Chapter 12-Postpartum physiological assessments and nursing care

Your patient gave birth to a 6 pound baby girl 6 hours ago. It was a spontaneous delivery. You note that there is some edema and bruising near perineum. She stated that her pain was a 1 on the pain scale. your nursing action would be to A. Continue applying ice to the perineum B. Assist her with a sitz bath C. Encourage her to keep her bladder empty D. Administer ibuprofen 800 mg

A. Continue applying ice to the perineum

A patient who delivered vaginally and has a third degree laceration is being prepared for discharge. which of the following instructions should the nurse include in teaching? Select all that apply A. Drink at least 2 liters of fluid a day B. Ambulate several times a day C. Eat plenty of whole grain foods, and fruits and vegetables D. Use suppositories to help promote regular, soft bowel movements

A. Drink at least 2 liters of fluid a day B. Ambulate several times a day C. Eat plenty of whole grain foods, and fruits and vegetables

During your discharge teaching, you are evaluating if your patient needs information on contraception. Select the responses that indicate she needs additional information A. I will be breastfeeding for the next 6 months. We will start using a condom when i have my first period. B. My husband is getting a vasectomy. we will be using condoms until his second semen analysis is negative for sperm. C i plan to have an IUD. we will be using condoms until i get an IUD. D. I used a diaphram prior to this pregnancy and plan to use my old one

A. I will be breastfeeding for the next 6 months. We will start using a condom when i have my first period. D. I used a diaphram prior to this pregnancy and plan to use my old one

A nurse is preparing a woman in the early postpartm period for a fundal check. Select all of the appropriate nursing actions A. provide for privacy B. Position the woman in high Fowlers position C. Have the patient empty her bladder D. Position the patient in the supine position

A. provide for privacy C. Have the patient empty her bladder D. Position the patient in the supine position

Select the statements that are true regarding primary engorgment A. Only women who are lactating will experience primary engorgement B. It is caused by an increase in the vascular and lymphatic system of the breast C. The breasts become large, firm, and warm to touch D. It subsides within 24-36 hours

B. It is caused by an increase in the vascular and lymphatic system of the breast C. The breasts become large, firm, and warm to touch D. It subsides within 24-36 hours

A nurse is providing discharge teaching to a postpartum patient who is bottle feeding. The patient asks the nurse when she should expect to have her period return. The nurses best response is A. you can expect to have your period in 3-4 weeks B. Many women who choose not to breastfeed will have a period in 7-9 weeks after childbirth C. Your period will return at about 6 months post delivery D. Bottle feeding suppresses ovulation, so as long as you bottle feed, you will not have a period.

B. Many women who choose not to breastfeed will have a period in 7-9 weeks after childbirth

Your patient who gave birth to a 7 pound baby boy 24 hours ago is complaining of uterine crampting. This is her second baby and she is breastfeeding. Your assessment reveals a firm fundus at midline at 1 cm below the umbilicus. Select all of your initial nursing actions A. instruct the patient to bottle-feed for 36 hours or until the cramping has stopped B. Place a warm blanket on her abdomen C. Explain that these are normal for a second-time mother D. Offer acetaminophen with codeine so she can continue to breastfeed

B. Place a warm blanket on her abdomen C. Explain that these are normal for a second-time mother

To decrease the risk of orthostatic hypotension during the first few hours after the birth, the nurse should A. Assist the patient to the bathroom by using a wheelchair B. Break open an ammonia ampule and have the patient take a deep breath before getting up C. Have the patient sit on the side of the bed for a few minutes before standing D. Check the patient blood pressure before assisting her to the bathroom

C. Have the patient sit on the side of the bed for a few minutes before standing

A patient who delivered 20 hours ago reports a transient increase in her lochia when she ambulated to the bathroom to void this morning after sleeping for a few hours. The nurse performs an assessment and documents scant rubra, lochia with no clots, fundus firm 1 cm below umbilicus. Which of the following nursing actions are appropriate? A. Report finding to the patients health care provider B. Begin weighing and counting pads C. Reassure the patient that this is normal D. Obtain oxytocin

C. Reassure the patient that this is normal

The nurse assists a patient who delivered vaginally 6 hours ago to the bathroom to void for the first time since delivery. The patient voids 65 mL of urine. The nurses initial action is to A. Document this as a normal finding B. Encourage the patient to try to void again within the next 4-6 hours C. Insert an indwelling Foley catheter D. Palpate for bladder distention

D. Palpate for bladder distention