On the first postpartum home visit, the nurse finds that the patient is not carrying out all of the instructions given her when she was hospitalized. Which remark by the nurse is most appropriate?
a. "Don't you remember how the nurses taught you to do this?"
b. "It's very important that you do exactly as I say. I want you to read this material before I return next week."
c. "Why aren't you following the directions we gave you?"
d. "Childbirth is so overwhelming—it's easy to forget what people tell you. Let's review the instructions."
ANS: D
During the postpartum period, the woman may be overwhelmed with information and remember little of it. Therefore, verbal information should be reinforced and supplemented with written material. Option D demonstrates acceptance of the patient and an offer to repeat necessary information.
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