Medical Treatment Goals and Nursing Care Objectives Quiz
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Questions and Answers

What are the two most often encountered psychiatric disorders in women postpartum?

  • Anxiety disorder and PTSD
  • Schizophrenia and OCD
  • Borderline personality disorder and Panic disorder
  • Bipolar disorder and Major depression (correct)
  • Why can postpartum psychosis be fatal for both mother and infant?

  • Lack of social support
  • Risk of suicide and infanticide (correct)
  • Because of decreased appetite
  • Due to excessive fatigue
  • What challenges do homeless women face in accessing healthcare services?

  • Easy access to care providers
  • Difficulty in getting referrals (correct)
  • Excessive medical records
  • Complete medical records
  • Why is follow-up care particularly difficult for homeless women?

    <p>Multiple care providers at different sites</p> Signup and view all the answers

    How can a nurse help a mother postpartum before discharge?

    <p>Facilitate referrals to support services</p> Signup and view all the answers

    Why is determining a place to go essential before discharging a mother with her newborn infant?

    <p>To ensure access to help for mother or newborn</p> Signup and view all the answers

    What is the main goal of medical treatment in cases of infection?

    <p>To eliminate the infection</p> Signup and view all the answers

    What is the purpose of taking a culture and sensitivity sample from the suspected site of infection?

    <p>To identify the type of organisms causing the infection</p> Signup and view all the answers

    What should a nurse focus on when providing care to prevent infection?

    <p>Teaching hygienic measures to reduce organisms causing infection</p> Signup and view all the answers

    Why is it important for patients to complete the full course of antibiotics prescribed?

    <p>To prevent antibiotic resistance</p> Signup and view all the answers

    What is a vital component in a woman's body defenses against infection?

    <p>Proper nutrition</p> Signup and view all the answers

    What should women be taught to do before and after performing self-care involving secretions?

    <p>Wash hands before and after self-care</p> Signup and view all the answers

    What are the two nutrients emphasized to promote healing postpartum?

    <p>Foods high in protein and vitamin C</p> Signup and view all the answers

    When does mastitis usually occur after giving birth?

    <p>2 or 3 weeks after giving birth</p> Signup and view all the answers

    What causes mastitis?

    <p>Entry of organisms through nipple cracks</p> Signup and view all the answers

    What are common signs and symptoms of mastitis?

    <p>Edema and heaviness in the breast</p> Signup and view all the answers

    What is the primary treatment for mastitis?

    <p>Antibiotics and continued milk removal</p> Signup and view all the answers

    Why should a nursing mother not wean her infant when she has mastitis?

    <p>Weaning reduces engorgement and stasis of milk</p> Signup and view all the answers

    How can a mother improve milk flow and reduce stasis if the affected breast is too painful to breastfeed?

    <p>Use a breast pump</p> Signup and view all the answers

    Which type of disorder is more serious than postpartum blues?

    <p>Postpartum psychosis</p> Signup and view all the answers

    What change in hormone levels is related to the onset of postpartum depression?

    <p>Rapid decrease in estrogen and progesterone levels</p> Signup and view all the answers

    What is a possible preventative measure for postpartum depression according to research mentioned?

    <p>Nutritional supplement of tryptophan, tyrosine, and blueberry juice</p> Signup and view all the answers

    Which factor is NOT mentioned as a risk factor for postpartum depression?

    <p>High job satisfaction</p> Signup and view all the answers

    What does postpartum depression strain according to the text?

    <p>Coping mechanisms of the entire family</p> Signup and view all the answers

    What treatment strategy for postpartum depression is mentioned as complementary and alternative (CAM)?

    <p>Light therapy (phototherapy) and exercise</p> Signup and view all the answers

    What is the responsibility placed on nurses regarding formal postpartum screening for depression?

    <p>To detect and refer problems to prevent progression to chronic depression</p> Signup and view all the answers

    Which theory about hormones is supported by the text as potentially affecting women's mood postpartum?

    <p>Fluctuating hormone levels postpartum may affect women's mood.</p> Signup and view all the answers

    What is the primary focus of the nurse when providing support for postpartum depression?

    <p>Providing support and observation of behavior</p> Signup and view all the answers

    To limit the spread of infection, the goals of medical treatment are to prevent it from reaching the blood and other organs, and to eliminate the infection, a culture and sensitivity sample from the suspected site of infection is taken to determine the antibiotics that will be most effective.

    <p>woman</p> Signup and view all the answers

    IV antibiotics may be ordered, and the ______ may be placed on bed rest.

    <p>woman</p> Signup and view all the answers

    Nursing care objectives focus on preventing infection and, if an infection occurs, on facilitating medical treatment. To achieve these goals, the nurse should use and teach hygienic measures to reduce the number of organisms that can cause infection (e.g., hand hygiene, ______ care).

    <p>perineal</p> Signup and view all the answers

    Teach the ______ to take all of the antibiotics prescribed rather than stopping them after her symptoms are eliminated.

    <p>woman</p> Signup and view all the answers

    Women should be taught to wash their hands before and after performing self-care that may involve contact with ______.

    <p>secretions</p> Signup and view all the answers

    Nutrition is an essential component of her body’s ______.

    <p>defenses</p> Signup and view all the answers

    Postpartum psychosis can be fatal for both ______ and infant

    <p>mother</p> Signup and view all the answers

    Homelessness is defined as a lack of a permanent ______

    <p>home</p> Signup and view all the answers

    Before discharge, it is essential to determine that the mother has a place to go and has a way of accessing help for herself or her ______

    <p>newborn</p> Signup and view all the answers

    The nurse can be a key link in facilitating referrals to outreach programs, support services, counseling, shelters, and follow-up ______ care

    <p>medical</p> Signup and view all the answers

    Some women live in single-room hotels, and others stay with friends or extended ______

    <p>family</p> Signup and view all the answers

    In some cases, social workers within the community may refer the woman for ______

    <p>counseling</p> Signup and view all the answers

    Foods high in protein (meats, cheese, milk, legumes) and vitamin C (citrus fruits and juices, strawberries, cantaloupe) are especially important for ____________ postpartum

    <p>healing</p> Signup and view all the answers

    Mastitis is an infection of the ____________

    <p>breast</p> Signup and view all the answers

    Mastitis usually occurs about 2 or 3 weeks after giving ____________

    <p>birth</p> Signup and view all the answers

    Mastitis occurs when organisms from the skin or the infant’s mouth enter small cracks in the nipples or ____________

    <p>areolae</p> Signup and view all the answers

    Breast engorgement and inadequate emptying of milk are associated with ____________

    <p>mastitis</p> Signup and view all the answers

    Mastitis often involves only one ____________

    <p>breast</p> Signup and view all the answers

    Signs and symptoms of mastitis include redness and heat in the breast, ____________, edema, and a heaviness in the breast

    <p>tenderness</p> Signup and view all the answers

    If not treated, the infected area becomes encapsulated and an ____________ forms

    <p>abscess</p> Signup and view all the answers

    Antibiotics and the continued removal of milk from the breast are the primary treatments for ____________

    <p>mastitis</p> Signup and view all the answers

    The nursing mother should be taught proper breast-feeding techniques to reduce the risk for ____________

    <p>mastitis</p> Signup and view all the answers

    _______ involves serious impairment of one’s perception of reality.

    <p>Psychosis</p> Signup and view all the answers

    Postpartum blues, also known as an adjustment reaction, occur in about 75% of women, appearing on day 5 and disappearing by day __.

    <p>10</p> Signup and view all the answers

    After childbirth, estrogen and progesterone levels decrease rapidly, which leads to increased brain levels of monoamine oxidase-A (MAO-A), which is related to the onset of postpartum _______.

    <p>depression</p> Signup and view all the answers

    Research has shown that it is possible a nutritional supplement of tryptophan, tyrosine, and blueberry juice counters the effects of increased MAO-A levels and may prevent the development of postpartum _______.

    <p>depression</p> Signup and view all the answers

    According to the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5), there are three types of postpartum depression: adjustment disorder, also called the baby blues, postpartum mood disorders, and postpartum _______.

    <p>depression</p> Signup and view all the answers

    Formal postpartum screening for depression is not standard practice in the United States, which places the responsibility on the nurse to detect and refer problems to prevent progression to chronic _______.

    <p>depression</p> Signup and view all the answers

    Risk factors for postpartum depression include inadequate social support, a poor relationship with the partner, life and childcare stress, low self-esteem, and an unplanned _______.

    <p>pregnancy</p> Signup and view all the answers

    Signs and symptoms of postpartum depression may include the following: Lack of enjoyment in life, disinterest in others, loss of normal give-and-take in relationships, intense feelings of inadequacy, unworthiness, guilt, inability to cope, loss of mental concentration, inability to make decisions, disturbed sleep or appetite, constant fatigue, and feelings of ill _______.

    <p>health</p> Signup and view all the answers

    Postpartum depression strains the coping mechanisms of the entire family at a time when all are adapting to the birth of a _______.

    <p>child</p> Signup and view all the answers

    Light therapy (phototherapy) and exercise are complementary and alternative (CAM) treatment strategies that may help in the management of _______ _______.

    <p>postpartum depression</p> Signup and view all the answers

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