Latest Update Graded A

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Postpartum Complications NCLEX Latest Update Graded A+

What is a common sign of postpartum endometritis?

• Bright red lochia with no odor
• Decreased abdominal pain and normal temperature
• Foul-smelling lochia with elevated temperature
• Absence of vaginal bleeding and a soft uterus

✔✔ C) Foul-smelling lochia with elevated temperature Rationale: Endometritis is an infection of the uterine lining, often characterized by foul-smelling lochia and an elevated temperature.

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Which intervention is most appropriate for a postpartum patient with signs of deep vein thrombosis (DVT)?

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• Administer anticoagulants as prescribed
• Apply warm compresses to the affected area
• Encourage early ambulation
• Perform immediate surgery

✔✔ A) Administer anticoagulants as prescribed Rationale: Anticoagulants are used to manage DVT by preventing further clot formation and reducing the risk of complications.

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What is the most effective nursing action for a postpartum patient experiencing postpartum psychosis?

• Provide immediate psychiatric evaluation and treatment
• Offer reassurance and educate about normal postpartum changes
• Increase physical activity and social interactions
• Administer over-the-counter antianxiety medications
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✔✔ A) Provide immediate psychiatric evaluation and treatment Rationale: Postpartum psychosis is a severe mental health condition requiring urgent psychiatric evaluation and treatment.

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What is a primary nursing concern for a postpartum patient with a large hematoma?

• Increased risk of infection
• Dehydration
• Risk of impaired tissue perfusion
• Difficulty with breastfeeding

✔✔ C) Risk of impaired tissue perfusion Rationale: A large hematoma can compress surrounding tissues and blood vessels, potentially impairing tissue perfusion and requiring monitoring and intervention.

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Which of the following findings would most likely indicate a postpartum complication related to hemorrhage?

• Lochia alba with minimal flow
• Firm uterus and stable vital signs
• Saturated peri pad within 15 minutes with a soft, boggy uterus
• Normal temperature and minimal abdominal cramping

✔✔ C) Saturated peri pad within 15 minutes with a soft, boggy uterus Rationale: Excessive bleeding and a soft, boggy uterus are indicative of postpartum hemorrhage, which requires immediate attention.

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What is the recommended initial treatment for postpartum hypertension?

• Administer IV fluids to lower blood pressure
• Start antihypertensive medications and monitor blood pressure
• Restrict oral intake and provide rest
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