A nurse is performing a postpartum assessment during the first home visit to a patient 3 days postdelivery. Which actions will the nurse perform? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. Palpate the breasts.
2. Ausculate the carotid.
3. Check vaginal discharge.
4. Assess the extremities.
5. Inspect the perineum.
1,3,4,5
Rationale 1: The nurse needs to assess for fullness and engorgement.
Rationale 2: This is not part of the postpartum assessment.
Rationale 3: The nurse should check vaginal discharge for amount and color.
Rationale 4: The extremities should be checked for any redness, hard areas, and tenderness.
Rationale 5: The perineum needs to be checked for healing.
You might also like to view...
Community based (outpatient) facilities can provide which of the following services: Standard Text: Select all that apply
1. Adult day care 2. Client education 3. Respite care 4. Coronary care services 5. Custodial care
Of the following list of patients, which would be considered at high risk to be members of a vulnerable population? (Select all that apply.)
a. An immigrant who speaks only Chinese b. An Hispanic truck driver who speaks limited English c. A 22-year-old pregnant woman d. A 15-year-old rape victim e. A 40-year-old schizophrenic
The client has recently been diagnosed with cancer. The nurse develops a plan to teach the client about the most effective treatments for cancer. What treatment options will the nurse include in this teaching?
1. Surgery 2. Chemotherapy 3. Nutrition therapy 4. Alternative medicine 5. Radiation therapy
The heart is a muscle
Indicate whether the statement is true or false