Term
| A nurse discovers a postpartum client with a boggy uterus that is displaced above and to the right of the umbilicus. What nursing action is indicated? |
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Definition
| Perform immediate fundal massage. ambulate to the bathroom or use bedpan to empty the bladder because cardinal sign of bladder distention are present |
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Term
| Which women experience afterpains more often than others? |
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Definition
| breastfeeding women, Multiparas, and women who experienced overdistention of the uterus |
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Term
| Upon admission to the postpartum room, Three hours after delivery a client has a temperature of 99.5*F. what nursing action is indicated? |
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Definition
| Temperature is probably elevated due to dehydration and work of labor; force fluids and retake temperature in an hour; notify MD if above 100.4*F |
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Term
| A client feels faint on the way to the bathroom. What nursing assessment should be made? |
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Definition
| Assess BP sitting and lying; assess Hgb and Hct for anemia |
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Term
| What factor place the postpartum client at risk for thromboembolism? |
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Definition
| Increased clotting factors |
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Term
| A breastfeeding mother complains of very tender nipples. What nursing actions should be taken? |
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Definition
| Have her demonstrate infant position on breast (incorrect positioning often causes tenderness). Leave bra open to ary dry nipples for 15 mins three times daily. Express colostrum and rub on nipples |
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Term
| Three days postpartum,a lactating mother has full, warm, taut, tender breast. What nursing action should be taken? |
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Definition
| She is engorged; have newborn suckle frequently; take measures to increase milk flow= warm water, breast massage and supportive bra |
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Term
| What information should be given to a client regarding resumption of sexual intercourse after delivery? |
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Definition
| Avoid until postpartum exam. Use water soluble jelly. Expect slight discomfort due to vaginal changes |
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Term
| A woman has decided to take birth control pills as her contraceptive method, What should she do if she misses taking the pill for 2 |
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Definition
| Take two pills for 2 days and use an alternative form of birth control |
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Term
| A woman ask why she is urinating so much in the postpartum period. The nurse bases the response on what information? |
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Definition
| Up to 3000mL/day can be voided because of the reduction in the 40% plasma volume increase during pregnancy |
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Term
| A womans WBC is 17,000; she is afebrile and has no symptoms of infection. What nursing action is indicated? |
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Definition
| Continue routine assessments; normal leukocytosis occurs during postpartal pd because of placental site healing |
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Term
| What is the most common cause of uterine atony in the first 24 hours postpartum? |
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Definition
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Term
| What is the purpose of giving docusate sodium (colace)to the postpartum client? |
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Definition
| To soften the stool in mothers with third or fourth degree episiotomies, Hemorrhoids, or cesarean section delivery. |
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Term
| What should the fundal height be at 3 days postpartum for a woman who has had a vaginal delivery? |
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Definition
| Three fingerbreadths/cm below the umbilicus |
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Term
| List three signs of positive bonding between parents and newborn. |
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Definition
| Calling infant by name, exploring newborn head to toe, using en face position. |
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