Author Question: The postpartum homecare nurse is assessing a new mother, and finds her temperature to be 101.6F. ... (Read 69 times)

Frost2351 · **on:** Jun 27, 2018

The postpartum homecare nurse is assessing a new mother, and finds her temperature to be 101.6F. What is the most important nursing action?

1. Ask the mother how often and how well the baby is nursing.
2. Determine the frequency of the mother's voiding and stooling.
3. Verify how many hours of sleep she is getting per day.
4. Assess the odor and color of the lochia and perineum.

Question 2

The nurse knows that the Bishop scoring system for cervical readiness includes cervical dilatation, consistency, position, and: Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

1. Fetal station.
2. Fetal lie.
3. Fetal presenting part.
4. Cervical effacement.
5. Cervical softness.

choc0chan · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

4
Rationale 1: A fever might indicate mastitis. Palpation of the breasts for warm or hardened areas is much better than asking about feedings, because mothers of good feeders can develop mastitis.
Rationale 2: If she is voiding frequently, she might have a UTI, but the frequency of bowel movements is not related to a UTI.
Rationale 3: Although it is common for new mothers to be fatigued, fatigue does not cause fever.
Rationale 4: If the lochia is malodorous, or if the perineum is reddened or malodorous, an infection is present that could be causing the fever.

Answer to Question 2

1,4,5
Rationale 1: Fetal station is one of the components evaluated by the Bishop scoring system.
Rationale 2: Fetal lie is not one of the components evaluated by the Bishop scoring system.
Rationale 3: The presenting part is not one of the components evaluated by the Bishop scoring system.
Rationale 4: Cervical effacement is one of the components evaluated by the Bishop scoring system.
Rationale 5: Cervical consistency is one of the components evaluated by the Bishop scoring system.