Quiz 4 OB

Remove the baby from the breast & reposition

A mother is experiencing nipple pain & discomfort while breastfeeding. What should be the first priority in the pain of care?

The organisms that cause mastitis is not passed in the breast milk

A new mother with mastitis is concerned about breastfeeding her baby with her active infection. How will you respond to this mother's concern?

Administer an analgesic

A postpartum mother complains of "afterpains" while breastfeeding her baby. The best nursing intervention should be

Epidural anesthesia Urinarv bladder catheterizations Frequent pelvic examinations History of UTIs

A postpartum unit nurse is discussing risk factors for urinary tract infections with a newly licensed nurse. Which of the following conditions should the nurse include in her teaching?

Perineal Lacerations

After delivering a large gestational age infant, the nurse notices bright red blood continuously trickling from the client's vagina. Her fundus is firm & midline. The nurse suspects the most likely cause of the bleeding to be

Show the client a video on a child care techniques

The nurse is developing a plan of care for the postpartum client during the "taking hold" phase. Which of the following should the nurse include in the plan?

prevent hypotension

A client who is receiving epidural analgesia is given IV fluid bolus to?

notify the physician

Assessment finding of the c/s incision wound of a client two days after delivery indicates the following - red, edematous, & tender to touch. The best initial nursing action would be

A normal postural discharge of lochia

During ambulation to the bathroom, a postpartum client experiences a gush of dark red blood that soons stops. On assessment, the nurse finds the uterus to be firm, midline, & at the level of umbilicus. The findings are?

The client will have a stable WBC count The client will have a normal temperature The client will have a normal smelling vaginal discharge

During the postpartum period, which of the following goals should the nurse include in the care plan in relation to the nursing diagnosis of "risk for intrauterine infection rit vaginal delivery"? (What do you want to see?)

The need for a balanced nutrition Screening lower genital tract for infections prior to 37 weeks Avoid heavy lifting Avoiding use of substance such as cocaine, heroin, & mariiuana

Education related to prevention of preterm labor include

Primipara living alone & was consistently ambivalent about her pregnancy Has history of depression with no supportive relationship

Postpartum depression is one of the mood disorders found in many women. Which of the following clients would you consider to be at risk for postpartum depression? A client who

Retained placental tissues Multiparity Multiple gestation

The common causes of postpartum bleeding include

Has a history of bipolar disorder Reports voices telling her the baby is evil & must die Unable to remember details of delivery or when she last fed the baby

The home care nurse is caring for a postpartum client & suspects the development of postpartum psychosis. Which client findings support the nurse's judgment? SATA.

Encourage the client to empty the bladder & reassess the fundus

The nurse is assessing the uterine fundus of a client 8 hours after a c/s & finds it firm, round, 2 cm above the umbilicus & displaced to the right. The most appropriate intervention you should do is

Localized calf tenderness, heat, & swelling

What signs of thrombophlebitis should a nurse include in her discharge teaching of a postpartum client?

Planning a daily "special time" for the older sibling

Which activity would the nurse include in the teaching plan for parents with a newborn & an older child to reduce sibling rivalry when the newborn is brought home?

Uterine infection Prolonged labor Distended urinary bladder Grand multipara

Which of the following factors could delay uterine involution in a postpartum client? SATA.

Knowledge learned at childbirth classes helps reduce client fears

Which of the following is an appropriate rationale for nurses to communicate to clients to encourage them to attend childbirth education classes?

Apply warm compresses if breast feel full Encourage her to breastfeed her infant infrequently Teach breastfeeding techniques soon after delivery & continue support

You are providing breast feeding instructions to a postpartum client. To prevent breast engorgement you should instruct the client to SATA