Author Question: On the first postpartum day, the nurse teaches the patient about breastfeeding. Two hours later, the ... (Read 67 times)

123654777 · **on:** Jun 27, 2018

On the first postpartum day, the nurse teaches the patient about breastfeeding. Two hours later, the mother seems to remember very little of the teaching. The nurse understands this memory lapse to be related to:

1. The taking-hold phase.
2. Postpartum hemorrhage.
3. The taking-in phase.
4. Epidural anesthesia.

Question 2

The nurse is admitting a patient for a cerclage procedure. The patient asks for information about the procedure. What is the nurse's most accurate response?

1. A stitch is placed in the cervix to prevent a spontaneous abortion or premature birth.
2. The procedure is done during the third trimester.
3. Cerclage is always placed after the cervix has dilated and effaced.
4. A stitch is placed at the very tip of the cervix.

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

Answer to Question 1

3
Rationale 1: The taking-hold phase occurs by the 2nd or 3rd day, when the mother is ready to resume control of her life and is open to teaching.
Rationale 2: Postpartum hemorrhage is a serious complication, and needs medical intervention. The memory lapse is unlikely to be related to hemorrhage.
Rationale 3: The taking-in phase, which occurs during the 1st day or two following birth, is characterized by a passive and dependent affect. The mother also might be in need of food and rest.
Rationale 4: Epidural anesthesia is a pharmacological approach to pain control. The memory lapse is unlikely to be related to anesthesia administered during labor.

Answer to Question 2

1
Rationale 1: This is the correct description of cerclage.
Rationale 2: Cerclage is performed late in first trimester or early in the second trimester.
Rationale 3: Cerclage is usually done prophylactically, but is sometimes done as an emergency.
Rationale 4: The stitch is placed at the internal os.