Antepartum: Stages of Maternal care Quiz and Complete Answers 2023/2024

Antepartum: Stages of Maternal care Quiz and Complete Answers 2023/2024 A postpartum patient demonstrates decision making regarding mothering. Which stage of maternal role attainment should the nurse note the mother has achieved? Informal stage Personal stage Formal stage Anticipatory stage - correct answer Informal stage The stage the mother has achieved when making decisions about the baby is the informal stage. The informal stage begins when the mother starts making choices about mothering. The personal, formal, and anticipatory stages are defined by other characteristics. The nurse is assessing the taking-in period of a patient. Which patient behavior is expected during this time? The patient hesitates to make decisions. The patient assumes self-care. The patient worries about the baby getting enough to eat. The patient requires assurance that she is doing well as a mother. - correct answer The patient hesitates to make decisions. Initially after birth during the taking-in period, the woman tends to be passive and somewhat dependent. She follows suggestions, hesitates to make decisions, and is still rather preoccupied with the needs. A patient that assumes self-care, worries about the baby getting enough to eat, or requires assurance that she is doing well as a mother is in the taking-hold period that occurs on the second or third day after birth. The nurse is teaching a patient who delivered vaginally about the importance of emptying the bladder. Which information should the nurse include in the teaching? "A full bladder places you at risk for increased bleeding." "A full bladder increases uterine cramping "A full bladder will worsen constipation." "A full bladder delays the healing of your perineum." - correct answer "A full bladder places you at risk for increased bleeding." A full bladder will cause the uterus to relax by displacing the uterus and interfering with its contractility, leading to hemorrhage. The bladder has no relationship to the perineal healing, constipation, and will not necessarily increase uterine cramping. The nurse caring for a patient who had an uncomplicated vaginal delivery 24 hours prior assesses the patient's fundus and notes that it is above the umbilicus. Which is the priority nursing intervention? Encouraging the patient to void Encouraging ambulation No intervention is necessary Performing fundal massage - correct answer Encouraging the patient to void Twenty-four hours after giving birth, the fundal height should be at the umbilicus. Deviation, most commonly to the right or elevation above the umbilicus, is an indication of bladder distention, which places the patient at risk for hemorrhage. Neither fundal massage nor ambulation will promote uterine involution in this circumstance. Involution of the uterus. A. Immediately after delivery of the placenta, the top of the fundus is in the midline and approximately halfway between the symphysis pubis and the umbilicus. Approximately 6-12 hours after birth, the fundus is at the level of the umbilicus. B: The height of the fundus then decreases about one fingerbreadth (approximately 1 cm) each day. The nurse caring for a patient who delivered 8 hours prior notes upon assessment that the fundus is midline, firm, and at the umbilicus, but the patient is experiencing heavy vaginal bleeding. Which causative factor for the bleeding should the nurse suspect? Laceration Hematoma Uterine atony Endometritis - correct answer Laceration