Immediately after delivery a woman is shaking

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Human Physiology: From Cells to Systems
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Chapter 20 / Exercise 4
Human Physiology: From Cells to Systems
Sherwood
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57. Immediately after delivery, a woman is shaking uncontrollably. Which of the fol-lowing nursing actions is most appropriate? 1. Provide the woman with warm blankets. 2. Put the woman in Trendelenburg position. 3. Notify the primary health care provider. 4. Increase the intravenous infusion. 58. One nursing diagnosis that a nurse has identified for a postpartum client is: Risk for intrauterine infection r/t vaginal delivery. During the postpartum period, which of the following goals should the nurse include in the care plan in relation to this di- agnosis? Select all that apply. 1. The client will drink sufficient quantities of fluid. 2. The client will have a stable white blood cell count. 3. The client will have a normal temperature. 4. The client will have normal-smelling vaginal discharge. 5. The client will take two or three sitz baths each day. 59. Which of the following nursing interventions would be appropriate for the nurse to perform in order to achieve the client care goal: The client will not develop post- partum thrombophlebitis? 1. Encourage early ambulation. 2. Promote oral fluid intake. 3. Massage the legs of the client twice daily. 4. Provide the client with high fiber foods. 60. The nurse is developing a plan of care for the postpartum client during the “taking in” phase. Which of the following should the nurse include in the plan? 1. Teach baby care skills like diapering. 2. Discuss the labor and birth with the mother. 3. Discuss contraceptive choices with the mother. 4. Teach breastfeeding skills like pumping. 61. The nurse is developing a plan of care for the postpartum client during the “taking hold” phase. Which of the following should the nurse include in the plan? 1. Provide the client with a nutritious meal. 2. Encourage the client to take a nap. 3. Assist the client with activities of daily living. 4. Assure the client that she is an excellent mother. 62. The nurse takes a primipara her newborn for a feeding. The client holds the baby en face, strokes his cheek, and states that this is the first infant she has ever held. Which of the following nursing assessments is most appropriate? 1. Positive bonding and client needs little teaching. 2. Positive bonding but teaching related to infant care is needed. 3. Poor bonding and referral to a child abuse agency is essential. 4. Poor bonding but there is potential for positive mothering.
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Human Physiology: From Cells to Systems
The document you are viewing contains questions related to this textbook.
Chapter 20 / Exercise 4
Human Physiology: From Cells to Systems
Sherwood
Expert Verified
218 M ATERNAL AND N EWBORN S UCCESS 63. A primipara, 4 hours postpartum, requests that the nurse diaper her baby after a feeding because, “I am so tired right now. I just want to have something to eat and take a nap.” Based on this information, the nurse concludes that the woman is ex- hibiting signs of which of the following? 1. Social deprivation. 2. Child neglect. 3. Normal postpartum behavior.

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