Which interventions can the nurse utilize to provide continuity of care for the postpartal patient who experienced a complication and is now ready to return home? Note: Credit will be given only if all correct choices and no incorrect choices
are selected. Select all that apply. 1. Encourage the patient to take advantage of home visits.
2. Make telephone calls as a follow-up to check on the patient and newborn.
3. Provide information about postpartal support groups.
4. Refer to mental health professionals to help screen the patient for any mental health problems as a result of the complications experienced in the hospital.
5. Supply information about postpartal classes designed to meet the specific needs of a variety of families.
1,2,3,5
Rationale 1: Home visits are effective measures for extending comprehensive care into the home setting.
Rationale 2: Telephone calls are effective measures for extending comprehensive care into the home setting.
Rationale 3: Support groups in which child care is available can be an invaluable community service for the postpartum patient.
Rationale 4: Referrals to mental health professions are not necessary unless there is a recognized concern or signal that further mental health evaluation is needed.
Rationale 5: A series of structured classes might focus on such topics as parenting, postpartal exercise, or nutrition.
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The perinatal nurse notes a rapid decrease in the fetal heart rate that does not recover immediately following an amniotomy. The most likely cause of this obstetrical emergency is:
A) Prolapsed umbilical cord B) Vasa previa C) Oligohydramnios D) Placental abruption
Drug names should not be abbreviated
Indicate whether the statement is true or false
A 35-year-old client with a cervical injury is provided with a halo device to stabilize the neck. What measures must the nurse employ when caring for a client with this type of device?
A) Place the client in an antidecubitus bed, if possible. B) Tighten the halo device with a wrench if it loosens. C) Monitor the client for any difficulty in swallowing. D) Instruct the client to stay in bed until the injury heals.