Concerning afterbirth pains, nurses should be aware that they are:
1. caused by mild continuous contractions for the duration of the postpartum.
2. more common in first-time mothers.
3. more noticeable in births in which the uterus was overdistended.
4. lessened when the mother breastfeeds.
3
1. Incorrect. The cramping that causes afterbirth pains is caused by periodic vigorous con-tractions and relaxation persisting through the first part of the postpartum.
2. Incorrect. Afterbirth pains are more common in multiparous women because first-time mothers have better uterine tone.
3. Correct. A large baby or multiple babies overdistend the uterus.
4. Incorrect. Breastfeeding intensifies afterbirth pains because it stimulates contractions.
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When developing a care plan to teach a patient with hypertension about sodium intake, the nurse should include limiting sodium intake to:
A) 2,300-2,500 mg/day. B) 2,000-2,300 mg/day. C) 1,500-2,000 mg/day. D) less than 1,500 mg/day.
Which client is most at risk for the development of gallstones?
A. 22-year-old woman who is 1 month postpartum B. 65-year-old woman after a liquid protein diet C. 70-year-old man with peptic ulcer disease D. 33-year-old man with type 2 diabetes
A woman is admitted to the birth setting in early labor. She is 3 cm dilated, -2 station, with intact membranes and FHR of 150 beats/min. Her membranes rupture spontaneously, and the FHR drops to 90 beats/min with variable decelerations
What would the initial response from the nurse be? 1. Perform a vaginal exam. 2. Notify the physician. 3. Place the client in a left lateral position. 4. Administer oxygen at 2 L per nasal cannula.
A child born with Dandy Walker malformation is receiving palliative care in the pediatric unit. A nurse should:
1. Provide the parents, patient, and family members with supportive care during this time. 2. Ask the parents to be part of the plan of care as much as possible. 3. Attempt to provide a primary nurse for this particular patient on each shift. 4. All of the above are correct.