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).
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).
