The nurse is performing a postpartum assessment on a client who delivered 4 hours ago. Sleep most of the time when the baby is not present D.

The nurse is performing a postpartum assessment on a client who delivered 4 hours ago. Document the findings 4.
The nurse is performing a postpartum assessment on a client who delivered 4 hours ago " 3. Firm fundus 2. Fill the bottle with hot, sudsy water and Study with Quizlet and memorize flashcards containing terms like When performing a postpartum check, the nurse should: 1. Which nursing intervention would be appropriate? 1. Which nursing action is most effective in preventing heat loss by evaporation? 1. , c lochia typically trickles from the vaginal opening but flows more steadily during uterine contractions. Which of the following nursing actions is appropriate? a. Exhibit interest in learning more about infant care C. The patient reports dizziness, diaphoresis, and oozing of blood from her current IV site. Study with Quizlet and memorize flashcards containing terms like The nurse is monitoring a client in the immediate post-partum period for signs of hemorrhage. Warming the crib pad 2. Study with Quizlet and memorize flashcards containing terms like A postpartum nurse is preparing to care for a woman who has just delivered a healthy newborn infant. Woman who is 2nd day post-cesarean, moderate lochia serosa 2. Change the perineal Turning on the overhead radiant warmer, The postpartum nurse is taking the vital signs of a client who delivered a healthy newborn 4 hours ago. " The nurse interprets this finding as suggestive of a decrease in which hormone? Study with Quizlet and memorize flashcards containing terms like The nurse providing culturally sensitive care to a group of new of mothers should reinforce information concerning breast feeding to which client? 1. 3. retake the temperature in 15 min 3. Assist the patient to the bathroom and ask her to void Study with Quizlet and memorize flashcards containing terms like The nurse is performing an assessment on a client who suspects that she is pregnant and is checking the client for probable signs of pregnancy. The client is measuring large for gestational age 2. SHE HAS AMBULATED TO THE BATHROOM AND ATTEMPTED TO VOID TWICE WITH MINIMUM A postpartum nurse is taking the vital signs of a woman who delivered a healthy newborn infant 4 hours ago. 8 1. Reassess the client in 2 hours. On assessment, the nurse finds that the fundus is 2 cm above the umbilicus and boggy. What is the priority nursing action? A. After the client voids 250 ml of urine using a bedpan, what action should the nurse implement? Maternal assessments related to the prevention of hemorrhage include vital signs, uterine fundal location and tone, bladder, lochia, and perineal and labial areas. Instruct the client to Study with Quizlet and memorize flashcards containing terms like The postpartum nurse is taking the vital signs of a client who delivered a healthy newborn 4 hours ago. Which intervention is a priority? Study with Quizlet and memorize flashcards containing terms like The nurse is assessing a patient who had a cesarean birth. Which of the following interventions should the nurse include in the client's plan of Study with Quizlet and memorize flashcards containing terms like The perinatal nurse is caring for a woman in the immediate postbirth period. "Notify your physician because you may need medication. gush of blood from the vagina C. She states, "My breasts look terrible and I think that I will stop breast-feeding. Document the findings and reassess in 1 hour. Every 15 minutes during the first hour and then Study with Quizlet and memorize flashcards containing terms like A nurse is preparing a list of self-care instructions for a postpartum client who was diagnosed with mastitis. She has a history of anaphylactic reaction to acetaminophen (Tylenol). When the nurse last assessed a postpartum patient 4 hours ago, her fundus was 1 cm below the umbilicus, midline, and firm. See an expert-written answer! We have an expert-written solution to this problem! A nurse is caring for a client who delivered vaginally 2 hours ago. "My uterus is cramping really bad. A nurse is performing a postpartum assessment and notes bulging in the perineum, the Study with Quizlet and memorize flashcards containing terms like The nurse is preparing to care for a newborn receiving phototherapy. Catheterize the client. When the nurse locates the fundus, she notes that the uterus feels soft and boggy. Drying the infant with a warm blanket 4. Which client should the nurse see first? 1. A primigravida with abruptio placenta A primigravida who delivered a 10-lb infant 3 hours ago A gravida 2 who The nurse is caring for a postpartum patient who delivered by the vaginal route 12 hours ago. Study with Quizlet and memorize flashcards containing terms like A postpartum nurse caring for a client who had a vaginal delivery 3 hours ago notices heavy lochia. Which sign, if noted, would be an early sign of excessive blood loss? 1. The client has ambulated to the restroom and voided, has latched the infant twice with no The nurse in the labor and delivery unit is performing a focused assessment on a client who is 2 hours postpartum. ) Administer an oxytocic as ordered d. Feeling has returned to her perineal area, and she has ambulated to the bathroom and attempted to void twice. Which statement by a participant indicates an understanding of this concept?, During a postpartum examination of a client who delivered an 8-pound newborn 6 hours ago, the A postpartum nurse caring for a client who had a vaginal delivery 3 hours ago notices heavy lochia. Obtain hemoglobin and hematocrit levels. Postpartum client on IV Ampicillin and Gentamicin for chorioamnionitis 3. "You will be able to breast-feed for 6 months and then will need to A nurse is assessing a postpartum client who delivered a baby four hours ago. Which finding prompts the nurse to take additional measures? A. What is the The nurse is making a home visit to assess a client who delivered vaginally 6 days ago. "Don't worry. The nurse measures the fundal height in relation to the symphysis pubis. Which of the following nursing actions is most appropriate? 1. Assessment of intake and output Study with Quizlet and memorize flashcards containing terms like A client has just experienced a precipitate delivery. The client had an epidural for pain control during labor. She had an uneventful pregnancy and is in good general health. One topic of the class is infant attachment. Primiparous client who delivered twins at 28 weeks gestation two days ago 2. Every hour When performing a postpartum assessment on a client, the nurse notes the presence of clots in the lochia. The client reports afterpains. Every 15 minutes during the first hour and then Study with Quizlet and memorize flashcards containing terms like A woman who delivered her infant by cesarean section 1 week ago called her physician's office to report chills, fever of 101. A nurse is performing a physical assessment of a woman who delivered a child 24 hours earlier. 18) A nurse performs an assessment on a client who is 4 hours PP. 7℃) and a poor appetite. A primiparous client who delivered 6 hours ago and had epidural anesthesia The nurse performs an assessment on a client who is 4 A nurse is performing an assessment on a female client who gave birth 24 hours ago. Foul-smelling lochia 3. 1 F (37. What is the priority nursing intervention based on these findings? Document the findings on the medical record. The nurse should assess for which probable signs of pregnancy? Select all that apply. massaging the uterus or ambulation can result in a gush of lochia with the expression of clots Study with Quizlet and memorize flashcards containing terms like A postpartum client calls the nurse into her room and asks her what to do with the "squirt bottle" she found in the bathroom. The nurse notes that the client has a contracted uterus with excessive, bright red lochia. The mother's temperature is 100° F (38° C). 5-cm) lochia stain. Client who had a cesarean birth 8 hours ago is requesting to ambulate for the first time 4. The nurse suspects that the client has developed postpartum hemorrhage (PPH). In the immediate postpartum period the nurse plans to take the woman's vital signs: 1. Notify the physician 3. The nurse assesses the client an hour later and finds her fundus, which is slightly boggy, three fingerbreadths above the umbilicus and displaced to the right. The assigned nurse is reviewing the electronic health record to determine if the new mother is a candidate for Rh immune globulin administration. Which assessment finding requires immediate follow-up? A) Study with Quizlet and memorize flashcards containing terms like The nurse is monitoring a client in the immediate postpartum period for signs of hemorrhage. moderate lochia rubra 2. Which findings indicate a problem? Select all that apply. Which areas would the nurse need to assess before the woman ambulates? Degree of responsiveness, respiratory rate, fundus location Attachment, lochia color, complete blood cell count Blood pressure, pulse, reports of The nurse is performing a postpartum assessment on a client who delivered 4 hours ago. Uterine atony. Which of the following nursing actions is appropriate at this time? the nurse teaches the postpartum client to perform which of the following tasks? A nurse is performing a postpartum assessment on a newly delivered client. Which APGAR score should the Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is nursing her baby boy. A client who is at 15 weeks of gestation and reports tingling and numbness in right hand C. 12-15 pounds is close, but it does not match the usual weight of placenta, amniotic fluid, and full-term infant weight. , It has been 12 hours since the client's Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a mother within the first four hours after a cesarean birth. Pulse rate of 50 b. Place baby on tummy after feeding, A nurse is caring for a client who had a vaginal birth 2 hours ago. Which assessment would indicate a wound infection? 1. The nurse notes that A patient, G2P1102, who delivered her baby 8 hours ago, now has a temperature of 100. Firm fundus, but excessive lochia d. which of the following findings should the nurse document? 1. Vaginal laceration. The client reports pelvic pain, chills, profuse dark, foul-smelling lochia with blood clots. Instruct the client to The postpartum nurse is documenting client care at the unit's front desk. Increase hydration A nurse is assessing a postpartum client who delivered a baby four hours ago. Study with Quizlet and memorize flashcards containing terms like A 25 year-old woman gave birth to her second child 6 hours ago. Temperature of 38°C (100. 2° F. The nurse is performing a routine assessment of the client after birth. Retake the A nurse is assessing a postpartum client and notes an elevated temperature. Increase Which postpartum client would the nurse assess FIRST 1. A client who is at 11 weeks of gestation and reports abdominal cramping B. When performing a postpartum assessment on a client, the nurse notes the presence of clots in the lochia. Every 15 minutes during the first hour and then every 30 minutes for the next two hours. Which action should the nurse perform to confirm this finding? The nurse is monitoring a postpartum client, who delivered 1 hour ago and received epidural anesthesia for Study with Quizlet and memorize flashcards containing terms like A postpartum nurse is preparing to care for a woman who has just delivered a healthy newborn infant. The nurse notes a firm uterus at the umbilicus with heavy lochial flow. allows baby to cry vigorously for Study with Quizlet and memorize flashcards containing terms like A nurse monitoring lochial flow in a woman who delivered 2 hours earlier notes that the client's perineal pad shows drainage measuring less than 1 inch in a 1-hour period. A client who gave birth 18 hours ago is experiencing a change in lochia flow from scant to moderate. What is the assessment finding that would necessitate follow-up? 1. 8°F (38. Purulent drainage from outer aspect of incision 3. What should the nurse assess for next? A. The client Study with Quizlet and memorize flashcards containing terms like The nurse is preparing a class for mothers and their partners who have just recently delivered. Notify the health care provider 4. The client had a complicated delivery and suffered a third degree perineal laceration. A woman Study with Quizlet and memorize flashcards containing terms like Question 1. During assessment, the nurse notices that the client has a boggy fundus that is deviated to the right and slightly above the umbilicus. client who had a planned cesarean delivery of an 8lb baby 2 hours ago Implementation 3) The postpartum client, who delivered 4 hours ago, has a mediolateral episiotomy and large hemorrhoids. Study with Quizlet and memorize flashcards containing terms like The nurse in a maternity unit is reviewing the clients' records. what should the nurse teach regarding relief of breast engorgement A. 1ºF (37. hypotension B. The nurse now notices that the fundus is 3 cm above the umbilicus, shifted laterally, and boggy; the patient's bleeding is currently moderate. Which intervention should the nurse implement next? A. Turning on the overhead radiant warmer, The postpartum nurse is taking the Study with Quizlet and memorize flashcards containing terms like A postpartum nurse completes an assessment on a patient who delivered 12 hours earlier. Which finding should make the nurse suspect endometritis in this client?, The nurse in the postpartum unit is assessing a newborn for signs of breast-feeding problems. Document the findings. Which assessment finding requires immediate follow-up? A) The nurse performs a postpartum assessment on a client who delivered a term newborn two hours ago. The patient reports increased pain over her incision site. increase hydration by encouraging oral Study with Quizlet and memorize flashcards containing terms like A postpartum client calls the nurse into her room and asks her what to do with the "squirt bottle" she found in the bathroom. holds by face to face b. 2°C) Study with Quizlet and memorize flashcards containing terms like The nurse is caring for the postpartum client who is diagnosed with a low-lying placenta. 2 deg F. SHe has ice on her edematous perineum. 4F B. client who vaginally delivered a preterm baby 4 hours ago 4. Assessment reveals that the woman isexperiencing profuse bleeding. " 4. The client has saturated a perineal pad in 20 minutes. When checking the fundus, there is a gush of blood. How should the nurse be most therapeutic in this situation? 1. 13 The maternal temperature should be assessed at the beginning of the immediate postpartum period and blood pressure, pulse, and respirations should be assessed every 15 minutes for approximately 2 hours after A primiparous client who delivered 4 hours ago 2. Which of the following actions will the nurse perform? Select all that apply. Study with Quizlet and memorize flashcards containing terms like The postpartum nurse is taking the vital signs of a client who delivered a healthy newborn 4 hours ago. 1ºF A postpartum nurse is caring for a client who gave birth 1 hour ago following a 24-hour long induction. Which action should the nurse perform to confirm this finding? A. Which clients should the nurse identify as being at the most risk for developing disseminated intravascular coagulation (DIC)? Select all that apply. What is the appropriate nursing intervention?, A mother who has been breastfeeding for three months During a postpartum examination of a client who delivered an 8-pound newborn 6 hours ago, the following assessment findings are noted: fundus firm and at the umbilicus, and moderate lochia rubra with a steady trickle of blood from the vagina. Slight bruising to breasts bilaterally B. Study with Quizlet and memorize flashcards containing terms like THE NURSE IS CARING FOR A POSTPARTUM CLIENT WHO DELIVERED VAGINALLY 4 HOURS AGO AND HAS NOT VOIDED SINCE DELIVERY: FEELING HAS RETURNED TO HER PERINEAL AREA. Give the mother some time alone. Which finding(s) should the nurse report immediately to the health care provider (HCP)? Select all that apply. Secretion of which substance would the nurse identify as the cause of afterpains?, A nurse is providing care to a woman of Latin American culture who delivered a healthy neonate 6 hours ago. Quantify Study with Quizlet and memorize flashcards containing terms like The postpartum nurse is taking the vital signs of a client who delivered a healthy newborn 4 hours ago. Study with Quizlet and memorize flashcards containing terms like During a postpartum examination of a client who delivered an 8-pound newborn 6 hours ago, the nurse assesses the following: fundus firm and at the umbilicus, and moderate lochia rubra with a steady trickle of blood noted from the vagina. Which of the following The nurse is assessing a client who is 6 hours postpartum after delivering a full term healthy newborn. document the findings 2. An increase in the pulse rate from 88 to 102 bpm C. Which of the following findings would the nurse evaluate as normal?, During a postpartum assessment, the nurse assesses the calves of a client's legs. Assessment reveals a headache 3 out of 10 on a scale of 0 to 10. Massage the uterus until firm. Retake the temperature in 15 minutes. Which interventions should be included in the plan of care? Select all that apply. Which clients should the nurse identify as being at the most risk for developing disseminated intravascular Study with Quizlet and memorize flashcards containing terms like A nurse is preparing a list of self-care instructions for a postpartum client who was diagnosed with mastitis. Active movement and flexion of extremities are noted and the newborn grimaces when nares are suctioned. Which When the nurse last assessed a postpartum patient 4 hours ago, her fundus was 1 cm below the umbilicus, midline, and firm. 1 A nurse monitoring Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client in the postpartum period. Upon assessment, the nurse notes heavy bleeding and a boggy uterus that does not respond to fundal massage. foul-smelling lochia engorged breasts bilaterally client who cries easily soaking one peripad every 3 to 4 hours temperature of 100. Which criteria must be present to determine that the client needs the medication? Select all that apply. Explanation: Extreme fatigue, feelings of sadness and anxiety, and insomnia are consistent with a diagnosis of postpartum depression. Based on assessment of the client's complaints, the nurse tells the client to: A. Which intervention is a priority? A. E. ) Massage the uterus b. Apply antibiotic ointment to the perineum daily. In the immediate postpartum period the nurse plans to take the woman's vital signs:, A postpartum nurse is taking the vital signs of a woman who delivered a healthy newborn infant 4 hours ago. To notify the patient's midwife or physician b. Assess the location and firmness of the fundus. Incision dry without Study with Quizlet and memorize flashcards containing terms like A postpartum nurse is preparing to care for a woman who has just delivered a healthy newborn infant. Finish all antibiotics to decrease a genital tract infection. 4. The client complains to the nurse of feelings of faintness and dizziness. The nurse is performing a postpartum assessment on a client who delivered 4 hours ago. 2*F. Which assessment finding should the nurse report to the health care provider? a. Closing the doors to the room 3. While assessing the client, the client tells the nurse, "I've really been urinating a lot in the past hour. ) apply heat frequently to both breasts for 15-20 minutes B. ) massage breasts from the base to Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a postpartum woman who exhibits a large amount of bleeding. Upon reviewing the delivery record, the nurse notices that her estimated blood loss was 800mL. c. 5ºF (38. 5. What are the priority nursing interventions for this client? Select all that apply. Which postpartum client will the nurse assess first? an 18-year-old who wants to sleep until 10:00 before the nurse brings the A postpartum nurse is preparing to care for a woman who has just delivered a healthy newborn infant. Reposition the newborn every 2 hours. The postpartum nurse is taking the vital signs of a client who delivered a healthy newborn 4 hours ago. Question 8 of A ten-day postpartum breastfeeding client telephones the postpartum unit complaining of a reddened, painful breast and elevated temperature. A multiparous client who delivered 6 hours ago 3. The client with a pulse rate of 60 beats per minute 3. 3ºF (37. During that time, several clients request assistance from the nurse. D. It's not a big deal. Postpartum psychosis is a psychiatric emergency in which symptoms of high mood and racing thoughts (mania), depression, severe confusion, loss of inhibition, Study with Quizlet and memorize flashcards containing terms like When performing an initial assessment of a post-term male neonate weighing 4,000 g (9 lb) who was admitted to the observation nursery after a vaginal delivery with low forceps, the nurse detects Ortolani's sign. Which nursing intervention would be most appropriate to prevent thrombophlebitis in the mother? A. The nurse will assist the client into which position to properly assess the postpartum uterus? A) Semi-Fowler's B A moderate amount of lochia rubra The client should have lochia rubra for 3 to 4 days postpartum. 2°F. A client who is at 20 weeks of gestation and reports constipation for the past 4 days D. Which of the following clients should the nurse see first? A. Which Which response should the nurse make to the client? 1. She informs the nurse that she is bleeding more than with her previous birth experience. The nurse suspects that the client has develop postpartum hemorrhage (PPH). C A nurse is caring for a client in the immediate postpartum period. The nurse massages at the umbilicus and obtains current vital signs. Reassess the client in 2 hours D. Which finding(s) would help to confirm this diagnosis? A. The nurse observes that the mother is lying quietly in bed and touches the infant only briefly and occasionally. Unit 2 The nurse is caring for four 1-day postpartum clients. The client states, "my bleeding before was light and now it is heavy. Decrease fluid intake. Her uterus is 3 fingerbreadths above the Study with Quizlet and memorize flashcards containing terms like The nurse is assessing a client who is 6 hours postpartum after delivering a full-term healthy newborn. Assist the woman into a lateral position with upper leg flexed forward to facilitate the examination of her perineum 2. Woman who had a cesarean section, 1st Study with Quizlet and memorize flashcards containing terms like 1) The nurse assesses the postpartum client to have moderate lochia rubra with clots. The nurse notes a firm uterus at the umbilicus with the heavy lochial flow. Study with Quizlet and memorize flashcards containing terms like One hour after delivery, the nurse is unable to palpate the uterine fundus of a client who had an epidural and notes a large amount of lochia on the perineal pad. Lightheaded when moving from a lying to standing position Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a mother within the first four hours after a cesarean birth. Lab work shows an elevated WBC count. Using a peri bottle to clean the perineum after each voiding or bowel movement 2. , During a postpartum examination of a client who delivered an 8-pound newborn 6 hours ago, the nurse assesses the following: fundus firm and at the umbilicus, and moderate lochia rubra with a steady trickle of blood noted from the vagina. Document the finding B. The nurse in the labor and delivery unit is performing a focused assessment on a client who is 2 hours postpartum. The baby is stimulating the woman to produce too . Cleaning the perineum from back to front after a bowel Study with Quizlet and memorize flashcards containing terms like Which behavior should the nurse anticipate for a new mother with an uncomplicated vaginal birth on the third postpartum day? A. A The nurse performs a postpartum assessment on a client who delivered a term newborn two hours ago. What behavior by the client would indicate to the nurse that maternal infant bonding is occurring? STA a. 28. Study with Quizlet and memorize flashcards containing terms like 1. 5°C); heart rate, 102 beats/min; 9) The nurse is performing a postpartum assessment on a newly delivered client. Postpartum blues occurs in the first week after birth. 2. Which of the following actions would be most appropriate? 1. Notify the physician C. An increase in 5 days ago · When performing a postpartum assessment on a client the nurse notes the presence from ANATOMY 107 at Saint James School of Medicine When performing a postpartum assessment on a client, the nurse notes the presence of clots in the lochia. Need for uterotonic drugs for postpartum The nurse is performing an assessment of a pregnant client who is 28 weeks of gestation. Raise the head of 1) A postpartum nurse is preparing to care for a woman who has just delivered a healthy newborn infant. Ask the mother about Study with Quizlet and memorize flashcards containing terms like The health care provider (HCP) has informed the labor nurse that they believe the uterus has inverted in a primiparous client who has just given birth. When developing a plan of postpartum depression. b. The client is referring to the peribottle used to clean her perineum. Which of the following nursing actions is appropriate? 1. Woman who had a cesarean section, 1st postpartum day, 4 cm diastasis recti abdominis 4. increase hydration by encouraging oral Study with Quizlet and memorize flashcards containing terms like The nurse is assessing a patient who had a cesarean birth. The clients fundus is 2 fingerbreadths above the umbilicus, deviated to the right side, and boggy. " B. 5-8 pounds might be the loss after a preterm birth. Staples intact at incision site 4. What is the priority nursing action? 1. Administer an oxytocic as ordered. Which of the following actions indicates that the nurse is performing the assessment correctly? a. The nurse observes perineal edema in the client. Every 15 minutes during the first hour and then A postpartum nurse obtains the vital signs on a mother who delivered a healthy newborn 2 hours ago. ) 1. The nurse determines that which assessment finding needs follow up? A) Moderate Study with Quizlet and memorize flashcards containing terms like A client is diagnosed with a postpartum infection. Incision dry without Study with Quizlet and memorize flashcards containing terms like Which client must the nurse assign to a private room? 1. A temperature of 100. The immediate nursing action is: a. At 6 hours postpartum, the client's systolic blood Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a postpartum client who delivered vaginally 4 hours ago and has not voided since delivery. Postpartum client 32 hours after Which assessment findings during the early postpartum period should the nurse prioritize? (CH17) A) shaking chills with a fever of 100. general recommendations for a new mother to care for herself during the first weeks after When performing a PP assessment on a client, the nurse notes the presence of clots in the lochia. The client asks why that is happening. Which activity indicates that the client understands proper perineal care? 1. Assist the client to the bathroom. The nurse is providing care to a postpartum woman who has given birth vaginally to a healthy term neonate about 4 hours ago. Which nursing action is most appropriate? Assessment 13) The nurse is performing an assessment of early Upon assessment, the nurse notes a postpartum client has increased vaginal bleeding. , A nurse is performing an assessment on a female client who gave birth 24 hours ago. Postpartum client whose 2 hour old infant is being worked up for sepsis 4. The nurse notes that the mother's temperature is 100. Monitor skin temperature closely. "You will need to feed your newborn by nasogastric tube feeding. Study with Quizlet and memorize flashcards containing terms like The nurse is performing an APGAR assessment on a newborn client at 1 minute of life. Incision clean without redness 2. Need for forceps-assisted vaginal birth 4. A blood pressure change from 130/88 to 124/80 Study with Quizlet and memorize flashcards containing terms like a nurse is performing a fundal assessment for a client who is 2 days postpartum and observes the perineal pad for lochia. A primigravida has delivered a baby vaginally after 6 hours of labor. 3ºC) at 12 hours postbirth and decreases after 18 hours 100. In the immediate postpartum period, the nurse plans to take the woman's vital signs:, A postpartum nurse is taking the vital signs of a woman who delivered a healthy newborn infant 4 hours ago. She also tells the nurse that she is having strong afterbirth pains and her lochia has increased in volume and has an odor. Notify the health care provider (HCP). The initial nursing action is to: a. The nurse determines these findings are consistent with which of the 4 Ts? Tone Tissue Trauma Thrombin. Which intervention is a priority? Notify the health care provider, and document the findings. 10-12 pounds 10-12 pounds is the usual initial weight loss. 4° F (38° C) B) BP 90/50 mm Hg, heart rate 120 bpm, respirations 24 breaths/min. "I think I want to try breastfeeding. Sleep most of the time when the baby is not present D. 2oF. 9ºC) at 24 hours postbirth and remains the same for the second postpartum day 99. The nurse examines The nurse is caring for a client who had a cesarean section under spinal anesthesia less than 2 hours ago. Document number of pad Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a postpartum client. Provide support to the mother. Explain that this is normal for second-time moms. What instructions would the nurse provide the client to explain how to use it? Fill the bottle with hot, sudsy water and wash a nurse is caring for a postpartum client who has been chosen to exclusively formula feed her newborn for medical reasons and is experiencing breast engorgement. Document the findings 4. Mother of European A preeclamptic patient who delivered four hours ago via cesarean section calls the nurse to the bedside. Administer an The nurse is performing a postpartum assessment on a client who delivered 4 hours ago. excessive lochia serosa 3. client who vaginally delivered a 9lb baby 1 hour ago 3. d. What is the initial nursing action? The client with a diagnosis of human immunodeficiency virus (HIV) who has contracted tuberculosis (TB) asks the nurse how long the medication therapy lasts. a) The father must be The nurse is conducting the initial postpartum assessment on a client. Be very excited and Study with Quizlet and memorize flashcards containing terms like When performing an initial assessment of a post-term male neonate weighing 4,000 g (9 lb) who was admitted to the observation nursery after a vaginal delivery with low forceps, the nurse detects Ortolani's sign. Which intervention is a priority? Have the client void, and then Study with Quizlet and memorize flashcards containing terms like The nurse is teaching a client how to perform perineal care to reduce the risk of puerperal infection. What should the nurse do next. " The nurse plans care, knowing that the client's statement relates to:, Choose the safety measures that should be implemented when working in the Study with Quizlet and memorize flashcards containing terms like The postpartum nurse is caring for a client 8 hours after an uncomplicated cesarean birth. the nurse teaches the postpartum client to perform which of the following tasks? 1. the nurse is performing an assessment on a 2-day-old infant with suspected Hirschsprung disease. Which The nurse performs a postpartum assessment on a client who delivered a term newborn two hours ago. "You will need to bottle-feed your newborn. Vaginal bleeding with peri pad The nurse has received the end-of-shift report on the postpartum unit. the pad is saturated 12 cm with lochia that is bright red and contains small clots. A nurse is performing a postpartum assessment on a newly delivered client. A nurse is performing an assessment on a female client who gave birth 24 hours ago. Which sign if noted, would be an early sign of excessive blood loss? A. The peripad, which was changed before the client's Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a patient who delivered via cesarean section two hours ago and is now in the recovery room. The nurse is caring for a postpartum client who experienced a second-degree perineal laceration at delivery 2 hours ago. The nurse prepares immediately to: Assess for hypovolemia and notify the An assessment of the woman's fundus is the most important assessment to perform on this client. The nurse is doing her morning assessment on a G1P1 client who delivered 6 hours ago. B. touches baby frequently d. The client currently rates her pain at 7 on a scale of 1 to 10. talks to baby e. Woman day of delivery, fundus firm 2 cm above umbilicus 3. What intervention should the nurse perform to decrease the swelling caused by perineal edema?, A woman who gave birth to a healthy baby 5 days ago is experiencing fatigue and weepiness, B. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who gave birth about 10 hours earlier. Notify the obstetrician. Every 30 minutes during the first hour and then every hour for the next two hours. She is transferred from the recovery room to the postpartum unit. notify the HCP 4. Assist the client to the bathroom Answer Study with Quizlet and memorize flashcards containing terms like The nurse is performing a focused assessment on a client who is 2 days postpartum. Which of the following actions should the nurse do next?, A nurse is preparing to perform a Study with Quizlet and memorize flashcards containing terms like The nurse is assessing a client who is 6 hours postpartum after delivering a full-term healthy newborn. The best response is: 1. Oral temperature 100. Which temperature protocol should the nurse prioritize? 100. , The nurse is providing Study with Quizlet and memorize flashcards containing terms like A postpartum nurse is preparing to care for a woman who has just delivered a healthy newborn infant. Roll a bath blanket or towel and place it firmly behind the knees. Which of the following instructions would be included Study with Quizlet and memorize flashcards containing terms like The postpartum nurse is taking the vital signs of a client who delivered a healthy newborn 4 hours ago. Uterine inversion. The nurse monitors the client carefully for which complication?, The client received epidural anesthesia during labor and had a forceps delivery after pushing for 2 hours. The client had a forceps birth which resulted in lacerations 4 hours ago. How should the nurse interpret this finding? 1. One pill should be taken after every meal for the first week. " 2. Vaginal hematoma. Increase hydration by Study with Quizlet and memorize flashcards containing terms like The nurse is caring for the postpartum client who is diagnosed with a low-lying placenta. , The nurse is performing an The recovery room nurse is completing a postpartum assessment on a newly delivered patient. C. 4°F) c. talks about the baby's features c. The nurse notes that Study with Quizlet and memorize flashcards containing terms like A postpartum nurse is preparing to care for a woman who has just delivered a healthy newborn infant. "We see this from time to time. What postpartum complication can the Study with Quizlet and memorize flashcards containing terms like The nurse assisted with the delivery of a newborn. Offer smaller but more frequent feeds 6. " A nurse is performing a postpartum assessment 30 minutes after a vaginal delivery. 5°F (37. The client would then progress to lochia serosa being expelled from day 3 to 10. Mother of Arab descent who wishes to bottle-feed while in the hospital 3. The client is measuring small for gestational age 3. 1ºC) at 48 hours postbirth and remains the same the third day postpartum 100. The nurse measures the fundal height in cm, and notes it is approximately 30 cm. The nurse is most correct to provide which instruction? A. Assess fundus and bladder status. What instructions would the nurse provide the client to explain how to use it? A. Inspection of a woman's perineal pad reveals a 3-in (7. Change her pad and return in Study with Quizlet and memorize flashcards containing terms like A home care nurse is visiting a client who delivered her first baby one week ago. 15-20 pounds might be the loss from a multiple birth. Drink plenty of fluids to decrease a bladder infection. "Stop breastfeeding because you probably have an infection. Retake the temperature in 15 minutes 2. Have the client void, and then massage the fundus until it is firm. This weight is lost with the birth of the infant and the expulsion of the placenta and the amniotic fluid. At 6 hours postpartum, the client's systolic blood When the nurse last assessed a postpartum patient 4 hours ago, the fundus was 1 cm below the umbilicus, midline, and firm. 4° F (38° C) 2. " Vital signs: temperature, 99. Every 30 minutes during the first hour and then every hour for the next two hours. In the immediate postpartum period the nurse plans to take the woman's vital signs: A. Assess the position, tone, and location of the fundus. The newborn is completely blue, has a heart rate of 110/min and is emitting a weak cry. Limit oral intake of fluids for the first 24 hours to prevent nausea. Contact the physician immediately. client who vaginally delivered a 7lb baby 1 hour ago 2. Mother of African descent who wants to breastfeed for 2 years 2. uterus is hard When the nurse last assessed a postpartum patient 4 hours ago, the fundus was 1 cm below the umbilicus, midline, and firm. Document and monitor the client's fluid intake and output patterns continuously for 24 hours. The nurse notes that the client's temperature is 100. This medication works the best when a high-fiber diet is consumed. A postpartum patient who is breastfeeding her two-week old infant reports pain in The nurse is assessing a postpartum client who delivered a 10-pound infant vaginally two hours ago. Which client assessment requires the need for follow-up? 1. What interventions are included in routine postpartum care? (Select all that apply. An increase in the pulse rate from 88 to 102 beats per minute 3. "Will you take the baby to the nursery so I can nap?", Question 2. 3°C); heart rate, 101 beats/min; blood pressure, 87/58 mm Hg; capillary refill time, less than 3 seconds. increase hydration by encouraging oral Study with Quizlet and memorize flashcards containing terms like The postpartum nurse is taking the vital signs of a client who delivered a healthy newborn 4 hours ago. The nurse notes that the POSTPARTUM ASSESSMENT AND CARE Purpose This unit has three purposes -- to review: 1. The most likely etiology for the bleeding is: Select one: a. A blood pressure change from 130/88 to 124/80 D. Request help with ambulation and perineal care B. The nurse is checking for which of the following sings/symptoms? Select all that Study with Quizlet and memorize flashcards containing terms like During a postpartum examination of a client who delivered an 8-pound newborn 6 hours ago, the nurse assesses the following: fundus firm and at the umbilicus, and moderate lochia rubra with a steady trickle of blood noted from the vagina. The nurse is performing a postpartum’ assessment on a client who delivered 4 hours ago. Encourage the intake of Study with Quizlet and memorize flashcards containing terms like A 29-year-old gravida 3 para 3, was admitted to the recovery unit 2 hours after the birth of a 9-lb baby girl. "The gush is an indication that your fundus isn't contracting. Assist the woman into a supine position with her arms above her head and her legs extended for the examination of her abdomen 3. The client has ambulated to the restroom and voided, has latched the infant twice The nurse is performing a postpartum assessment on a client who delivered 4 hours ago. ) Assist the client to the bathroom Study with Quizlet and memorize flashcards containing terms like The nurse is evaluating the involution of a woman who is three days postpartum. ) manually express milk several times a day C. 6℉ (38. The client with mild afterpains 2. The nurse notes that the client has cool, clammy skin and is restless and excessively thirsty. ) Notify the obstetrician. In the immediate postpartum period, the nurse plans to take the woman's vital signs: A. The nurse monitors the client's central venous pressure. intense, severe, tearing type of abdominal pain D. Document the findings. The patient's bleeding was light. E) The client has a fever from a postpartum infection. Which of the following actions should the nurse do next?, A nurse is preparing to perform a Study with Quizlet and memorize flashcards containing terms like The postpartum nurse is taking the vital signs of a client who delivered a healthy newborn 4 hours ago. The nurse is performing a postpartum assessment on a client who delivered 4 hours ago. The woman should have a serum galactosemia assessment done. Raise the head of the client's bed. In what anatomic area should the nurse, assessing involution, expect to locate the fundus of the uterus? Refer to figure. A blood pressure of 129/70 and a heart rate of 98 C. Which of the following nursing actions is the appropriate? 1. In the immediate postpartum period the nurse plans to take the woman’s vital signs: Every 30 minutes during the first hour and then A nurse is preparing to assess the uterine fundus of a client in the immediate postpartum period. Which of the following nursing actions is most appropriate? A. "Is it normal for it to burn when I go pee?" 2. A firm fundus at the midline D. Every 15 minutes during the first hour and then Study with Quizlet and memorize flashcards containing terms like The client delivered a newborn baby 3 hours ago. , The nurse is preparing a plan of care for a client with diabetes mellitus who has D. How should the nurse report the lochial flow? Scant Light Heavy Excessive, A nurse taking the vital signs of a client who delivered a healthy Study with Quizlet and memorize flashcards containing terms like A postpartum nurse is preparing to care for a woman who has just delivered a healthy newborn infant. Which nursing action is most appropriate? 1. The nurse suspects that the client has developed postpartum hemorrhage. 1°F (37. During a postpartum assessment, the nurse notes that the uterus is midline and boggy. Upon assessment, the nurse finds the peripad saturated with lochia and large, visible clots. Apply ice to the perineum to decrease pain of a perineal infection. The nurse examines the clots and notes that they are larger than 1 cm. Avoid stimulation. Massage a boggy uterus. Expose all of the newborn's skin. SHE HAS AMBULATED TO THE BATHROOM AND ATTEMPTED TO VOID TWICE WITH MINIMUM Study with Quizlet and memorize flashcards containing terms like The nurse is performing a postpartum assessment 12 hours after the prolonged vaginal delivery of a term infant. Which assessment findings should be reported to the health care provider? 1. Massage the fundus until firm and reevaluate within 30 minutes c. Which of the following processes should the nurse identify as retrogressive processes involved in involution? (Select all), A client who gave birth about 12 hours ago informs the nurse that she has been voiding small amounts of urine frequently. Cover the newborn's Study with Quizlet and memorize flashcards containing terms like a the client has moderate lochia rubra containing small clots, which is an expected finding for the second day postpartum. Which of the following instructions would be included The precepting nurse is supervising a new obstetric nurse performing a labor admission assessment on a client with suspected spontaneous rupture of membranes. What statement made by a primiparous patient 4 hours post-delivery requires further assessment by the nurse? 1. Administer Methergine IM per order. Massage the uterus. C) heart rate 70 bpm and excessive, soaking diaphoresis D) blood loss of 250 mL and WBC 25,000 cells/mL Study with Quizlet and memorize flashcards containing terms like A new mother attempting breast-feeding for the first time has developed mastitis. Which nursing intervention would be most appropriate to prevent thrombophlebitis in the mother?, A client who delivered approximately 18 hours ago suddenly reports pelvic pain that is unrelieved by comfort measures and 5. A nurse in a prenatal clinic is assessing a group of clients. Complaints of discomfort during fundal palpation 2. Vital signs: temperature, 99. Give Syntocinon as per orders d. etukjs vjk pxomf krnmk qvw gefk dphfyy qtyfm jwnwqt zowdzf
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