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

The laboratory results for a postpartum woman are as follows: blood type,A;Rh status,positive;rubella titer,1:8 (EIA 0.8);hematocrit,30%.How would the nurse best interpret these data?

A recently delivered mother and her baby are at the clinic for a 6-week postpartum checkup.The nurse should be concerned that psychosocial outcomes are not being met if the woman:

Which finding could prevent early discharge of a newborn who is now 12 hours old?

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.

Infant abduction from hospitals in the United States has increased over the past few years.As a result many maternity units have put practices into place to protect infants from possible abduction.These practices include:

With regard to rubella and Rh issues,nurses should be aware that:

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.The nurse's most appropriate response is to ask the woman:

Regardless of her obstetric status,no woman should be discharged from the recovery area until she has completely recovered from the effects of anesthesia and has been cleared by a member of the anesthesia care team.Is this statement true or false?

The _________________________ test is used to detect the amount of fetal blood in the maternal circulation.

A woman gave birth vaginally to a 9-lb,12-oz 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 woman gave birth 48 hours ago to a healthy infant girl.She has decided to bottle-feed.During your assessment you notice that both her breasts are swollen,warm,and tender on palpation.The woman should be advised that this condition can best be treated by:

What is not a postpartum practice for preventing infections?

What will prevent early discharge of a postpartum woman?

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.The nurse should be aware of a variety of factors that may contribute to nipple pain.These include:

If a woman is at risk for thrombus and is not ready to ambulate,nurses might intervene by doing all of these interventions except:

During the immediate postpartum period,saturation of one pad within 1 hour or less is considered ____________________ blood loss.

A primiparous woman is to be discharged from the hospital tomorrow 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 empty her bladder spontaneously as soon as possible.If all else fails,the last thing the nurse might try is:

If a mother and her family have freely chosen early discharge from the hospital,the nurse and the health care provider are not legally responsible if complications occur and her condition had not been stabilized within normal limits.Is this statement true or false?

What is not a reliable indicator of impending shock from early hemorrhage?