Newborn Nursing Domain 4: Maternal Postpartum Complications Welcome to your Newborn Nursing Domain 4: Maternal Postpartum Complications 1. Newborn Nursing: Maternal Postpartum Complications A postpartum woman develops sudden, sharp chest pain and shortness of breath 48 hours after delivery. Which complication is most likely? Uterine atony Pulmonary embolism Postpartum hemorrhage Endometritis None 2. Newborn Nursing: Maternal Postpartum Complications A patient is diagnosed with postpartum preeclampsia. Which symptom is LEAST likely to be observed? Hypertension Seizures Urinary tract infection Proteinuria None 3. Newborn Nursing: Maternal Postpartum Complications Which assessment finding is most indicative of a hematoma developing in a postpartum woman? Persistent vaginal bleeding Sudden onset of pelvic pain Elevated blood pressure Increased heart rate None 4. Newborn Nursing: Maternal Postpartum Complications A woman 3 days postpartum complains of severe abdominal pain, fever, and an offensive odor from her vaginal discharge. What is the most likely diagnosis? Cystitis Endometritis Urinary retention Vaginal tear None 5. Newborn Nursing: Maternal Postpartum Complications What is the primary treatment for a postpartum woman diagnosed with venous thromboembolism (VTE)? Antibiotics Anticoagulants Antidepressants Analgesics None 6. Newborn Nursing: Maternal Postpartum Complications Which condition is characterized by persistent heavy bleeding more than 24 hours but less than 6 weeks postpartum? Delayed postpartum hemorrhage Early postpartum hemorrhage Subinvolution of the uterus Uterine atony None 7. Newborn Nursing: Maternal Postpartum Complications A postpartum patient exhibits tachycardia, low-grade fever, and localized pain and swelling in the leg. What is the most probable diagnosis? Deep vein thrombosis Eclampsia Endometritis Mastitis None 8. Newborn Nursing: Maternal Postpartum Complications What is a key distinguishing feature of postpartum cardiomyopathy? Hypertension Low blood sugar Heart failure Proteinuria None 9. Newborn Nursing: Maternal Postpartum Complications A patient presents with a swollen, red, and painful area on one breast, accompanied by fever and malaise eight days postpartum. What is the most likely condition? Mastitis Breast engorgement Fibroadenoma Breast abscess None 10. Newborn Nursing: Maternal Postpartum Complications If a postpartum woman exhibits signs of shock, pallor, and a firm, contracted uterus, what should be suspected? Uterine inversion Uterine rupture Placental abruption Concealed hemorrhage None 11. Newborn Nursing: Maternal Postpartum Complications Which intervention is most critical for managing a postpartum woman with suspected septic pelvic thrombophlebitis? Antibiotics and anticoagulants Corticosteroids Diuretics Nonsteroidal anti-inflammatory drugs None 12. Newborn Nursing: Maternal Postpartum Complications In assessing a postpartum woman with suspected disseminated intravascular coagulation 'DIC', which laboratory finding is most significant? Elevated white blood cell count Decreased fibrinogen levels Increased platelet count Normal prothrombin time None 13. Newborn Nursing: Maternal Postpartum Complications Which clinical symptom is not typically associated with postpartum thyroiditis? Fatigue Weight loss Cold intolerance Tachycardia None 14. Newborn Nursing: Maternal Postpartum Complications A postpartum patient exhibits localized warmth, redness, and tenderness in the calf. What is the initial diagnostic test of choice? Venography Ultrasound MRI X-ray None 15. Newborn Nursing: Maternal Postpartum Complications Following a cesarean section, a patient presents with tachypnea, hypoxia, and confusion. Which condition should be urgently considered? Amniotic fluid embolism Uterine atony Postpartum hemorrhage Puerperal psychosis None 16. Newborn Nursing: Maternal Postpartum Complications What is the hallmark symptom of postpartum eclampsia? Hypertension Seizures Proteinuria Swelling of the legs None 17. Newborn Nursing: Maternal Postpartum Complications Which of the following is a risk factor for postpartum uterine inversion? Chronic hypertension Excessive traction on the umbilical cord Previous cesarean delivery Gestational diabetes None 18. Newborn Nursing: Maternal Postpartum Complications What is the most effective management strategy for preventing postpartum depression? Prophylactic antidepressants Routine debriefing sessions Early recognition and treatment of symptoms Strict bed rest post-delivery None 19. Newborn Nursing: Maternal Postpartum Complications Which symptom would differentiate a postpartum hemorrhage caused by retained placental fragments from other causes? Rapid heart rate High blood pressure Passing large clots Continuous bleeding None 20. Newborn Nursing: Maternal Postpartum Complications A postpartum woman with no prior history of hypertension develops sudden blood pressure elevations. What should be considered? Chronic hypertension White coat syndrome Postpartum preeclampsia Essential hypertension None 1 out of 20 Time is Up! Time's up
