The nurse is providing postpartum care to an obese client. As part of care for this client, the nurse should do which of the following? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. Apply sequential compression devices
2. Have the mother ambulate as early as possible
3. Encourage bottle-feeding over breastfeeding
4. Supervise breastfeeding
5. Instruct the client on signs of infection
1, 2, 4, 5
Explanation: 1. The use of sequential compression devices (SCDs) and early ambulation are essential to the prevention of deep vein thrombosis, especially if the client had a cesarean birth.
2. Ambulation should be encouraged as soon as possible to prevent pneumonia.
4. The new mother may need extra supervision and assistance when breastfeeding her baby to ensure newborn safety.
5. The obese client has needs similar to all postpartum client, but she needs special attention to prevent injury, respiratory complications, thromboembolic disease, and infection, for which she is at high risk.
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