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OB Exam 2 Verified Answers

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OB Exam 2 Verified Answers Delegation and Nursing Tasks - Task to Delegate to Assistive Personnel: - ️ Provide a sitz bath to a client who has a fourth degree laceration and is 2 days postpartum. Early Signs of Complications - One of the First Signs of Hypovolemia: - ️ Tachycardia Infe...

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  • August 20, 2024
  • 14
  • 2024/2025
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  • OB Exm 2 Verified Answer
  • OB Exm 2 Verified Answer
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OB Exam 2 Verified Answers
Delegation and Nursing Tasks

- Task to Delegate to Assistive Personnel:

- ✔️ Provide a sitz bath to a client who has a fourth degree laceration and is 2 days postpartum.



Early Signs of Complications

- One of the First Signs of Hypovolemia:

- ✔️ Tachycardia



Infection Prevention in Postpartum Clients

- Best Practice to Prevent Infection:

- ✔️ Change the perineal pad with each voiding.



Assessment Findings and Nursing Actions

- Slightly Boggy Fundus Displaced to Right:

- ✔️ Help the patient get up to the bathroom.

- This may help empty the bladder, which can cause the fundus to become boggy.



- Large Amount of Lochia Rubra with Clots:

- ✔️ Check the fundus.



- Shaking Chills in Immediate Postpartum Period:

- ✔️ Get them a warm blanket.



- Profuse Diaphoresis in Postpartum Woman:

- ✔️ Reassure her this is normal.



Risk Assessment

, - Complication Risk in Postpartum Woman with a Large Newborn:

- ✔️ Uterine Atony



Breastfeeding Education

- Indication of Understanding Breast Engorgement:

- ✔️ "I'll feed my baby every 2 hours."



Mental Health Considerations

- Priority Action for Postpartum Client with Sadness and No Energy:

- ✔️ Ask the client if she has considered harming her newborn.



Postpartum Assessment Framework (BUBBLEHE)

- BUBBLEHE Components:

- Breast: Assess for engorgement and proper latch.

- Uterus: Check for firmness and hemorrhage.

- Bowel/Bladder: Assess elimination frequency.

- Lochia: Monitor vaginal discharge.

- Episiotomy: Examine for lacerations, hematomas, or hemorrhoids.

- Emotional Status: Assess binding and signs of depression.



Uterine Involution

- Definition:

- ✔️ Return to pre-pregnancy state through fundal contraction and reduction in size.



Afterpains

- Cause:

- ✔️ Uterine Shrinking (often due to breastfeeding).

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