A postpartal patient recovering from deep vein thrombosis is ...

[Mimi]

A postpartal patient recovering from deep vein thrombosis is being discharged.
 
  What areas of teaching on self-care and anticipatory guidance should the nurse discuss with the patient? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Avoid crossing the legs.
  2. Avoid prolonged standing or sitting.
  3. Take frequent walks.
  4. Take a daily aspirin dose of 650 mg.
  5. Avoid long car trips.

Question 2

The nurse is preparing a client education handout on the differences between false labor and true labor. What information is most important for the nurse to include?
 
  1. True labor contractions begin in the back and sweep toward the front.
  2. False labor often feels like abdominal tightening, or balling up.
  3. True labor can be diagnosed only if cervical change occurs.
  4. False labor contractions do not increase in intensity or duration.

[mohan]

Answer to Question 1

1,2,3
Rationale 1: Crossing the legs puts pressure on them.
Rationale 2: Prolonged standing or sitting contributes to venous stasis.
Rationale 3: Frequent walks promote venous return.
Rationale 4: Taking a daily aspirin increases anticoagulant activity, and should be avoided if the patient is being treated with other anticoagulants.
Rationale 5: Avoiding long car trips is not necessary. The patient should be told to take frequent breaks during car trips, but not to avoid them entirely.

Answer to Question 2

3
Explanation: 3. Cervical change is the only factor that actually distinguishes false from true labor. The contractions of true labor produce progressive dilatation and effacement of the cervix. The contractions of false labor do not produce progressive cervical effacement and dilatation.