Author Question: The nurse is speaking to a community group about the controversy regarding the length of the ... (Read 33 times)

berenicecastro · **on:** Jun 27, 2018

The nurse is speaking to a community group about the controversy regarding the length of the hospital stay for postpartum clients. Which statement indicates that a participant needs additional information?

1. As of 1998, there's a law that requires insurance to pay for a 48-hour stay after an uncomplicated birth.
2. The length of stay was shortened by insurance companies to decrease healthcare costs.
3. Early discharge became more popular in the 1980s as an alternative to having a home birth.
4. With current length-of-stay laws, newborns have no problems at home, and get recommended follow-up care.

Question 2

The nurse is providing postpartum care to an obese client. As part of care for this client, the nurse should do which of the following? Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Select all that apply. 1. Apply sequential compression devices
2. Have the mother ambulate as early as possible
3. Encourage bottle-feeding over breastfeeding
4. Supervise breastfeeding
5. Instruct the client on signs of infection

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

Answer to Question 1

4
Explanation: 4. Even with the current length-of-stay laws, many newborns do not always receive the recommended follow-up care when they go home early. The health and stability of the mother and baby, the mother's ability and confidence regarding self and newborn care, support systems available, and access to follow-up care should form the basis of the decision.

Answer to Question 2

1, 2, 4, 5
Explanation: 1. The use of sequential compression devices (SCDs) and early ambulation are essential to the prevention of deep vein thrombosis, especially if the client had a cesarean birth.
2. Ambulation should be encouraged as soon as possible to prevent pneumonia.
4. The new mother may need extra supervision and assistance when breastfeeding her baby to ensure newborn safety.
5. The obese client has needs similar to all postpartum client, but she needs special attention to prevent injury, respiratory complications, thromboembolic disease, and infection, for which she is at high risk.