Nursing Care and Assessment Guidelines

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Questions and Answers

What is one recommended action to prevent nipple tenderness after feeding?

Let nipples dry after feeding (correct)

Avoid showering daily

Use scented lotions on nipples

Wear tight-fitting bras

Which type of bra is suggested for comfort?

Supportive wired bra

Supportive wireless bra (correct)

Supportive padded bra

Non-supportive regular bra

Which of the following is NOT part of a recommended nipple care routine?

Daily showering

Allowing time for nipples to dry post-feeding

Cleaning the nipples

Wearing a very tight bra (correct)

Cleaning the nipples is a part of recommended care. What is the method mentioned?

Cleaning during daily shower Signup and view all the answers

Why is wearing a supportive bra important?

It helps in reducing breast tenderness Signup and view all the answers

What is a common timeframe for the occurrence of mastitis after childbirth?

2-4 days Signup and view all the answers

What does the condition of the left breast being red and swollen likely indicate?

A potential infection or inflammation Signup and view all the answers

Which of the following is considered a first line treatment of mastitis?

Drainage of breast abscess Signup and view all the answers

Which symptom might indicate the presence of mastitis shortly after giving birth?

Fever and chills Signup and view all the answers

What should be the primary advice for the mother regarding her brassiere?

Avoid wearing a brassiere to reduce pressure Signup and view all the answers

What is NOT a typical complication associated with untreated mastitis?

Pneumonia Signup and view all the answers

Which of the following symptoms would most likely require immediate medical attention?

Persistent redness and swelling Signup and view all the answers

Which preventive measure can help reduce similar breast conditions in the future?

Maintaining proper hygiene Signup and view all the answers

Who is most at risk for developing mastitis?

Women with a history of mastitis Signup and view all the answers

What is a likely long-term consequence if breast conditions are not addressed properly?

Increased risk of chronic infections Signup and view all the answers

What is the primary purpose of intravenous medication for a mother during labour induction?

To strengthen uterine contractions Signup and view all the answers

During which stage of labour is the mother receiving intravenous medication?

First stage Signup and view all the answers

What indicates that the mother's labour is progressing effectively?

Regular and increasingly stronger contractions Signup and view all the answers

What is a potential benefit of starting a mother on intravenous medication during the first stage of labour?

Enhancing uterine contraction strength Signup and view all the answers

How might the mother's experience of contractions be described during the first stage of labour?

Regular and increasingly stronger Signup and view all the answers

What laboratory investigation is primarily used to diagnose gestational trophoblastic disease?

Serum HCG levels Signup and view all the answers

Which of the following is NOT typically associated with diagnosing gestational trophoblastic disease?

Cervical pap smear Signup and view all the answers

What is the central theme of the phrase presented?

The concept of reciprocity in good deeds Signup and view all the answers

What can be inferred about the relationship between actions and their consequences in the given content?

Positive actions are expected to yield positive results. Signup and view all the answers

Why are Serum HCG levels particularly important in the diagnosis of gestational trophoblastic disease?

They are elevated in abnormal trophoblastic tissue. Signup and view all the answers

How does the phrase relate to ethical behavior?

It promotes the idea that kindness leads to more kindness. Signup and view all the answers

Which of the following laboratory tests would provide the least relevant information for a patient suspected of having gestational trophoblastic disease?

Liver function tests Signup and view all the answers

In the context of gestational trophoblastic disease, what is the most likely hormone to be monitored?

HCG Signup and view all the answers

Which philosophical perspective does the sentiment in the phrase align with?

Utilitarianism, which focuses on the greatest good for the greatest number. Signup and view all the answers

In what way does the phrase encourage societal values?

It highlights the necessity for mutual support and kindness. Signup and view all the answers

Study Notes

Patient Weight Classification

A patient with a height of 183cm and weight of 63.5kg has a BMI of 19.
This BMI classifies the patient as normal weight.

Postpartum Discharge Instructions

Postpartum patients should be instructed to report specific signs/symptoms immediately.
These signs include persistent lochia rubra (heavy bleeding), nipple redness, decreased lochia amount and increased afterpains during breastfeeding.

Fetal Monitoring During Labor

Fetal heart rate should be checked every 5 minutes during the second stage of labor.

Fundal Assessment in Postpartum

A postpartum patient's fundus, 2cm above the umbilicus, deviated to the right with poor contraction, should first have her vital signs assessed, and then the bladder emptied.

Uterine Fibroids and Dysmenorrhea

A 32-year-old woman with uterine fibroids presents with dysmenorrhea (painful periods) and menorrhagia (heavy bleeding).
The nurse should report a hemoglobin level of 9g/dL, as this is a critical value for a patient presenting with heavy menstruation.

Lactational Mastitis

Lactational mastitis is an infection and inflammation of the breast tissue, often related to inadequate milk drainage or poor breastfeeding technique.
Staphylococcus aureus is a common causative organism, and antibiotic treatment is frequently required.
Frequent breastfeeding is encouraged to promote proper milk drainage. Measures to improve comfort include applying ice packs or chilled cabbage leaves, taking an anti-inflammatory and supporting the breast with a bra.

Mastitis Caused by Streptococcus Aureus

Mastitis can be caused by Streptococcus Aureus.
A patient should begin feeling better within 24-48 hours after starting antibiotics.

Mastitis and Nursing Care

A mother with mastitis should be educated on continuing antibiotics, using analgesics and wearing a supportive bra.
Stopping breastfeeding is not recommended unless specifically advised by a doctor.

Mastitis and Newborn Impact

Mastitis is likely to be transmitted to the newborn if not treated early.
The correct treatment should involve antibiotics and should be reported to the doctor.

Postpartum Assessment Findings and Interventions

A postpartum mother with breast engorgement, redness and swelling, especially if from poor feeding technique, should avoid wearing a bra and begin suckling on the unaffected breast to alleviate discomfort.

Nipple Soreness in Breastfeeding Mothers

Mothers experiencing nipple soreness while breastfeeding should use expressed breast milk to lubricate the nipples before feeding.
Also, apply ice packs on the affected nipple, avoiding soapy exposure, and allowing nipples to air dry after each feeding.

Additional Information

Other topics covered in the document include various medical conditions, treatments, diagnostic procedures, and nursing considerations related to pregnancy, labor, and postpartum care, as well as patient education in various scenarios.
Other important factors are detailed in the text, including the implications of various physiological findings for patients, and procedures to consider when a patient is undergoing testing, as well as instructions during antenatal and postnatal assessment periods to ensure adequate health for both the mother and the baby.

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Description

This quiz covers essential nursing care and assessment protocols, focusing on postpartum care, fetal monitoring during labor, and managing uterine fibroids. It includes scenarios related to BMI classification and postpartum discharge instructions. Test your knowledge on critical nursing practices and patient observations.