Author Question: The nurse is caring for a patient who delivered by cesarean birth. The patient received a general ... (Read 59 times)

newyorker26 · **on:** Jun 27, 2018

The nurse is caring for a patient who delivered by cesarean birth. The patient received a general anesthetic.

To prevent or minimize abdominal distention, the nurse would encourage: Note: Credit will be given if all correct choices and no incorrect choices are selected. Select all that apply. 1. Increased intake of cold beverages.
2. Leg exercises every 2 hours.
3. Abdominal tightening.
4. Ambulation.
5. Eating a high-protein general diet.

Question 2

The client has been pushing for two hours, and is exhausted. The fetal head is visible between contractions. The physician informs the client that a vacuum extractor could be used to facilitate the delivery.

Which statement indicates that the client needs additional information about vacuum extraction assistance? 1. A small cup will be put onto the baby's head, and a gentle suction will be applied.
2. I can stop pushing and just rest if the vacuum extractor is used.
3. The baby's head might have some swelling from the vacuum cup.
4. The vacuum will be applied for a total of ten minutes or less.

adammoses97 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

2,3,4
Rationale 1: Increased intake of cold beverages would increase the distention through increase of gas and constipation.
Rationale 2: Leg exercises every 2 hours serve to prevent or minimize abdominal distention in a surgical patient who received a general anesthetic.
Rationale 3: Abdominal tightening serves to prevent or minimize abdominal distention in a surgical patient who received a general anesthetic.
Rationale 4: Ambulation serves to prevent or minimize abdominal distention in a surgical patient who received a general anesthetic.
Rationale 5: Eating a high-protein general diet would increase the distention through increase of gas and constipation.

Answer to Question 2

2
Explanation: 2. Vacuum extraction is an assistive delivery. The physician/CNM applies traction in coordination with uterine contractions.