Exam 21: Nursing Care During the Fourth Trimester

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

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

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 TID,and a stool softener. What information is most closely correlated with these orders?

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

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

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.

Excessive blood loss after childbirth can have several causes;the most common is:

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 25-year-old gravida 2,para 2-0-0-2 gave birth 4 hours ago to a 9-pound,7-ounce boy after augmentation of labor with Pitocin. She puts on her call light and asks for her nurse right away,stating,"I'm bleeding a lot." The most likely cause of postpartum hemorrhage in this woman is:

During the immediate postpartum period,saturation of one pad within 2 hours is considered ____________________ blood loss.

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:

What would prevent early discharge of a postpartum woman?

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:

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:

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. The nurse's first action is to:

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?

In a variation of rooming-in,called couplet care,the mother and infant share a room,and the mother shares the care of the infant with:

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.

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

Nursing care in the fourth trimester includes an important intervention sometimes referred to as taking the time to mother the mother. Specifically this expression refers to: