To facilitate adequate urinary elimination during the postpartum period, the nurse should incorporate which intervention into the plan of care?
- A. Have the patient drink carbonated beverages to promote urinary excretion.
- B. Tell the patient that because of postpartum diuresis there is less risk to develop dehydration.
- C. Limit fluid intake to prevent polyuri
- D. Teach the patient to perform pelvic floor exercises to combat potential stress
Correct Answer: D
Rationale: The correct answer is D, teaching the patient to perform pelvic floor exercises to combat potential stress incontinence. This intervention strengthens pelvic floor muscles, aiding in bladder control postpartum. Choice A is incorrect as carbonated beverages can irritate the bladder. Choice B is incorrect as postpartum diuresis increases fluid loss, increasing the risk of dehydration. Choice C is incorrect as limiting fluid intake can lead to dehydration and hinder urinary elimination.
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A nurse is doing a newborn assessment on a new admission to the nursery. Which of the following actions should the nurse make when evaluating the baby for developmental dysplasia of the hip (DDH)? Select one that doesn't apply
- A. Grasp the baby's legs with the thumbs on the inner thighs and forefingers on the outer thighs.
- B. Gently adduct and abduct the baby's thighs.
- C. Palpate the trochanter during hip rotation.
- D. Place the baby in a fetal position.
Correct Answer: D
Rationale: These maneuvers help detect instability or asymmetry in the hips indicative of DDH.
A rubella nonimmune, breastfeeding client has just received the rubella vaccine. Which of the following side effects should the nurse warn the client about?
- A. The baby may develop a rash a week after the shot.
- B. The baby may temporarily reject the breast milk.
- C. The mother's milk supply may decrease precipitously.
- D. The mother's joints may become painful and stiff.
Correct Answer: D
Rationale: Rubella vaccine may cause joint pain as a side effect.
Which action should the nurse take in order to provide support and encouragement to the new postpartum patient?
- A. Recount how she solved her own problems.
- B. Correct the new mother at every opportunity.
- C. Praise the mother’s early attempts at infant car
- D. Explain to the new mother that everything will be fine
Correct Answer: C
Rationale: The correct answer is C: Praise the mother’s early attempts at infant care. This choice focuses on positive reinforcement, which can boost the new mother's confidence and encourage her in her new role. By acknowledging and praising her efforts, the nurse can help build the mother's self-esteem and foster a supportive environment.
Choices A and D do not directly provide support and encouragement to the new mother. Recounting how the nurse solved her own problems (Choice A) may come off as self-centered and not helpful to the new mother's situation. Explaining that everything will be fine (Choice D) may minimize the new mother's feelings and concerns.
Choice B, correcting the new mother at every opportunity, is not supportive or encouraging. It can undermine the mother's confidence and create a negative dynamic. It is important for the nurse to focus on positive reinforcement and support to help the new mother navigate the challenges of postpartum care.
What theory developed by Ramona Mercer focused on the process of becoming a mother?
- A. Maternal Role Attainment
- B. Postpartum Adapting
- C. Postpartum Maternal Change
- D. Maternal Encouragement
Correct Answer: A
Rationale: The correct answer is A: Maternal Role Attainment. Mercer's theory emphasizes the process through which a woman acquires the maternal role, including changes in behavior, attitudes, and values. Choice B, Postpartum Adapting, is vague and doesn't specifically address the process of becoming a mother. Choice C, Postpartum Maternal Change, is too general and lacks the focus on role attainment. Choice D, Maternal Encouragement, is not a theory developed by Ramona Mercer and does not capture the essence of the maternal role attainment process.
Which symptom would the nurse expect to observe in a postpartum client with a vaginal hematoma?
- A. Pain.
- B. Bleeding.
- C. Warmth.
- D. Redness.
Correct Answer: A
Rationale: Pain is a common symptom of a vaginal hematoma.