Exam 15: Caring for the Postpartal Woman and Her Family

The postpartum nurse is aware that following childbirth there is an increased risk of maternal perineal infection related to which of the following factors?

A nurse assesses a woman's temperature 6 hours after a vaginal birth and finds it to be 100.4°F (38°C).What action by the nurse is best?

A nurse has brought a newborn to his mother's room.What action by the nurse takes priority?

A visiting nurse is concerned that a mother has not properly bonded with her infant.The nurse should assess for what factors that could impact this process?

The nurse is assessing a woman in the immediate postpartum period.The patient's respiratory rate is 22 breaths/minute.The most important aspects of nursing care would be to do which of the following?

The perinatal nurse demonstrates the correct technique of postpartum uterine palpation for a student nurse.The nurse explains that support for the lower uterine segment is critical,because without it there is an increased risk of which complication?

A woman is considering abandoning breastfeeding attempts because of severe afterpains.What actions by the nurse are most helpful?

A nurse is caring for a woman after a cesarean birth.Prior to ambulating her for the first time,which action by the nurse takes priority?

Two days after an uncomplicated vaginal birth,the nurse notes that the patient's hemoglobin is 13 mg/dL and the hematocrit is 48%.What does the nurse conclude about these values?

A postpartum woman is complaining of a headache that is worsening despite having taken Tylenol (acetaminophen)an hour ago.She delivered yesterday with epidural anesthesia.What action by the nurse is best?

The nursing faculty member explains to a class of nursing students the correct way to assist with perineal care (peri-care)after childbirth.Which action by a student nurse would warrant intervention by the faculty member?

The perinatal nurse explains to students that certain groups of women are less likely to breastfeed.Which of the following women would the nurse identify as needing extra education,support,or encouragement to breastfeed?

A woman is 10 hours postpartum after an uncomplicated vaginal birth.She has voided four times,and each time the volume is less than 100 mL.What action by the nurse is best?

A postpartum patient complains of severe perineal pain and a sensation of needing to defecate but cannot pass stool.What action by the nurse is best?

A husband calls the perinatal clinic because he is worried about his wife's emotional state after giving birth 2 weeks ago.Which question by the nurse would be most helpful?

A diabetic patient is 1 day postpartum after an uncomplicated vaginal birth.She wants to know why her blood sugar levels are so much lower than usual.What explanation by the nurse is best?

The perinatal nurse is teaching the new mother who has chosen to formula-feed her infant.Which of the following are appropriate instructions to give the parents?

The perinatal nurse knows that breastfeeding is contraindicated if a mother has which of the following conditions?

A woman is 1 day post-cesarean birth.The nurse auscultates crackles in her lung bases.Which action by the nurse is best?

A mother brings her 3-month-old baby to the clinic for a well-baby check.She appears exhausted and when the nurse questions her,the mother explains that she feels that she is the only person who can look after and care for her infant properly,so all of her time is devoted to this task.The nurse should document which of the following?