Exam 21: Nursing Care During the Fourth Trimester

A hospital has a number of different perineal pads available for use.A nurse is observed soaking several of them and writing down what she sees.What does this activity indicate that the nurse is doing?

Discharge instruction,or teaching the woman what she needs to know to care for herself and her newborn,officially begins when?

How long should the nurse teach the woman who is not breastfeeding to wear a well-fitted support bra or breast binder to suppress lactation in the postpartum period?

A 25-year-old multiparous woman gave birth to an infant boy 1 day ago.Today her husband brings a large container of brown seaweed soup to the hospital.When the nurse enters the room,the husband asks for help with warming the soup so that his wife can eat it.What is the nurse's most appropriate response?

A woman gave birth 48 hours ago to a healthy infant girl.She has decided to bottle-feed.During your assessment,you notice that both of her breasts are swollen,warm,and tender on palpation.What advise should the nurse offer the woman?

Which finding could prevent early discharge of a newborn at 12 hours of age?

Because a full bladder prevents the uterus from contracting normally,nurses intervene to help the woman empty her bladder spontaneously as soon as possible.Which would be the last intervention that the nurse would implement?

The nurse knows that combined care is when the mother and infant share a room,and the mother shares the care of the infant with which of the following?

A woman gave birth vaginally to a 4400 g girl yesterday.Her primary health care provider has written orders for perineal ice packs,use of a sitz bath TID,and a stool softener.What information is most closely correlated with these orders?

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

The laboratory results for a postpartum woman are as follows: blood type,A; Rh status,positive; rubella titre,1:8 (EIA 0.6); hematocrit,30%.How would the nurse best interpret these data?

A 25-year-old gravida 2,para 2-0-0-2 gave birth 4 hours ago to a 4300 g boy after augmentation of labour with oxytocin.She puts on her call light and asks for her nurse right away,stating,"I'm bleeding a lot." What is the most likely cause of postpartum hemorrhage in this woman?

Which woman should receive Rh immune globulin?

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 initial response?

While admitting the pregnant woman,the nurse should be aware that shorter postpartum hospital stays are primarily the result of the influence of which of the following?

Nursing care in the fourth trimester includes an important intervention sometimes referred to as taking the time to "mother the mother." What does this expression refer to?

If a woman is at risk for thrombus and is not ready to ambulate,which intervention should the nurse perform?

Excessive blood loss after childbirth can have several causes.What is the most common cause?

Which of the following is true with regard to rubella and Rh issues?

According to the Family-Centred Maternity and Newborn Guidelines (Health Canada,2000),what is the correct time frame for an early discharge?