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?
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?
What is the priority nursing consideration for a postpartum client who had a vaginal delivery 2 hours ago with an episiotomy and several hemorrhoids?
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Which statements indicate the client understands postpartum breastfeeding instructions? (Select all that apply)
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Which instruction should the nurse include when teaching a postpartum client about breastfeeding?
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What should the nurse do when the uterine fundus feels soft and boggy in the immediate postpartum period?
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Which client assessment requires follow-up on the first day postpartum?
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What is the most appropriate nursing action when clots larger than 1 cm are noted in the lochia?
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How should the nurse respond initially when a client 2 hours postpartum has saturated a perineal pad in 15 minutes?
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Which client statement indicates a need for further instruction after discharge following a c-section?
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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.
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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.
