Susan Li, gravida 1, para 1, age 22, is married to a 23-year-old...

Susan Li, gravida 1, para 1, age 22, is married to a 23-year-old sales clerk who is required to work as much as possible due to family financial problems. She has 2 years of college education and was working as a waitress prior to this pregnancy. She speaks very good English. Her only local family member is her sister, who also works full time. The rest of her family is in China. She gave birth to a 7 lb 4 oz female infant 24 hours ago. Her blood loss at birth was 400 mL, and her placenta delivered intact. A first-degree laceration occurred during birth and was repaired, and a small cluster hemorrhoid developed during the pushing stage of labor. She had an unmedicated birth and breast-fed her baby girl in the delivery room, and two times since for approximately 5 minutes each time. No family members have been to see her since the birth.

Critical Thinking Questions:

1. What should the nurse's priority assessments for Susan be during this postpartum assessment exam at 24 hours after birth?
2. Susan complains that her stitches and hemorrhoids are painful at the level of 7 on a 10-point pain scale. Describe the recommended nursing assessment and relief measures.
3. At 5 weeks postpartum, Susan's sister brings her to the clinic nurse. Susan tells the nurse she feels hopeless and overwhelmed and has been irritable and anxious for the past 3 weeks. What should the nurse's action be?
4. What psychosocial consideration are applicable to this situation?
5. What cultural beliefs should be considered in Susan Li's case?