Chapter 34 The Postpartum Family: Needs and Care

Chapter 34   The Postpartum Family: Needs and Care

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

1) The nurse assesses the postpartum client to have moderate lochia rubra with clots. Which nursing intervention would be appropriate?

1. Assess fundus and bladder status.
2. Catheterize the client.
3. Administer Methergine IM per order.
4. Contact the physician immediately.

Answer:  1

Explanation:  1. The amount, consistency, color, and odor of the lochia are monitored on an ongoing basis. Increased bleeding is most often related to uterine atony and responds to fundal massage, expression of any clots, and emptying the bladder.

Page Ref: 891

Cognitive Level:  Applying

Client Need/Sub:  Physiological Integrity: Reduction of Risk Potential

Standards:  QSEN Competencies: V. B. 1. Demonstrate effective use of technology and standardized practices that support safety and quality. | AACN Essentials Competencies: IX. 7. Implement evidence-based nursing interventions as appropriate for managing the acute and chronic care of patients and promoting health across the lifespan. | NLN Competencies: Quality and Safety: Communicate potential risk factors and actual errors. | Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome:  2 Discuss appropriate nursing interventions to promote maternal comfort and well-being.

MNL LO:  5.1.1 Examine the components of a postpartum assessment.

 

2) The nurse is providing education to the new family. Which question by the nurse is best?

1. “Do you know how to give the baby a bath?”
2. “You have diapers and supplies at home, right?”
3. “How have your breastfeedings been going?”
4. “How much formal education do you have?”

Answer:  3

Explanation:  3. This is an open-ended question about an important physiologic issue. A discussion that includes both partners can facilitate an open dialog between them and can provide an opportunity for questions and answers.

Page Ref: 887

Cognitive Level:  Applying

Client Need/Sub:  Health Promotion and Maintenance: Ante/Intra/Postpartum and Newborn Care

Standards:  QSEN Competencies: I. B. 10. Engage patients or designated surrogates in active partnerships that promote health, safety and well-being, and self-care management. | AACN Essentials Competencies: IX. 7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care. | NLN Competencies: Relationship-Centered Care; Communicate information effectively; listen openly and cooperatively. | Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome:  4 Identify patient teaching topics for promoting postpartum family wellness.

MNL LO:  5.4.1 Develop a discharge teaching plan for the postpartum patient.

3) The postpartum nurse provides anticipatory guidance for the new mother as well as teaching on self-care and infant care before discharge. Which topics should be included?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Select all that apply.

1. Role changes brought on by the addition to the family unit
2. The realities of having a new baby, and how it affects previous lifestyle
3. Potential complications such as infant colic and postpartum issues
4. Sexuality and contraception
5. Toilet-training and preschool options

Answer:  1, 2, 3, 4

Explanation:  1. It is helpful for the nurse to advise parents that they may experience feelings of uncertainty as they grow into the parental role and alter their family processes to accommodate the new family member.

2. Guidance is essential in assisting the family to cope with role changes and the realities of a new baby.
3. Guidance is essential in assisting the family to cope with potential complications such as infant colic and postpartum health issues.
4. It is important for the nurse to present information about changes that may affect sexual activity and to discuss the importance of contraception during the early postpartum period.

Page Ref: 887, 888

Cognitive Level:  Applying

Client Need/Sub:  Health Promotion and Maintenance: Ante/Intra/Postpartum and Newborn Care

Standards:  QSEN Competencies: I. B. 10. Engage patients or designated surrogates in active partnerships that promote health, safety and well-being, and self-care management. | AACN Essentials Competencies: IX. 7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care. | NLN Competencies: Relationship-Centered Care: Communicate information effectively; listen openly and cooperatively. | Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome:  1 Delineate nursing responsibilities for patient teaching during the early postpartum period.

MNL LO:  5.4.1 Develop a discharge teaching plan for the postpartum patient.

 

4) A client is preparing to take a sitz bath for the first time. What will the nurse do?

1. Allow the client privacy during the sitz bath.
2. Place a call bell well within reach and check on the client frequently.
3. Discourage the client from taking a sitz bath.
4. Check on the client after the sitz bath.

Answer:  2

Explanation:  2. The nurse should explain the purpose and use of the sitz bath, anticipated effects, benefits, possible problems, and safety measures to prevent slipping or an injury from hot water. A call bell would be a safety measure.

Page Ref: 895

Cognitive Level:  Understanding

Client Need/Sub:  Safe and Effective Care Environment: Safety and Infection Control

Standards:  QSEN Competencies: I. B. 10. Engage patients or designated surrogates in active partnerships that promote health, safety and well-being, and self-care management. | AACN Essentials Competencies: IX. 7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care. | NLN Competencies: Relationship-Centered Care: Communicate information effectively; listen openly and cooperatively. | Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome:  2 Discuss appropriate nursing interventions to promote maternal comfort and well-being.

MNL LO:  5.2.1 Determine nursing interventions that promote maternal comfort during the postpartum period.

 

5) A postpartum client has just received a rubella vaccination. The client demonstrates understanding of the teaching associated with administration of this vaccine when she states which of the following?

1. “I will need another vaccination in 3 months.”
2. “I must avoid getting pregnant for 1 month.”
3. “This will prevent me from getting chickenpox.”
4. “This will protect my newborn from getting the measles.”

Answer:  2

Explanation:  2. The client must avoid pregnancy for at least 1 month after receiving the rubella vaccine.

Page Ref: 898

Cognitive Level:  Applying

Client Need/Sub:  Health Promotion and Maintenance: Ante/Intra/Postpartum and Newborn Care

Standards:  QSEN Competencies: I. B. 10. Engage patients or designated surrogates in active partnerships that promote health, safety and well-being, and self-care management. | AACN Essentials Competencies: IX. 7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care. | NLN Competencies: Relationship-Centered Care: Communicate information effectively; listen openly and cooperatively. | Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome:  1 Delineate nursing responsibilities for patient teaching during the early postpartum period.

MNL LO:  5.4.1 Develop a discharge teaching plan for the postpartum patient.