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CARE OF THE MOTHER AND NEWBORN (NURSING) , CHAPTER 27 QUESTIONS AND ANSWERS ELABORATIONS!!
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CARE OF THE MOTHER AND NEWBORN (NURSING) , CHAPTER 27 QUESTIONS AND ANSWERS ELABORATIONS!!
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CARE OF THE MOTHER AND NEWBORN (NURSING) , CHAPTER27 QUESTIONS AND ANSWERS ELABORATIONS!!
The client received epidural anesthesia during labor and had a forceps delivery
after pushing for 2 hours. At 6 hours postpartum, the client's systolic blood
pressure (BP) dropped 20 points, the diastolic BP dropped 10 points, and her pulse
is 120 beats per minute. The client is very anxious and restless. The nurse is told
that the client has a vulvar hematoma. On the basis of this diagnosis, the nurse
should plan which action?
Answers :Preparing the client for surgery
The nurse is preparing a list of self-care instructions for a postpartum client who
has been diagnosed with mastitis. Which instructions should be included on the
list? Select all that apply.
Answers :Rest during the acute phase.
2.
Wear a supportive, nonunderwire bra.
3.
Maintain a fluid intake of at least 3000 mL.
4.
Continue to breastfeed if the breasts are not too sore.
A postpartum client is getting ready for discharge. The nurse suspects that the
client needs further teaching related to breastfeeding when she makes which
statement?
,Answers :"I don't need birth control because I will be breastfeeding."
The nurse is assisting with caring for a postpartum client who is experiencing
uterine hemorrhage. When planning to meet the psychosocial needs of the client,
the nurse should plan which action?
Answers :Keeping the client and her family members informed of her progress
The nurse palpates the fundus and checks the character of the lochia of a
postpartum client who is in the fourth stage of labor. Which lochia characteristic
should the nurse expect to note?
Answers :Red
After episiotomy and the delivery of a newborn, the nurse performs a perineal
check on the mother. The nurse notes a trickle of bright red blood coming from the
perineum. The nurse checks the fundus and notes that it is firm. Which
determination should the nurse make?
Answers :The bright red bleeding is abnormal and should be reported.
The nurse is assigned to care for the client during the postpartum period. The client
asks the nurse what the term involution means. Which description should the nurse
give to the client?
Answers :The progressive descent of the uterus into the pelvic cavity, which
occurs at a rate of approximately 1 cm/day
A mother is breastfeeding her newborn baby and experiences breast engorgement.
The nurse should encourage the mother to do which to provide relief of the
engorgement?
Answers :Massage the breasts before feeding to stimulate let-down.
After delivery the nurse checks the height of the uterine fundus. Which position of
the fundus should the nurse expect to note?
, Answers :At the level of the umbilicus
The nurse is caring for a postpartum client. At 4 hours postpartum, the client's
temperature is 102° F (38.9° C). Which is the appropriate nursing action?
Answers :Notify the registered nurse, who will then contact the health care
provider (HCP).
The nurse is assisting with planning care for a postpartum woman who has small
vulvar hematomas. To assist with reducing the swelling, the nurse should perform
which action?
Answers :Prepare an ice pack for application to the area.
The nurse is assigned to care for the client after a cesarean section. To prevent
thrombophlebitis, the nurse should encourage the woman to take which priority
action?
Answers :Ambulate frequently.
A mother is breastfeeding her newborn. The mother complains to the nurse that she
is experiencing severe nipple soreness. The nurse should provide which suggestion
to the client?
Answers :Position the newborn infant with the ear, shoulder, and hip in straight
alignment and with the baby's stomach against the mother's.
The nurse is checking lochia discharge on a client in the immediate postpartum
period and notes that the lochia is bright red and contains some small clots. Which
interpretation should the nurse make about this finding?
Answers :Is normal
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