Exam 21: Nursing Care of the Family During the Postpartum Period

A woman gave birth vaginally to a 9-pound,12-ounce girl yesterday.Her primary health care provider has written orders for perineal ice packs,use of a sitz bath three times daily,and a stool softener.Which information regarding the client's condition is most closely correlated with these orders?

A primiparous woman is to be discharged from the hospital the following day with her infant girl.Which behavior indicates a need for further intervention by the nurse before the woman can be discharged?

Because a full bladder prevents the uterus from contracting normally,nurses intervene to help the woman spontaneously empty her bladder as soon as possible.If all else fails,what tactic might the nurse use?

A woman gave birth 48 hours ago to a healthy infant girl.She has decided to bottle feed.During the assessment,the nurse notices that both breasts are swollen,warm,and tender on palpation.Which guidance should the nurse provide to the client at this time?

The trend in the United States is for women to remain hospitalized no longer than 1 or 2 days after giving birth.Which scenario is not a contributor to this model of care?

Parents who have not already done so need to make time for newborn follow-up of the discharge.According to the American Academy of Pediatrics (AAP),when should a breastfeeding infant first need to be seen for a follow-up examination?

On examining a woman who gave birth 5 hours ago,the nurse finds that the woman has completely saturated a perineal pad within 15 minutes.What is the nurse's highest priority at this time?

In many hospitals,new mothers are routinely presented with gift bags containing samples of infant formula.This practice is inconsistent with what?

Which physiologic factors are reliable indicators of impending shock from postpartum hemorrhage? (Select all that apply).

Postpartum overdistention of the bladder and urinary retention can lead to which complications?

Much of a woman's behavior during the postpartum period is strongly influenced by her cultural background. Nurses are likely to come into contact with women from many different countries and cultures. All cultures have developed safe and satisfying methods of caring for new mothers and their babies. Match the cultural norm with the nationality of origin. -Chinese

Which practices contribute to the prevention of postpartum infection? (Select all that apply).

Under the Newborns' and Mothers' Health Protection Act,all health plans are required to allow new mothers and newborns to remain in the hospital for a minimum of _____ hours after a normal vaginal birth and for _____ hours after a cesarean birth.What is the correct interpretation of this legislation?

Many new mothers experience some type of nipple pain during the first weeks of initiating breastfeeding.Should this pain be severe or persistent,it may discourage or inhibit breastfeeding altogether.Which factors might contribute to this pain? (Select all that apply).

Much of a woman's behavior during the postpartum period is strongly influenced by her cultural background. Nurses are likely to come into contact with women from many different countries and cultures. All cultures have developed safe and satisfying methods of caring for new mothers and their babies. Match the cultural norm with the nationality of origin. -Mexican

When should discharge instruction,or the teaching plan that tells the woman what she needs to know to care for herself and her newborn,officially begin?

Nurses play a critical role in educating parents regarding measures to prevent infant abduction.Which instructions contribute to infant safety and security? (Select all that apply).

Rhₒ immune globulin will be ordered postpartum if which situation occurs?

A recently delivered mother and her baby are at the clinic for a 6-week postpartum checkup.Which response by the client alerts the nurse that psychosocial outcomes have not been met?

Much of a woman's behavior during the postpartum period is strongly influenced by her cultural background. Nurses are likely to come into contact with women from many different countries and cultures. All cultures have developed safe and satisfying methods of caring for new mothers and their babies. Match the cultural norm with the nationality of origin. -Muslim countries