A 26-year-old client is having her initial prenatal appointment. ...

[corkyiscool3328]

A 26-year-old client is having her initial prenatal appointment. The client reports to the nurse that she suffered a pelvic fracture in a car accident 3 years ago.
 
  The client asks whether her pelvic fracture might affect her ability to have a vaginal delivery. What response by the nurse is best? 1. It depends on how your pelvis healed.
  2. You will need to have a cesarean birth.
  3. Please talk to your doctor about that.
  4. You will be able to delivery vaginally.

Question 2

Put the following components specific to a postpartum examination in the proper sequential order: Click and drag the options below to move them up or down.
 
  1. L-lochia
  2. E-emotional
  3. H-Homans'/hemorrhoids
  4. B-breasts
  5. E-episiotomy/lacerations

[catron30]

Answer to Question 1

1
Explanation: 1. Women with a history of pelvic fractures may also be at risk for cephalopelvic disproportion (CPD).

Answer to Question 2

2,5,4,1,3
Rationale 1: The nurse checks the fundus and assesses the lochia.
Rationale 2: The emotional status of the patient should always be assessed, and is the last step.
Rationale 3: After checking the episiotomy, the nurse assesses for the presence of hemorrhoids.
Rationale 4: The breasts are examined first in a head-to-toe assessment.
Rationale 5: Examining the episiotomy follows assessment of the lochia.