Chapter 16 tb
The nurse is assessing a postpartum clients Lochia and finds that there is about a 4 inch stain on the peroneal pad. The nurse interprets is finding is indicating which amount of blood loss?
10 to 25 mL
The woman gave birth to a healthy neonate today at 1330. Is now 1430 and the nurse has completed the client assessment. At which time with the nurse next assess the client?
1500
Hey postpartum woman who is bottle feeding a newborn asks the nurse about how much should a newborn drink at each feeding? The nurse responds by saying that to feel satisfied, the newborn needs which amount at each feeding?
2-4 oz
A nurse is observing a postpartum client interacting with her newborn and notes that the mother is engaging with a newborn in an in face position. Which behavior would the nurse be observing?
Mother making eye to eye contact with the newborn
A Primapara client who is bottle feeding her baby begins to experience breast engorgement on her third postpartum day. Which instruction by the nurse Would be most appropriate to aid in relieving her discomfort?
Apply ice packs to your breast to reduce the amount of milk being produced.
When teaching parents about their newborn and the nurse describes the development of a close emotional traction to a no Lauren by the parents during the first 30 to 60 minutes after birth. The nurse refers to the process by which term?
Bonding
After teaching parents about their newborn the nurse determines that the teaching was successful when they identify which concept is reflecting the enduring nature of the relationship, one that involves placing infant at the center of their lives and finding their own way to assumed their parental identity?
Commitment
A nurse is preparing a couple and their newborn for discharge. Which instructions would be most appropriate for the nurse include in discharge teaching?
Demonstrating comfort measures to quite a crying infant
The nurse administers Rho D immune globulin to an Rh negative client after birth of an Rh positive newborn based on the understanding that this drug will prevent her from
Developing RH sensitivity
When developing a plan of care for the parents of a newborn the nurse identifies interventions to promote bonding in attachment based on the rationale that bonding and attachment are most supported by which measure?
Early parent infant contact following birth
After a normal labor and birth a client is discharged from hospital 12 hours later. When the community health nurse makes a home visit two days later which finding would alert the nurse to the need for further intervention.
Frequent scan voidings
A nurse is conducting a classic for pregnant women who are in their third trimester. The nurse is reviewing information about the emotional changes that occur in the postpartum period, including postpartum blues and postpartum depression. After reviewing information about postpartum blues, the group demonstrates understanding when they make a statement about this condition?
Getting some outside help for house work and lessen feelings of being overwhelmed
A nurse is observing a new mother interacting with her nb, which statement would alert the nurse to the potential for impaired bonding?
He looks like a frog to me.
A nurse is reviewing the medical record of a postpartum client the nurse identifies that the woman is at risk for postpartum infection based on which information? SATA
History of diabetes, hemoglobin level 10 mg, placenta requiring manual extraction
A postpartum woman who is breast-feeding tells the nurse that she is experiencing nipple pain. After teaching the woman about possible suggestions and there's determines that more teaching is needed when the woman makes which statement?
I applied glycerin based gel to my nipples
After teaching a postpartum woman about breast-feeding, the nurse determines that the teaching was successful and the woman makes which statement?
I should wash my hands before starting to breast-feed
A nurse is observing a postpartum woman and her partner interact with their newborn. The nurse determines that the parents are developing parental attachment with their newborn when they demonstrate which behavior? SATA
Identify common features between themselves in the newborn, make direct eye contact with a newborn
The nurses is assessing a postpartum clients lochia and finds out there is about a 4 inch stain on the perineal pad the nurse documents is finding as which description?
Light
Which method would be most effective in evaluating the parents understanding about their newborns care?
Observe the parents performing the procedures
A nurse is reviewing the policies of a facility related to bonding an attachment with newborns. Which practice with the nurse identifies need to be changed?
Offering round the clock nursery care for all infants
After teaching a group of nurses during an in-service program about risk factors associated with postpartum hemorrhage the nurse determines that the teaching was successful when the group identifies which risk factors? SATA
Placenta previa, hydramnios, labor augmentation
A postpartum woman is having difficulty voiding for the first time after giving birth. Which action would be least effective in helping to stimulate voiding?
Placing her hand in a basin of cool water
The nurse is assisting a postpartum woman out of bed to the bathroom for a sits bath. Which action would be priority?
Placing the call it within her reach
A nurse is developing a teaching plan about sexuality and contraception for a postpartum woman who is breast-feeding. Which information with a nurse most likely include?SATA
Possible experience of fluctuations in sexual interest, use of water-based lubricant to ease vaginal discomfort, possibility of increased breast sensitivity during sexual activity
A nurse is completing a postpartum assessment. Which finding would alert the nurse to a potential problem?
Temperature of 101°F
When reviewing the medical record of a postpartum client the nurse notes that the client has experienced a third-degree laceration. The nurse understands that the laceration extends to which area?
Through the anal sphincter muscle
Which factor in a client history would alert the nurse to an increased risk for postpartum hemorrhage?
Uterine a Tony, placenta previa, operative procedures
A client who has just given birth to a healthy baby required an episiotomy. Which action would the nurse implement immediately after birth to decrease the clients pain from the procedure?
apply an ice pack to the site
A woman who is 12 hours post partum had a pulse rate around 80 bpm during pregnancy. Now the nurse finds a pulse of 66. Which actions should the nurse tale?
document the finding as it is a normal finding at this time.
A pp client has a fourth degree laceration. The nurse would expect which medication to be prescribed?
docusate