Author Question: The nurse is assessing patients after delivery. For which patient is early discharge at 24 hours ... (Read 34 times)

ETearle · **on:** Jun 27, 2018

The nurse is assessing patients after delivery. For which patient is early discharge at 24 hours after delivery appropriate?

1. Multipara, has had two successful breastfeedings.
2. Primipara, bottle-feeding, has not voided since delivery.
3. Multipara, twins delivered at 35 weeks, bottle-feeding
4. Primipara, cesarean birth performed for fetal distress

Question 2

The client at 9 weeks' gestation has been told that her HIV test was positive.

The client is very upset, and tells the nurse, I didn't know I had HIV What will this do to my baby? The nurse knows teaching has been effective when the client makes which statement? 1. I cannot take the medications that control HIV during my pregnancy, because they will harm the baby.
2. My baby can get HIV during the pregnancy and through my breast milk.
3. The pregnancy will increase the progression of my disease and will reduce my CD4 counts.
4. The HIV won't affect my baby, and I will have a low-risk pregnancy without additional testing.

mcni194 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

1
Rationale 1: Both mother and infant must be physiologically stable for early discharge. Feeding successfully is one of the physiologic needs of the infant, just as voiding is a physiologic need of the mother.
Rationale 2: Both mother and infant must be physiologically stable for early discharge. Voiding is a physiologic need of the mother.
Rationale 3: Preterm infants are not appropriate for early discharge.
Rationale 4: Infants who experienced distress in labor are not appropriate for early discharge.

Answer to Question 2

2
Explanation: 2. HIV transmission can occur during pregnancy and through breast milk; however, it is believed that the majority of all infections occur during labor and birth.