Podcast
Questions and Answers
What is the most appropriate comment by the nurse for the client who had an emergency cesarean section?
What is the most appropriate comment by the nurse for the client who had an emergency cesarean section?
- With all of your preparations, it must have been disappointing for you to have had a cesarean.
- At least your husband was able to be with you when the baby was born.
- I know you had to have surgery, but you are very lucky that your baby was born healthy. (correct)
- Sometimes babies just don’t deliver the way we expect them to.
What should the nurse do first when assisting a mother with the first breastfeeding experience for her 2-hour-old baby?
What should the nurse do first when assisting a mother with the first breastfeeding experience for her 2-hour-old baby?
- Teach the mother about a proper breast latch.
- Compare mother’s and baby’s identification bracelets.
- Help the mother into a comfortable position. (correct)
- Tickle the baby’s lips with the mother’s nipple.
What is the optimal Apgar score range for a newborn to be considered in good health?
What is the optimal Apgar score range for a newborn to be considered in good health?
- 9/9 (correct)
- 10/10
- 5/5
- 7/7
Why is it important for healthcare providers to pay attention to childbirth education classes attended by clients?
Why is it important for healthcare providers to pay attention to childbirth education classes attended by clients?
What is a common misconception about childbirth education classes?
What is a common misconception about childbirth education classes?
Why is it important for a nurse to assist a mother with breastfeeding shortly after birth?
Why is it important for a nurse to assist a mother with breastfeeding shortly after birth?
What is the primary route of administration for Ibuprofen?
What is the primary route of administration for Ibuprofen?
Which effect does Ibuprofen have on prostaglandins?
Which effect does Ibuprofen have on prostaglandins?
What is the recommended way to take an iron supplement according to the nurse?
What is the recommended way to take an iron supplement according to the nurse?
What hemoglobin and hematocrit values would be expected 2 days after a normal spontaneous vaginal delivery in a healthy client?
What hemoglobin and hematocrit values would be expected 2 days after a normal spontaneous vaginal delivery in a healthy client?
What would be an appropriate response from the nurse regarding a laboring client's meal schedule?
What would be an appropriate response from the nurse regarding a laboring client's meal schedule?
Which teaching point would be appropriate for a woman with postpartum hemorrhoids?
Which teaching point would be appropriate for a woman with postpartum hemorrhoids?
What action should the nurse prioritize when caring for a postpartum client in the 'taking in' phase?
What action should the nurse prioritize when caring for a postpartum client in the 'taking in' phase?
Which finding is considered normal in a laboratory report of a 34-week gestation client?
Which finding is considered normal in a laboratory report of a 34-week gestation client?
What maternal sign/symptom would be concerning if observed in a 36-week gestation gravid lying flat on her back?
What maternal sign/symptom would be concerning if observed in a 36-week gestation gravid lying flat on her back?
Which question would be culturally insensitive for a nurse to ask a Muslim woman in her 38th week of gestation?
Which question would be culturally insensitive for a nurse to ask a Muslim woman in her 38th week of gestation?
During a prenatal visit for a woman at 36-weeks’ gestation, which test is typically NOT performed?
During a prenatal visit for a woman at 36-weeks’ gestation, which test is typically NOT performed?
What should the nurse ask the primipara who will be discharged 4 days after a cesarean delivery?
What should the nurse ask the primipara who will be discharged 4 days after a cesarean delivery?
What is an appropriate nursing intervention for mastitis in a breastfeeding mother?
What is an appropriate nursing intervention for mastitis in a breastfeeding mother?
How should the nurse respond to a breastfeeding mother who had breast augmentation surgery?
How should the nurse respond to a breastfeeding mother who had breast augmentation surgery?
What is an appropriate nursing action after a woman experiences a fetal demise at 26 weeks' gestation?
What is an appropriate nursing action after a woman experiences a fetal demise at 26 weeks' gestation?
What should the nurse consider concerning anesthesia when assessing a primipara in the labor suite?
What should the nurse consider concerning anesthesia when assessing a primipara in the labor suite?
What should the nurse do when a breastfeeding mother calls with mastitis diagnosis?
What should the nurse do when a breastfeeding mother calls with mastitis diagnosis?
What should the nurse advise the client to do regarding her physician appointment?
What should the nurse advise the client to do regarding her physician appointment?
Which observation indicates that the nurse's intervention for expressing breast milk has been successful?
Which observation indicates that the nurse's intervention for expressing breast milk has been successful?
What should the nurse do immediately after the delivery of a dead baby with visible defects?
What should the nurse do immediately after the delivery of a dead baby with visible defects?
Why is it important for the client to bottlefeed for the next twenty-four hours?
Why is it important for the client to bottlefeed for the next twenty-four hours?
What should the nurse inform the client's physician before discharge?
What should the nurse inform the client's physician before discharge?
When should lanolin ointment be applied to the areas during breastfeeding?
When should lanolin ointment be applied to the areas during breastfeeding?
What is the most appropriate counseling needed for the woman based on the nurse's conclusion?
What is the most appropriate counseling needed for the woman based on the nurse's conclusion?
Which procedure would provide the couple with the highest probability of conceiving a healthy child?
Which procedure would provide the couple with the highest probability of conceiving a healthy child?
What would be the nurse's best response regarding cord blood banking?
What would be the nurse's best response regarding cord blood banking?
What is the most appropriate response by the nurse to the woman at 34-week gestation with repeated nosebleeds?
What is the most appropriate response by the nurse to the woman at 34-week gestation with repeated nosebleeds?
What is a potential emotional challenge for the client who underwent an emergency cesarean section despite attending childbirth education classes and planning for a water birth?
What is a potential emotional challenge for the client who underwent an emergency cesarean section despite attending childbirth education classes and planning for a water birth?
What potential concern might arise if the nurse tickles the baby's lips with the mother's nipple during the first breastfeeding experience?
What potential concern might arise if the nurse tickles the baby's lips with the mother's nipple during the first breastfeeding experience?
Why is it crucial for the nurse to compare the mother's and baby's identification bracelets before assisting with breastfeeding?
Why is it crucial for the nurse to compare the mother's and baby's identification bracelets before assisting with breastfeeding?
What might be a concern for a 2-hour-old baby during the first breastfeeding experience if the mother is not helped into a comfortable position?
What might be a concern for a 2-hour-old baby during the first breastfeeding experience if the mother is not helped into a comfortable position?
Which action by the nurse might lead to psychological distress for the mother who just had an emergency cesarean section?
Which action by the nurse might lead to psychological distress for the mother who just had an emergency cesarean section?
What aspect of breastfeeding education should the nurse prioritize when assisting a mother with her first breastfeeding experience?
What aspect of breastfeeding education should the nurse prioritize when assisting a mother with her first breastfeeding experience?
'Why is it important not to delay first breastfeeding?' Which answer best addresses this question?
'Why is it important not to delay first breastfeeding?' Which answer best addresses this question?
'What potential misconception might arise from a nurse stating, 'Sometimes babies just don’t deliver the way we expect them to?'' Which option best reflects this misconception?
'What potential misconception might arise from a nurse stating, 'Sometimes babies just don’t deliver the way we expect them to?'' Which option best reflects this misconception?
What advice should the nurse give to a client who is concerned about distinguishing between labor contractions and normal pregnancy aches and pains?
What advice should the nurse give to a client who is concerned about distinguishing between labor contractions and normal pregnancy aches and pains?
Which statement by the nurse is appropriate when counseling a pregnant couple who are carriers for phenylketonuria (PKU)?
Which statement by the nurse is appropriate when counseling a pregnant couple who are carriers for phenylketonuria (PKU)?
What procedure would the nurse perform to obtain the obstetric conjugate measurement?
What procedure would the nurse perform to obtain the obstetric conjugate measurement?
How should the nurse respond to an anxious client questioning her ability to differentiate between labor contractions and regular pregnancy discomfort?
How should the nurse respond to an anxious client questioning her ability to differentiate between labor contractions and regular pregnancy discomfort?
In what way would human placental lactogen affect pregnancy?
In what way would human placental lactogen affect pregnancy?
What physiologic changes are primarily attributed to progesterone during pregnancy?
What physiologic changes are primarily attributed to progesterone during pregnancy?
How does estrogen primarily impact the respiratory system during pregnancy?
How does estrogen primarily impact the respiratory system during pregnancy?
Bonus Question: Which hormone is responsible for initiating and maintaining lactation postpartum?
Bonus Question: Which hormone is responsible for initiating and maintaining lactation postpartum?
What is a priority nursing diagnosis for a woman with postpartum hemorrhage after a spontaneous vaginal delivery?
What is a priority nursing diagnosis for a woman with postpartum hemorrhage after a spontaneous vaginal delivery?
After a 12-hour labor resulting in a macrosomic baby, what complication should a woman be carefully monitored for?
After a 12-hour labor resulting in a macrosomic baby, what complication should a woman be carefully monitored for?
What should a nurse conclude if a 1 day-postpartum client, who had a vaginal delivery with an intact perineum, complains of perineal pain despite taking ibuprofen?
What should a nurse conclude if a 1 day-postpartum client, who had a vaginal delivery with an intact perineum, complains of perineal pain despite taking ibuprofen?
To prevent drug/food interactions, what should a client advised to refrain from consuming when taking Paxil (paroxetine) for postpartum depression?
To prevent drug/food interactions, what should a client advised to refrain from consuming when taking Paxil (paroxetine) for postpartum depression?
In the context of postpartum care, what could a firm fundus at the umbilicus indicate in a 1 day-postpartum client?
In the context of postpartum care, what could a firm fundus at the umbilicus indicate in a 1 day-postpartum client?
After postpartum hemorrhage, what is the appropriate nursing intervention to address the risk for sleep deprivation?
After postpartum hemorrhage, what is the appropriate nursing intervention to address the risk for sleep deprivation?
What is a potential complication for a woman with grand multiparity experiencing postpartum hemorrhage?
What is a potential complication for a woman with grand multiparity experiencing postpartum hemorrhage?
What should be the primary focus of care for a postpartum client presenting with fluid volume deficit due to extensive blood loss?
What should be the primary focus of care for a postpartum client presenting with fluid volume deficit due to extensive blood loss?
What is the most appropriate action for the nurse when assessing a 1-day postpartum woman complaining of urinary frequency?
What is the most appropriate action for the nurse when assessing a 1-day postpartum woman complaining of urinary frequency?
Which finding in the laboratory report of a 2-day postpartum woman should the nurse report to the primary health care provider?
Which finding in the laboratory report of a 2-day postpartum woman should the nurse report to the primary health care provider?
What should the nurse do when a bottle-feeding woman, 11⁄2 weeks postpartum, reports saturating 2 pads in 1 hour?
What should the nurse do when a bottle-feeding woman, 11⁄2 weeks postpartum, reports saturating 2 pads in 1 hour?
Which action by the nurse would indicate correct fundal height measurement technique?
Which action by the nurse would indicate correct fundal height measurement technique?
What should the nurse advise a 1-day postpartum woman who thinks she has a urinary tract infection?
What should the nurse advise a 1-day postpartum woman who thinks she has a urinary tract infection?
What could be a concerning symptom for a 1-day postpartum woman with suspected urinary tract infection?
What could be a concerning symptom for a 1-day postpartum woman with suspected urinary tract infection?
Why is it important for the nurse to assess the laboratory report of a 2-day postpartum woman?
Why is it important for the nurse to assess the laboratory report of a 2-day postpartum woman?
Which response by the nurse is appropriate for a 1-day postpartum woman who has frequent urination concerns?
Which response by the nurse is appropriate for a 1-day postpartum woman who has frequent urination concerns?
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Study Notes
Pharmacological Interventions
- Ibuprofen is taken every two hours and has an antiprostaglandin effect.
- Ibuprofen should be administered in high doses.
Nutrition and Hydration
- In the postpartum period, a heavy meal is discouraged, but clear fluids can be taken whenever desired.
- Iron supplements are recommended to be taken with orange juice or ginger ale to enhance absorption.
Maternal and Fetal Health
- A woman's hemoglobin (Hgb) and hematocrit (Hct) levels may decrease after a normal spontaneous vaginal delivery.
- Anemia, thrombocytopenia, polycythemia, and hyperbilirubinemia are potential findings in a 34-week gestation client.
- Hypertension, dizziness, and varicose veins are potential maternal signs/symptoms observed in a 36-week gestation gravid lying flat on her back.
- Chloasma may be observed in a 36-week gestation client.
Labor and Delivery
- During a postpartum assessment, a cluster of hemorrhoids may be noted in a woman who delivered vaginally over an intact perineum.
- A nurse should advise the client to keep her physician appointment at the end of the week to receive her RhoGAM injection.
Breastfeeding
- Manual expression of breast milk can help relieve engorgement and facilitate breastfeeding.
- The mother's nipples should be soft to the touch after manual expression.
- Breast implants do not contaminate milk with toxins, but the glandular tissue may be deficient.
- Mastitis can be diagnosed by inspecting the breast and may be treated by breastfeeding frequently.
Postpartum Care
- A woman who has had a cesarean section may be discharged home 4 days after delivery.
- A nurse should ask the client about anesthesia experience and provide a nutritious meal, encourage rest, and assist with activities of daily living.
- A woman who has had a fetal demise may be dressed in a tee shirt and swaddled in a receiving blanket.
Family Planning and Genetics
- Pre-implantation genetic diagnosis provides the highest probability of conceiving a healthy child for a couple with a family history of an autosomal dominant disease.
- Chorionic villus sampling and amniocentesis are also options for genetic diagnosis.
- A couple who are both carriers for phenylketonuria (PKU), an autosomal recessive disease, have a 2 in 4 chance of having a child who is a carrier like both of them.
- A woman who has inherited the gene for familial adenomatous polyposis (FAP) should consider pre-implantation genetic diagnosis.
Complications
- Postpartum hemorrhage, endometrial ischemia, and prolapsed uterus are potential complications.
- A woman who has had a macrosomic baby should be monitored for complications.
- A woman who is experiencing perineal pain after delivery may need to be assessed by her doctor or have a sitz bath.
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