QUIZ 5: NURSING CARE OF A FAMILY EXPERIENCING A POSTPARTAL COMPLICATION

Question 1

pulmonary embolism, anemia, hypertension (eclamptic patient)

Answer 1

Cardiogenic

Question 2

clotting disorders, postpartum hemorrhage

Answer 2

Hypovolemic

Question 3

allergic response

Answer 3

Anaphylactic

Question 4

puerperal infection (bacterial infection of the uterus)

Answer 4

Septic

Question 5

Occurs when volume of blood is depleted and cannot fill the circulatory system
If not corrected quickly, the woman can die

Answer 5

HYPOVOLEMIC SHOCK

Question 6

Initially: increase heart (tachycardia) and respiratory rates (tachypnea)

Answer 6

Body’s response to hypovolemia

Question 7

occurs when a woman loses more than 500 mL of blood in a normal delivery and more than 1000mL of blood in a cesarean delivery within 24 hours period

Answer 7

POSTPARTAL HEMORRHAGE

Question 8

relaxation of the uterus

Answer 8

UTERINE ATONY

Question 9

Small ___ or tears of the birth canal are common and considered normal consequence of childbearing

Answer 9

lacerations

Question 10

Found on the sides of the cervix
Blood loss if artery is torn

Answer 10

CERVICAL LACERATIONS

Question 11

Vaginal tissue is friable, ___ are hard to repair
May be packed to maintain pressure on the suture line

Answer 11

VAGINAL LACERATIONS

Question 12

Sutured and treated as an episiotomy repair

Answer 12

PERINEAL LACERATIONS

Question 13

Collection of blood within tissue
Birth trauma, usually on vulva or inside vagina
If seen looks like bulging bluish or purplish mass
Unrelenting pain unrelieved by analgesics

Answer 13

Perineal Hematoma

Question 14

Causes
Retention of placental fragments
Subinvolution

Answer 14

LATE POSTPARTUM HEMORRHAGE

Question 15

The slower-than-expected or failure of the uterus to return to its normal prepregnant condition
Normally the uterus descends at the rate of 1 cm per day

Answer 15

SUBINVOLUTION OF THE UTERUS

Question 16

Placenta not delivered in its entirety; fragments of it separate and are left behind
Retained portion keeps the uterus from contracting fully, uterine bleeding occurs

Answer 16

RETAINED PLACENTAL FRAGMENTS

Question 17

A venous thrombosis is a blood clot within a vein

Answer 17

THROMBOEMBOLIC DISORDERS

Question 18

is inflammation of the lining of a blood vessel

Answer 18

Phlebitis

Question 19

is inflammation with the formation of blood clots

Answer 19

Thrombophlebitis

Question 20

An infection or ___ after childbirth, with a fever of 38° C (100.4° F) after the first 24 hours and for at least 2 days during the first 10 days postpartum

Answer 20

septicemia

Question 21

An infection of the breast – occurs usually 2-3 weeks after birth
Organism causing infection usually enters through cracked and fissured nipples

Answer 21

MASTITIS

Question 22

It is the infection of endometrium, the lining of the uterus.
The clinical manifestation of this are fever, elevated WBC PP, chills,loss of appetite, general malaise, uncontracted uterus and painful to touch, dark brown lochia

Answer 22

ENDOMETRITIS

Question 23

An infection at the peritoneal cavity that usually occurs as an extension of endometritis.
This is one of the gravest complications of childbearing and
high mortality rate from puerperal infection.
The infection spreads through lymphatic system or fallopian tubes

Answer 23

PERITONITIS

Question 24

Result of inadequate bladder emptying
Bladder sensation for voiding is decreased because of bladder edema caused by pressure of birth

Answer 24

URINARY SYSTEM DISORDERS

Question 25

___ is a pervasive and sustained emotion that can color one’s view of life.

Answer 25

MOOD DISORDERS

Question 26

Common after birth
Mother has periods where she feels let down
Overall finds pleasure in her new role as a mother
Usually self-limiting as woman adjusts to her new role

Answer 26

POSTPARTUM BLUES “BABY BLUES”

Question 27

Serious impairment of one’s perception of reality
More serious than postpartum blues
Usually manifests within 4 weeks after delivery
May interfere with mother’s ability to respond to her infant’s cues
Maternal-infant bonding may also be affected

Answer 27

POSTPARTUM DEPRESSION

Question 28

Characterized by episodes of mania

Answer 28

Bipolar disorders

Question 29

Deep feelings of worthlessness, guilt, and sleep and appetite disturbances

Answer 29

Major depression

Question 30

Lack of permanent home
Often have difficulty accessing care
Follow-up is difficult
Prior to discharge, ensure mother has a place to go and a way of accessing help

Answer 30

HOMELESS MOTHER AND NEWBORN