When preparing for and performing an assessment of the postpartum patient, the nurse would: Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. Ask the patient to void before assessing the uterus.
2. Inform the patient of the need for regular assessments.
3. Defer patient teaching to another time.
4. Perform the procedures as gently as possible.
5. Take precautions to prevent exposure to body fluids.
1,2,4,5
Rationale 1: Palpating the fundus when the woman has a full bladder might give false information about the progress of involution.
Rationale 2: Informing the patient of the purpose of regular assessments will allay any concerns the patient might have about her health status.
Rationale 3: The physical assessment is an excellent opportunity for patient teaching, and deferring the teaching is not necessary.
Rationale 4: The woman should be relaxed before starting, and procedures should be performed as gently as possible, to avoid unnecessary discomfort.
Rationale 5: Gloves should be worn when assessing the breasts, perineum, and lochia.
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