Podcast
Questions and Answers
What is the priority nursing action when a client who delivered a healthy newborn 4 hours ago has a temperature of 100.2 F?
What is the priority nursing action when a client who delivered a healthy newborn 4 hours ago has a temperature of 100.2 F?
Which nursing action is most appropriate for a client who is 6 hours postpartum and complains of faintness and dizziness?
Which nursing action is most appropriate for a client who is 6 hours postpartum and complains of faintness and dizziness?
Which time frame should be relayed to the client regarding the return of bowel function after a healthy newborn birth?
Which time frame should be relayed to the client regarding the return of bowel function after a healthy newborn birth?
What is the priority nursing consideration for a postpartum client who had a vaginal delivery 2 hours ago with an episiotomy and several hemorrhoids?
What is the priority nursing consideration for a postpartum client who had a vaginal delivery 2 hours ago with an episiotomy and several hemorrhoids?
Signup and view all the answers
Which statements indicate the client understands postpartum breastfeeding instructions? (Select all that apply)
Which statements indicate the client understands postpartum breastfeeding instructions? (Select all that apply)
Signup and view all the answers
Which instruction should the nurse include when teaching a postpartum client about breastfeeding?
Which instruction should the nurse include when teaching a postpartum client about breastfeeding?
Signup and view all the answers
What should the nurse do when the uterine fundus feels soft and boggy in the immediate postpartum period?
What should the nurse do when the uterine fundus feels soft and boggy in the immediate postpartum period?
Signup and view all the answers
Which client assessment requires follow-up on the first day postpartum?
Which client assessment requires follow-up on the first day postpartum?
Signup and view all the answers
What is the most appropriate nursing action when clots larger than 1 cm are noted in the lochia?
What is the most appropriate nursing action when clots larger than 1 cm are noted in the lochia?
Signup and view all the answers
How should the nurse respond initially when a client 2 hours postpartum has saturated a perineal pad in 15 minutes?
How should the nurse respond initially when a client 2 hours postpartum has saturated a perineal pad in 15 minutes?
Signup and view all the answers
Which client statement indicates a need for further instruction after discharge following a c-section?
Which client statement indicates a need for further instruction after discharge following a c-section?
Signup and view all the answers
Study Notes
Postpartum Care Key Concepts
- Vital signs for postpartum clients: A temperature of 100.2°F requires increased hydration through oral fluids as a priority action.
- Postpartum dizziness or faintness is addressed by instructing the client to request assistance when getting out of bed.
Bowel Function and Recovery
- Normal return of bowel function typically occurs within 3 days postpartum.
- Priority nursing considerations after vaginal deliveries, especially those with episiotomies, include managing client pain effectively.
Breastfeeding Education
- Essential breastfeeding instructions include wearing supportive bras, recognizing that alcohol and caffeine may affect milk supply, and ensuring access to fluids.
- The postpartum diet should emphasize increased fluid intake to support breastfeeding.
Uterine Assessment Protocol
- A soft, boggy uterus requires immediate intervention through fundal massage to promote firmness.
- Ongoing assessment of postpartum clients is crucial; foul-smelling lochia requires further follow-up and may indicate infection.
Lochia Monitoring
- Larger-than-1 cm clots in lochia necessitate notifying the healthcare provider for further assessment and intervention.
- Saturation of a perineal pad within 15 minutes indicates excessive bleeding, warranting immediate communication with the healthcare provider.
Post-Cesarean Discharge Instructions
- Clients post-C-section should not begin abdominal exercises immediately; this indicates a need for further education.
- Self-care guidance includes not lifting heavy objects beyond the newborn for at least 2 weeks and monitoring for signs of fever.
Emotional Support Post-Delivery
- Passive behavior from a new mother may indicate a need for emotional support and encouragement to bond with the newborn.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Description
Test your knowledge on postpartum nursing as covered in Chapters 29 and 30. This quiz focuses on post-delivery care and complications, with scenarios that will challenge your understanding of nursing priorities. Prepare for practical applications in clinical settings with flashcards designed for nursing students.
