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Maternity Nursing Care During Postpartum EAQs questions with answers.
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Maternity Nursing Care DuringPostpartum EAQs questions with
answers.
Which laboratory value will the nurse evaluate on the first postpartum day to assess blood loss during
delivery? ANS - Hemoglobin
The Hgb lab test evaluate blood loss during or after delivery.
Which nursing intervention is most beneficial in promoting infant bonding for the new parent of a
newborn? ANS - Provide education about newborn care when the new parent is present.
If the nurse asks the new parent to change the baby's diaper, the new parent may be anxious and may
not be willing to do it. Instead the nurse would show the new parent how to change the diapers and
then ask the latter to demonstrate the process.
Which finding in the patient who has just given birth would indicate that she has postpartum blues?
ANS - Periodic crying and insomnia.
Periodic crying and insomnia are characteristics of postpartum blues. It is transient and resolved on it's
own. It is caused by a number of factors including change in hormone levels and adjustment to
motherhood. Symptoms that last for more than 2 weeks could indicate postpartum depression and
warrant treatment.
Which measure is the least effective in preventing postpartum hemorrhage? ANS - Massaging the
fundus every hour for the first 24 hours following birth.
The fundus would be massaged only when boggy or soft. Massaging a firm fundus could cause it to relax.
Which parent-infant behaviors would the nurse investigate further when caring for a postpartum patient
who gave birth recently? ANS - Complete the child care activities silently, without looking at the baby.
, Good attachment behaviors include seeking eye contact with the baby and talking to the baby during
caretaking activities; the nurse would investigate the behaviors when these are not observed.
When would the nurse discuss contraceptive options with a postpartum patient who is being prepared
for discharge and is instructed to visit the clinic after 6 weeks for follow-up? ANS - At the time of
discharge.
The patient may start to ovulate as early as 1 month postpartum; therefore contraception methods
would be explained to the patient at discharge.
Which statement given by the patient indicates effective nurse education about postpartum blues? ANS
- "I might feel like laughing one minute and crying the next."
Which statement made by the postpartum patient would indicate the need for further teaching about
perineal care techniques to prevent infections? ANS - "I should fill the squeeze bottle with cold water
while washing."
The squeeze bottle should be filled with warm water to make the patient feel comfortable and provide
relief from pain.
Which instruction would the nurse give the patient to relieve perineal discomfort when sitting after a
vaginal delivery? ANS - "Tighten your buttocks before sitting or rising."
Tightening the buttocks before sitting or rising may ease edema, ecchymosis, or other discomforts
caused by perineal sutures.
Which is the purpose of the nurse instructing the patient to do Kegel exercises as preparation for
disharge after childbirth? ANS - To strengthen the perineal muscles
Kegel exercises strengthen and increase the elasticity of the pubococcygeus muscle, which is the main
perineal muscle. They improve vaginal tone and also help prevent stress incontinence and hemorrhoids.
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