Exam 17: Postpartum Adaptations and Nursing Care

The nurse is planning comfort measures to implement for a patient after a vaginal birth. Which measures should the nurse plan to include in the patient's care plan? (Select all that apply.)

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?

If the patient's white blood cell (WBC) count is 25,000/mm³ on her second postpartum day, which action should the nurse take?

Postpartal overdistention of the bladder and urinary retention can lead to which complication?

Which of the following are nursing measures that can promote parent-infant bonding and attachment? (Select all that apply.)

Which anticipatory guidance action by the nurse makes role transition to parenthood easier?

A postpartum patient calls the clinic and reports to the nurse feelings of fatigue, tearfulness, and anxiety. What is the nurse's most appropriate response at this time?

Which measure is optimal in order to prevent abdominal distention following a cesarean birth?

Which action should the nurse take in order to provide support and encouragement to the new postpartum patient?

Which clinical finding should the nurse suspect if the fundus is palpated on the right side of the abdomen above the expected level?

To promote bonding and attachment immediately after birth, which action should the nurse take?

The nurse is conducting discharge teaching for a patient going home after a cesarean birth. Which signs and symptoms should the patient be taught to report? (Select all that apply.)

When assessing the A of the acronym REEDA, the nurse should evaluate the

The nurse is developing a plan of care for the patient's fourth stage of labor. One nursing intervention is to promote bonding. Specifically, which nursing action will facilitate the bonding process?

Which vaccinations are indicated for the postpartum patient if she does not have immunity? (Select all that apply.)

The nurse is teaching a non-breastfeeding patient measure to suppress lactation. Which information should the nurse include in the teaching session? (Select all that apply.)

During which phase of maternal adjustment will the mother relinquish the baby of her fantasies and accept the real baby?

Which patient would be most likely to have severe afterbirth pains and request a narcotic analgesic?

The nurse is providing care to a patient who delivered a 3525-g infant 14 hours ago. The nurse palpates the fundus of the uterus as firm and at the umbilicus. What is the nurse's priority action related to this finding?

A new father calls the nurse's 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?