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Test Bank Ricci Essentials of Maternity Chapter 22 With Rationales.

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Test Bank - Essentials of Maternity, Newborn, and Women's Health Nursing (4th Edition) Chapter 22: Nursing Management of the Postpartum Woman at Risk 1. Review of a primiparous woman's labor and birth record reveals ...

Test Bank - Essentials of Maternity, Newborn, and Women's Health Nursing (4th Edition) Chapter 22: Nursing Management of the Postpartum Woman at Risk 1. Review of a primiparous woman's labor and birth record reveals a prolonged second stage of labor and extended time in the stirrups. Based on an interpretation of these findings, the nurse would be especially alert for which of the following? A) Retained placental fragments B) Hypertension C) Thrombophlebitis D) Uterine subinvolution Answer: C Explanation: A thrombosis (blood clot within a blood vessel) can cause an inflammation of the blood vessel lining (thrombophlebitis), which in turn can lead to a thromboembolism (obstruction of a blood vessel by a blood clot carried by the circulation from the site of origin). Thrombi can involve the superficial or deep veins in the legs or pelvis. Superficial venous thrombosis usually involves the saphenous venous system and is confined to the lower leg. Superficial thrombophlebitis may be caused by the use of the lithotomy position during birth. Deep venous thrombosis (DVT) can involve deep veins from the foot to the calf, to the thighs, or pelvis. In both locations, thrombi can dislodge and migrate to the lungs, causing a pulmonary embolism (PE). p. 809 2. As part of an in-service program, a nurse is describing a transient, self-limiting mood disorder that affects mothers after childbirth. The nurse correctly identifies this as postpartum: A) Depression B) Psychosis C) Bipolar disorder D) Blues Answer: D Explanation: Baby blues are usually self-limiting and require no formal treatment other than reassurance and validation of the woman’s experience, as well as assistance in caring for herself and the newborn. However, follow-up of women with postpartum blues is important; because up to 20% go on to develop postpartum depression. p. 819 3. A woman who is 2 weeks postpartum calls the clinic and says, my left breast hurts. After further assessment on the phone, the nurse suspects the woman has mastitis. Which of the following are the recommended treatments for mastitis? Select all that apply. A) Lactation needs to be suppressed. B) Control of infection is achieved with antibiotics C) The breast can be emptied either by the infant sucking or by manual expression D) Ice packs should be avoided.

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