Author Question: The patient delivered her 2nd child yesterday, and is preparing to be discharged. She expresses ... (Read 87 times)

cool · **on:** Jun 27, 2018

The patient delivered her 2nd child yesterday, and is preparing to be discharged. She expresses concern to the nurse because she developed an upper urinary tract infection (UTI) after the birth of her first child.

Which statement indicates that the patient needs additional teaching about this issue? 1. If I start to have burning with urination, I need to call the doctor.
2. Drinking 8 glasses of water each day will help prevent another UTI.
3. I will remember to wipe from front to back after I move my bowels.
4. Voiding two or three times per day will help prevent a recurrence.

Question 2

Which client requires immediate intervention by the labor and delivery nurse?

1. Client at 8 cm, systolic blood pressure has increased 35 mm Hg
2. Client who delivered 1 hour ago with WBC of 50,000
3. Client at 5 cm with a respiratory rate of 22 between contractions
4. Client in active labor with polyuria

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

Answer to Question 1

4
Rationale 1: Burning with urination is a common symptom of a UTI.
Rationale 2: Drinking 8 or more glasses of water per day will help to prevent the development of a UTI.
Rationale 3: Wiping from front to back after bowel movements will help to prevent the development of a UTI.
Rationale 4: Voiding only two or three times per day is not sufficient to prevent recurrence of a urinary tract infection (UTI).

Answer to Question 2

2
Explanation: 2. The white blood cell (WBC) count increases to 25,000/mm3 to 30,000/mm3 during labor and early postpartum. This count is abnormally high, and requires further assessment and provider notification.