Author Question: The nurse is at the home of a postpartum patient for an initial assessment. The patient gave birth ... (Read 42 times)

jho37 · **on:** Jun 27, 2018

The nurse is at the home of a postpartum patient for an initial assessment. The patient gave birth by cesarean section 1 week earlier.

Which statements should the nurse include? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Because you had a cesarean, I'd like to assess your incision.
2. You aren't having any problems nursing, right?
3. How rested do you feel since you came home?
4. Since you are bottle-feeding, I won't assess your breasts.
5. You should remain at home for the first 3 weeks after delivery.

Question 2

The mother of a 3-day-old infant calls the clinic and reports that her baby's skin is turning slightly yellow. What should the nurse explain to the mother?

1. Physiologic jaundice is normal, and peaks at this age.
2. The newborn's liver is not working as well as it should.
3. The baby is yellow because the bowels are not excreting bilirubin.
4. The yellow color indicates that brain damage might be occurring.

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

Answer to Question 1

1,3
Rationale 1: The homecare nurse should assess the cesarean incision.
Rationale 2: Therapeutic communication prohibits asking leading questions.
Rationale 3: The homecare nurse should assess the mother's level of rest/sleep and fatigue. New mothers should be instructed to match their activities to their energy level.
Rationale 4: Breasts should be assessed for engorgement even for bottle-feeding mothers.
Rationale 5: New mothers should be instructed to match their activities to their energy level.

Answer to Question 2

1
Explanation: 1. Physiologic jaundice occurs soon after birth. Bilirubin levels peak at 3 to 5 days in term infants.