Chapter 25.docx - Question 1 See full question The nurse is conducting discharge teaching with a postpartum woman What would be an important instruction

Chapter 25.docx - Question 1 See full question The nurse is...

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Question 1 See full question The nurse is conducting discharge teaching with a postpartum woman. What would be an important instruction for this client? You Selected: Call her caregiver if lochia moves from serosa to rubra. Correct response: Call her caregiver if lochia moves from serosa to rubra. Explanation: Most cases of late postpartum hemorrhage occur after the woman leaves the health care or birthing facility. Therefore, client education before discharge about expected changes and danger signs and symptoms is crucial. Instruct the woman to call her primary care provider if she experiences any signs of infection, such as fever greater than 100.4°F (38°C), chills, or foul-smelling lochia. She should also report lochia that increases (versus decreasing) in amount, or reversal of the pattern of lochia (i.e., moves from serosa back to rubra). Reference: Pillitteri, A. Maternal and Child Health Nursing , 7th ed., Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, 2014, Chapter 25: Nursing Care of a Family Experiencing a Postpartum Complication, p. 682. Chapter 25: Nursing Care of a Family Experiencing a Postpartum Complication - Page 682 Question 2 See full question A nurse is developing a program to help reduce the risk of late postpartum hemorrhage in clients in the labor and birth unit. Which measure would the nurse emphasize as part of this program? You Selected: inspecting the placenta after delivery for intactness Correct response: inspecting the placenta after delivery for intactness Explanation: After the placenta is expelled, a thorough inspection is necessary to confirm its intactness because tears or fragments left inside may indicate an
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accessory lobe or placenta accreta. These can lead to profuse hemorrhage because the uterus is unable to contract fully. Administering antibiotics would be appropriate for preventing infection, not postpartum hemorrhage. Manual removal of the placenta or excessive traction on the umbilical cord can lead to uterine inversion, which in turn would result in hemorrhage. Reference: Pillitteri, A. Maternal and Child Health Nursing , 7th ed., Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, 2014, Chapter 25: Nursing Care of a Family Experiencing a Postpartum Complication, p. 682. Chapter 25: Nursing Care of a Family Experiencing a Postpartum Complication - Page 682 Question 3 See full question A client experienced prolonged labor with prolonged premature rupture of membranes. The nurse would be alert for which condition in the mother and the newborn? You Selected: infection Correct response: infection Explanation: Although hemorrhage, trauma, and hypovolemia may be problems, the prolonged labor with the prolonged premature rupture of membranes places the client at high risk for a postpartum infection. The rupture of membranes removes the barrier of amniotic fluid, so bacteria can ascend.
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