Author Question: Ms. P has delivered her first baby 30 minutes ago and the placenta delivered 15 minutes ago. She is ... (Read 21 times)

captainjonesify · **on:** Jun 28, 2018

Ms. P has delivered her first baby 30 minutes ago and the placenta delivered 15 minutes ago. She is attempting to breastfeed her newborn daughter for the first time. Which action by the nurse would NOT be appropriate?

a. The nurse is checking the BP every 15 minutes
b. The nurse is massaging the fundus vigorously
c. The nurse is auscultating the infant's heart and lungs while on the mother's chest
d. The nurse is leaving the patient unattended for 30 minutes to bond with her newborn

Question 2

A labor nurse is caring for a patient, 39 weeks' gestation, who has been diagnosed with placenta previa. Which of the following physician orders should the nurse question?

a. Type and cross-match her blood.
b. Insert an internal fetal monitor electrode.
c. Administer an oral stool softener.
d. Assess her complete blood count.

huda · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: d
During the fourth stage of labor the mothers should not be left unattended as maternal bleeding needs to be closely monitored.

Answer to Question 2

ANS: b
Feedback
a. It would be appropriate to type and cross-match the patient for a blood transfusion.
b. This action is inappropriate. When a patient has a placenta previa, nothing should be inserted into the vagina.
c. To prevent constipation, it is appropriate for a patient to take a stool softener.
d. It is appropriate to monitor the patient for signs of anemia.