Chapter 301.docx

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Chapter 30 1. The nurse has received an end of shift report on the postpartum unit. Which patient should she see first? 2. Primip, day of delivery, fundus firm 2 cm above umbilicus Rationale 2: This patient is the top priority. The fundus should not be positioned above the umbilicus after delivery. This high location could indicate an overdistended bladder or uterine atony and excessive bleeding. Global Rationale: 2. The nurse expects an initial weight loss for the average postpartum patient to be: 2. 10–12 pounds. Rationale 2: 10–12 pounds is the usual initial weight loss. This weight is lost with the birth of the infant and the expulsion of the placenta and the amniotic fluid. 3. To assess healing of the uterus at the placental site, the nurse assesses: 4. Type, amount, and consistency of lochia. Rationale 4: Type, amount, and consistency of lochia determine the stage of healing of the placenta site, which occurs by a process of exfoliation. 4. A Jewish patient delivers a healthy baby boy on Thursday afternoon, and she is set to be discharged on Saturday morning. Why might this present a problem for the patient? 3. Saturday is considered the Sabbath and she will not be able to leave the hospital that day. Rationale 3: The Sabbath is sacred for Jews, and Jewish custom prohibits travel, writing, and the use of electricity on the Sabbath. Therefore, the woman will not travel home or sign any discharge forms until after the Sabbath. 5. On the first postpartum day, the nurse teaches the patient about breastfeeding. Two hours later, the mother seems to remember very little of the teaching. The nurse understands this memory lapse to be
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