Author Question: The nurse is teaching childbirth education classes. Teaching has been successful if the primiparous ... (Read 38 times)

Brittanyd9008 · **on:** Jun 27, 2018

The nurse is teaching childbirth education classes. Teaching has been successful if the primiparous patient states: I can reduce the likelihood that I'll tear or need an episiotomy if I:

1. Push in a semi-sitting position.
2. Make sure I push long and hard.
3. Begin regular perineal massage.
4. Pull back on my legs when pushing.

Question 2

The patient with -thalassemia intermedia has a hemoglobin level of 9.0. The nurse is preparing an education session for the patient. Which statement should the nurse include?

1. You need to increase your intake of meat and other iron-rich foods.
2. Your low hemoglobin could put you into preterm labor.
3. Increasing your vitamin C intake will help your hemoglobin level.
4. You should not take iron or folic acid supplements.

hollysheppard095 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

3
Rationale 1: The semi-sitting or lithotomy position increases the likelihood of perineal lacerations.
Rationale 2: Short pushes during the expulsion of the head decrease the likelihood of perineal lacerations.
Rationale 3: Perineal massage has been shown to decrease the need for episiotomy in primiparous patients.
Rationale 4: Pulling back on the legs while pushing tightens the perineal tissue, which in turn increases the likelihood of perineal lacerations.

Answer to Question 2

4
Rationale 1: Iron-rich foods and supplementation should be avoided to prevent iron overload.
Rationale 2: Because the patient's iron levels are normal, increasing dietary iron will not affect the hemoglobin.
Rationale 3: Vitamin C increases iron absorption, but a patient with thalassemia does not need additional iron.
Rationale 4: -thalassemia intermedia is due to an abnormal red blood cell structure, which leads to microcytic anemia with normal ferritin and iron levels.