset hemorrhage, occurring up to weeks later, is a known complication. Misleading patients with this incorrect timeframe can delay critical interventions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Narcan (naloxone) is contraindicated as it can precipitate acute withdrawal symptoms in neonates exposed to opioids in utero, leading to seizures and severe distress due to sudden opioid receptor blockade.
Choice B rationale
Phenobarbital is used to manage neonatal abstinence syndrome by reducing central nervous system hyperexcitability and seizures. It is not contraindicated as it provides symptomatic relief for withdrawal symptoms.
Choice C rationale
Methadone is used to treat neonatal abstinence syndrome by stabilizing opioid levels and preventing withdrawal symptoms. It is not contraindicated and helps manage symptoms effectively in opioid-exposed neonates.
Choice D rationale
Morphine is a first-line treatment for neonatal abstinence syndrome, reducing withdrawal symptoms by mimicking the effects of opioids. It is not contraindicated and is commonly used in neonatal care.
Correct Answer is A
Explanation
Choice A rationale
Surfactant reduces alveolar surface tension, improving lung compliance and facilitating gas exchange of oxygen and carbon dioxide, critical in addressing respiratory distress syndrome in premature infants.
Choice B rationale
Periodic apnea in premature infants is a neurological immaturity issue, not directly addressed by surfactant, which targets alveolar function in the lungs.
Choice C rationale
Surfactant does not possess antimicrobial properties; it functions to stabilize alveoli, not to combat respiratory infections.
Choice D rationale
Sedation requirements for infants are unrelated to surfactant therapy, which works mechanically in the lungs rather than through central nervous system effects.
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