which patient would be most likely to have severe afterbirth pains and request a narcotic analgesic?
gravida 5, para 5
which maternal event is abnormal in the early postpartal period?
lochial color changes from rubra to alba
which fundal assessment finding at 12 hours after birth requires further assessment?
the fundus is palpable two fingerbreadths above the umbilicus
if the patients white blood cell count is 25,000 on her 2nd postpartum day. which action should the nurse take?
document the finding
postpartal overdistention of the bladder and urinary retention can lead to which complication?
postpartum hemorrhage and urinary tract infection
a postpartum patient asks "will these stretch marks ever go away?" which is the nurses best response
they will fade to silvery lines but wont disappear completely
a pregnant patient asks when the dark line on her abdomen will go away. The nurse knows the pigmentation will fade after birth due to
decreased melanocyte stimulating hormone
which clinical finding should the nurse suspect if the fundus is palpated on the right side of the abdomen above the expected level
distended bladder
which situation would require the administration of Rho(D) immune globulin?
mother Rh negative and baby Rh positive
if the rubella vaccine is indicated for a postpartum patient, which instructions should be provided?
explanation of the risks of becoming pregnant within 28 days following injection
which measure is optimal in order to prevent abdominal distention following a cesarean?
early and frequent ambulation
to assess fundal contraction 6 hours after cesarean birth, which technique should the nurse utilize?
gently palpate, applying the same technique used for vaginal deliveries
the nurse has completed a postpartum assessment on a patient who delivered 1 hour ago. which amount of lochia consists of a moderate amount?
10 to 15cm stain on the peripad
the postpartum nurse has completed discharge teaching for a patient being discharged after an uncomplicated vaginal birth. which statement by the patient indicates that further teaching is necessary?
if i breastfeed and supplement with formula, i wont need any birth control
the nurse is caring for a postpartum patient who delivered by the vaginal route 12 hours ago. which assessment finding should the nurse report to the health care provider?
firm fundus, but excessive lochia
to facilitate adequate urinary elimination during the postpartum period, the nurse should incorporate which intervention into the plan of care?
teach the patient to perform pelvic floor exercises to combat potential stress incontinence
when assessing the A of the acronym REEDA the nurse should evaluate the
edges of the episiotomy
which assessment finding 24 hours after vaginal birth would indicate a need for further intervention?
uterine fundus 2cm above the umbilicus
the nurse is providing care to a patient who delivered a 3525g infant 14 hours ago. the nurse palpates the fundus of the uterus as firm and at the umbilicus. what is the nurses priority action related to this finding?
document the finding in the patients chart
the nurse is providing care to a patient 2 hours after a cesarean birth. in the hand off report, the preceding nurse indicated that the patients lochia was scant rubra. on initial assessment, the oncoming nurse notes the patients peripad is saturated with luchia rubra immediately after breastfeeding her infant. what is the nurses priority action with this finding?
contact the health care provider
the nurse includes the addition of sitz baths for the postpartum patient. which assessment finding indicates the treatment has been effective?
no swelling or edema to the perineal area
which description best explains the term reciprocal attachment behavior?
positive feedback that the infant exhibits toward parents during the attachment process
the postpartum patient who continually repeats the story of her labor, birth and recovery experiences is performing which of the following tasks?
making the birth experience real
during which stage of role attainment do the parents become acquainted with their baby and combine parenting activities with cues from the infant?
formal
the nurse observes a patient on her first postpartum day sitting in bed while her newborn lies awake in the bassinet. which action is most appropriate for the nurse to take at this time?
hand the baby to the woman
the postpartum nurse is observing a patient holding the baby she delivered less than 24 hours ago. the partner is watching his wife and asking questions about newborn care. the 4 year old big brother is punching his mother on the back. what should the nurse do next?
no action, this is a normal family adjusting to family change
during which phase of maternal adjustment will the mother relinquish the baby of her fantasies and accept the real baby?
letting go
a new father calls the nurses station stating that his wife, who delivered last week, is happy one minute and crying the next. he states, "she was never like this before the baby was born" how should the nurse best respond?
reassure him that this behavior is normal
to promote bonding and attachment immediately after birth, which action should the nurse take
assist the mother in assuming an en face position with her newborn
which patient is more likely to have less stress adjusting to her role as a mother
a 26 year old woman who is returning to work in 10 weeks
which anticipatory guidance action by the nurse makes role transition to parenthood easier
helps the new parents identify resources
which action should the nurse take in order to provide support and encouragement to the new postpartum patient
praise the mothers early attempts at infant care
which should the nurse do to provide support to a patient who must return to full time employment 6 weeks after a vaginal birth
allow her to express her positive and negative feelings freely
the postpartum nurse is reviewing dietary practices for an asian patient. which of the following should the nurse expect to observe as a dietary practice for this culture?
special foods brought from home
an example of binding in during the postpartum period is a
father looking at his newborn and stating that he looks like i did when i was a baby
which of the following behaviors would be applicable to a nursing diagnosis of risk for impaired parenting
mother states that she feels excessive fatigue as a result of the childbirth experience