The nurse is caring for a postpartum patient who is experiencing afterpains following the birth of her third child
Which comfort measure should the nurse implement to decrease her pain? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Offer a warm water bottle for her abdomen.
2. Call the physician to report this finding.
3. Inform her that this is not normal, and she will need an oxytocic agent.
4. Administer a mild analgesic to help with breastfeeding.
5. Administer a mild analgesic at bedtime to ensure rest.
1,4,5
Rationale 1: The nurse should offer comfort measures that address the discomfort of afterpains. A warm water bottle against the abdomen can reduce pain.
Rationale 2: It is not necessary to report this finding to the physician.
Rationale 3: Afterpains are not abnormal in multiparas. Oxytocic agents increase the discomfort of afterpains.
Rationale 4: A mild analgesic taken 1 hour before breastfeeding helps reduce discomfort, and is not harmful to the infant.
Rationale 5: The nurse should offer comfort measures that address the discomfort of afterpains. A mild analgesic will decrease pain.
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