Which action would most make the nurse believe that a postpartum woman is accepting a child well quizlet?
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Mention to the mother how it is common to feel "left out" when all of the attention shifts from the pregnant mother to the newborn Show
Many mothers, if given the opportunity, admit to feeling abandoned and less important after giving birth than they did during pregnancy or labor. Only hours before, after all, they were the center of attention, with everyone asking about their health and well-being. Now, suddenly, the baby is everyone's chief interest. You can help a woman move past these feelings by verbalizing the problem: "How things have changed! Everyone's asking about the baby today and not about you, aren't they?" These are reassuring words for a woman and help her realize, although uncomfortable, the feeling she is experiencing is normal. Commenting on a newborn's good points would be more appropriate if the mother is experiencing disappointment with the child. An explanation of how hormonal changes contribute to overwhelming sadness would be more appropriate in the case of postpartal blues. Referral to a psychologist would be more appropriate for a case of postpartal depression. Upgrade to remove ads Only SGD 41.99/year
Butler County Community College Nursing 102 Spring 2020 Terms in this set (23)A nurse is making an initial call on a new mother who gave birth to her third baby 5 days ago. The woman says,"I just feel so down this time. Not at all like when I had my other babies. And this one just doesn't sleep. I feel so inadequate." What is the best response to this new mother? a. "It sounds like you have the 'baby blues.' They are common after having a baby when you are not getting enough sleep, are busy with your other children, and are still a bit uncomfortable from the birth. They will most likely go away in a day or two." a. "It sounds like you have the 'baby blues.' They are common after having a baby when you are not getting enough sleep, are busy with your other children, and are still a bit uncomfortable from the birth. They will most likely go away in a day or two." The nurse is used to working on the postpartum floor taking care of women who have had normal vaginal births. Today, however, the nurse has been assigned to help care for women who are less than 24 hours post cesarean birth. The nurse realizes that some areas will not be assessed. What would the nurse leave out of the client assessments? a. breasts Perineum Which action would most make the nurse believe that a postpartum woman is accepting a child well? a. She asks the nurse to use her camera to take a photo of the child. She turns her face to meet the infant's eyes when she holds her. A postpartum client reports urinary frequency and burning. What cause would the nurse suspect? a. subinvolution urinary tract infection When caring for a postpartum client who has given birth vaginally, the nurse assesses the client's respiratory status, noting that it has quickly returned to normal. The nurse understands that which factor is responsible for this change? a. decreased intra-abdominal pressure decreased intra-abdominal pressure A nurse is caring for a breastfeeding client who reports engorgement. The nurse identifies that the client's condition is due to not fully emptying her breasts at each feeding. Which suggestion should the nurse make to help her prevent engorgement? a. Provide the infant oral nystatin. Feed the baby at least every two or three hours. A nurse is caring for a nonbreast-feeding client in the postpartum period. The client reports engorgement. What suggestion should the nurse provide to alleviate breast discomfort? a. Apply warm compresses. Wear a well-fitting bra. A nurse is caring for a client who is nursing her baby boy. The client reports afterpains. Secretion of which substance would the nurse identify as the cause of afterpains? a. estrogen oxytocin A client in her sixth week postpartum reports general weakness. The client has stopped taking iron supplements that were prescribed to her during pregnancy. The nurse would assess the client for which condition? a. hypovolemia hypovolemia A nurse is making a home visit to a new mother who gave birth vaginally five days ago. The woman tells the nurse that she has lost some weight but still feels as if she has a long way to go to return to her prepregnancy weight. The woman asks what the average weight loss at 5 days into the postpartal period is. Which information would the nurse incorporate into the response? a. 9 lb 19 lb A nurse is monitoring the vital signs of a client 24 hours after birth. She notes that the client's blood pressure is 100/60 mm Hg. Which postpartum complication should the nurse mostsuspect in this client, based on this finding? a. infection bleeding A nurse is performing an assessment on a female client who gave birth 24 hours ago. On assessment, the nurse finds that the fundus is 2 cm above the umbilicus and boggy. Which intervention is a priority? a. Have the client void, and then massage the fundus until it is firm. Have the client void, and then massage the fundus until it is firm. A client reports pain in the lower back, hips, and joints 10 days after the birth of her baby. What instruction should the nurse give the client after birth to prevent low back pain and injury to the joints? a. Soak in a warm bath several times a day. Maintain correct posture and positioning. A client has come to the office for her first postpartum visit. On evaluating her blood work, the nurse would be concerned if the hematocrit is noted to have: a. slightly increased. acutely decreased. A woman comes to the clinic. She gave birth about 2 months ago to a healthy term male newborn. During the visit, the woman tells the nurse, "I've noticed that I'm a bit uncomfortable now when we have sexual intercourse. Is there anything that I can do?" The woman's menstrual period has not yet resumed. Which suggestion by the nurse would be most appropriate? a. "Try doing Kegel exercises to get your pelvic muscles back in shape." "You might try using a water-soluble lubricant to ease the discomfort." While providing care to a postpartum client on her first day at home, the nurse observes which behavior that would indicate the new mother is in the taking-hold phase? a. Showing increased confidence when caring for
the newborn Showing increased confidence when caring for the newborn The nurse is preparing a new mother to be discharged home after an uncomplicated delivery. Which type of lochia pattern should the nurse point out needs to be reported to her primary care provider immediately during the discharge teaching? a. moderate flow of lochia rubra on day 3 postpartum, changing to serosa on day 5 moderate lochia serosa on day 4 postpartum,
increasing in volume and changing to rubra on day 5 The nurse is observing a set of new parents to ensure that they are bonding with their newborn. What displayed behavior would indicate that the parents bonding is maladaptive? a. The mother states that she has her father's eyes. The mother is reluctant to touch the newborn for fear of hurting her. A new mother tells the postpartum nurse that she thinks her baby does not like her since it cries often when she holds it. How should the nurse respond to this statement? a. Recommend rooming-in to foster attachment and confidence by the mother. Tell the mother that it is natural to have feelings of
uncertainty when adjusting to a new baby. The nurse is caring for a client is who 24-hours post delivery of an infant. Which assessment does the nurse predict the health care provider will prioritize for the mother at this time? a. hemoglobin and hematocrit hemoglobin and hematocrit A woman is bottle-feeding her baby. When the nurse comes into the room the woman says that her breasts are painful and engorged. Which nursing intervention is appropriate? a. Ask if she wants a breast pump to empty her breasts. ... A nurse is caring for a client with postpartum hemorrhage. What should the nurse identify as the significant cause of postpartum hemorrhage? a. hemorrhoid ... A client gave birth to a healthy boy 2 days ago. Both mother and baby have had a smooth recovery. The nurse enters the room and tells the client that she and her baby will be discharged home today. The client states, "I do not want to go home." What is the nurse's most appropriate response? a. Ask the client if she has any support in the home. ... Sets found in the same folderPeds PrepU: Chapter 1889 terms navybluescrubz4u Chapter 17: Nursing Care of the Child With an Alte…43 terms Julia31615 Peds - Chapter 07: Growth and Development of the A…84 terms student3392 PEDS: Chapter 25 - Newborn/Infant30 terms meredithauge4 Other sets by this creatorLeadership Case: Evidence-Based Practice and Quali…4 terms ruth_ann_bradfordPLUS HSEI Practice Exam 3126 terms ruth_ann_bradfordPLUS HSEI One Comprehensive Exam125 terms ruth_ann_bradfordPLUS Leadership Case: Team Building for Less Stress and…10 terms ruth_ann_bradfordPLUS Other Quizlet setsAnatomy Superficial Back Muscles SPA34 terms NFTMFT Risk and Insurance Ch.16 Exam 366 terms Olivia_Simon9 Consumer Behavior Quiz 279 terms polkapurple101 Econ HW 618 terms danny13695 Related questionsQUESTION A nurse is preparing to file a safety event report after a client experienced a fall. Which statement is correct regarding the filling of a safety event report? 3 answers QUESTION when a prescription for pain medication States 10-20 mg IM q 4-6 hours PRN for pain what will the nurse do when a 10 mg dose has been given and it is not effective 4 answers QUESTION What can the nurse aide give the resident who has an order for NPO? 15 answers QUESTION The nurse manager calls a meeting of members of the nursing team to resolve problems surrounding patient complaints of slow and sometimes discourteous responses to requests. What role does problem resolution play in this communication? 7 answers Which action would most make the nurse believe that a postpartum woman is accepting a child?Which action would most make the nurse believe that a postpartum woman is accepting a child well? She turns her face to meet the infant's eyes when she holds her.
What is the taking in phase of postpartum?The taking-in phase provides time for the woman to regain her physical strength and organize her rambling thoughts about her new role. Encouraging the woman to talk about her experiences during labor and birth would greatly help her adjust and let her incorporate it into her new life.
Which finding would lead the nurse to suspect that a woman is developing a postpartum complication?Which finding would lead the nurse to suspect that a woman is developing a postpartum complication? Women should have a lochia flow following birth. Absence of a flow is abnormal; it suggests dehydration from infection and fever.
Which factor might result in a decreased supply of breast milk in a postpartum client?Various factors can cause a low milk supply during breast-feeding, such as waiting too long to start breast-feeding, not breast-feeding often enough, supplementing breastfeeding, an ineffective latch and use of certain medications. Sometimes previous breast surgery affects milk production.
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