Chapter 16: Nursing management during the postpartum period

Woman who had a C-section should be seen by her doctor within what time?

2 weeks after hospital discharge

The new mother has decided to feed her infant formula. When teaching her about the different types of formula, the nurse should stress the infant should receive how many calories each day?

650 -newborns need about 108 cal/kg or approximately 650 cal/ day

A client who is 12 hours post delivery is reporting perineal pain. After the assessment reveals no signs of an infection, which measure could the nurse offer the client.

- An ice pack applied to the perineum rationale: Commonly ice and/or cold measures are used in the first 24 hours following delivery to help reduce the edema and discomfort

The nurse determines that the teaching was successful when the group identifies which factor as contributing to the risk for infection postpartally?

- Placenta removed via manual extraction Rationale: Manual removal of the placenta, a labor longer than 24 hours, a hemoglobin less than 10.5 mg/dL

It has been 2 hours since a woman gave birth vaginally to a healthy newborn. When assessing the woman's uterine fundus, the nurse would expect to find it at:

- The level of the umbilicus rationale: The fundus is between the umbilicus and symphysis pubis 1 to 2 after birth. Approx. 6 to 12 hours after birth, the uterine fundus is usually at the level of the umbilicus

the client, has just been walking around her room, sits down and reports leg tightness and achiness. After resting, she states she is feeling much better. The nurse recognize that this discomfort

- thromboembolic disorder of the lower extremities rationale: thromboembolic disorder may present with subtle changes that must be evaluated.

Prior to discharge an appropriate time to evaluate the client's status for preventive measures such as immunizations and Rh status.

-Indirect combs test. rationale: A test that will indicate whether or no the woman has been sensitized to the Rh positive blood of her infant.

how to avoid developing stress incontinence?

-Kegel exercises -Lose weight if obese -avoid smoking

A woman gave birth vaginally appoximately 12 HOURS ago, and her temperature is now 100.8 F. Which action would be most appopriate for the nurse to take.

-Notify the health care provider about this elevation; this find reflects infection. Rationale: a. Temperature of 100.4 or less during the first 24 hours postpartum is normal and may be the result

The nurse who is working with parents and their newborn encourage which action to assist the bonding and attachment between them?

-Touching

Postpartum blues

I might feel like laughing once minute and crying the next rationale: Emontional liability is typical of postpartum blues.

Which finding would indicate that this client is experiencing bladder distention?

Uterus is boggy rationale: A distended bladder is dull on percussion and the uterus would be boggy and loch would be more than usual

Inspection of a woman's perineal pad reveals a 2 inch lochia stain. This amount should be documented as which type?

-scant rationale: moderate lochia would describe a 4-6 inch stain, scant lochia a 1-2 inch stain