prep u chapter 16
bonding
close emotional attraction to a newborn by the parents that develops the first 30 to 60 minutes after birth
A client is Rh-negative and has given birth to her newborn. What should the nurse do next?
Determine the newborn's blood type and rhesus.
A client who has a breastfeeding newborn reports sore nipples. Which intervention can the nurse suggest to alleviate the client's condition?
Offer suggestions based on observation to correct positioning or latching.
A nursing instructor teaching students how to check the client's uterus postpartum realizes that further instruction is needed when one of the students says:
One to two hours after birth the fundus is typically between the umbilicus and symphysis pubis."
A nurse is assisting a postpartum client out of bed to the bathroom for the first time. Which interventions would be most appropriate?
Walk alongside the client to the bathroom. Elevate the head of the bed for several minutes before getting her up. Frequently ask the client how her head feels.
Contact
a dimension of proximity, refers to the sensory experiences of touching, holding, and gazing at the infant
Individualization
a dimension of proximity, reflects parental awareness of the need to differentiate the infant's needs from themselves and to recognize and respond to them appropriately
A nursing student is studying postpartal complications. Thromboembolic conditions have which risk factors?
anemia diabetes cigarette smoking obesity multiparity
tachycardia in the postpartum woman can suggest
anxiety, excitement, fatigue, pain, excessive blood loss or delayed hemorrhage, infection, or underlying cardiac problems
A mother who just given birth has difficulty sleeping despite her exhaustion from labor. What are the causes of this inability to rest?
crying baby inability to get adequate pain relief frequent trips to the bathroom due to diuresis excess fatigue and overstimulation by visitors
attachment
development of a strong affection between an infant and a significant other (mother, father, sibling, caretaker)
A distended bladder
dull on percussion and can be palpated as a rounded mass. In addition, the uterus would be boggy, and lochia would be more than usual.
second-degree laceration
extends through perineal muscles
third-degree laceration
extends through the anal sphincter muscle but not through the anterior rectal wall.
The nurse determines that the teaching was successful when the group states that bonding typically develops during which time frame after birth?
first 30 to 60 minutes
Which test would the nurse ensure has been conducted to evaluate the Rh negative mother?
indirect Coombs' test
First-degree laceration
involves only skin and superficial structures above muscle
Reciprocity
the process by which the infant's abilities and behaviors elicit a parental response.
Muslims prefer what kind of health care provider?
the same-sex health care provide
A boggy or relaxed uterus signifies what
uterine atony, which can predispose the woman to hemorrhage.
Centrality
which is a component of commitment, is demonstrated when the parents place the infant at the center of their lives, acknowledging and accepting their responsibility to promote the infant's safety, growth and development
A postpartum client who had a cesarean birth reports right calf pain to the nurse. The nurse observes that the client has nonpitting edema from her right knee to her foot. The nurse knows to prepare the client for which test first?
venous duplex ultrasound of the right leg
A nurse is applying ice packs to the perineal area of a client who has had a vaginal birth. Which intervention should the nurse perform to ensure that the client gets the optimum benefits of the procedure?
Ensure ice pack is changed frequently.
The nurse is caring for a client who underwent a cesarean birth 24 hours ago. Which assessment finding indicates the need for further action?
The fundus is located 2 fingerbreadths above the umbilicus.
A postpartum woman with an episiotomy asks the nurse about perineal care. Which recommendation would the nurse give?
Wash her perineum with her daily shower.
Which factor puts a client on her first postpartum day at risk for hemorrhage?
uterine atony
