Author Question: What documentation on a woman's chart on postpartum day 14 indicates a normal involution process? ... (Read 60 times)

altibaby · **on:** Jun 27, 2018

What documentation on a woman's chart on postpartum day 14 indicates a normal involution process?

a. Moderate bright red lochial flow
b. Breasts firm and tender
c. Fundus below the symphysis and not palpable
d. Episiotomy slightly red and puffy

Question 2

How should the nurse respond to a parent who asks, How can I protect my baby from whooping cough?

a. Don't worry; your baby will have maternal immunity to pertussis that will last
until they are approximately 18 months old.
b. Make sure your child gets the pertussis vaccine.
c. See the doctor when the baby gets a respiratory infection.
d. Have your pediatrician prescribe erythromycin.

kiamars2010 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

C
Feedback
A The lochia should be changed by this day to serosa.
B Breasts are not part of the involution process.
C The fundus descends 1 cm/day, so by postpartum day 14 it is no longer palpable.
D The episiotomy should not be red or puffy at this stage.

Answer to Question 2

B
Feedback
A Infants do not receive maternal immunity to pertussis and are susceptible to
pertussis. Pertussis is highly contagious and is associated with a high infant
mortality rate.
B Primary prevention of pertussis can be accomplished through administration of
the pertussis vaccine.
C Prompt evaluation by the primary care provider for respiratory illness will not
prevent pertussis.
D Erythromycin is used to treat pertussis. It will not prevent the disease.