The postpartum nurse is planning discharge teaching for the ...

[lak]

The postpartum nurse is planning discharge teaching for the postpartum mother, who has two other children at home. What is the best way to provide instruction to this patient?
 
  1. Provide all information while discharging the patient.
  2. Provide written discharge material only.
  3. No teaching is required, as this is not the patient's first postpartum experience.
  4. Deliver information a little at a time and repeat it until discharge.

Question 2

The nurse is counseling a group of first-trimester patients on diet increases that are necessary during pregnancy.
 
  Which information would be necessary to tell the pregnant women? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. An increase of protein is necessary to provide amino acids necessary for fetal development.
  2. Protein contributes to the body's overall energy metabolism.
  3. The recommended protein during pregnancy is 60 g each day.
  4. The increased amount of protein that a pregnant woman needs is 8 g a day.
  5. The quality of protein is as important as the amount.

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Answer to Question 1

4
Rationale 1: Providing all information at one time is not the best way to teach.
Rationale 2: Providing only written instruction is not the best way to teach.
Rationale 3: Discharge teaching is always done, regardless of how many children the patient has had.
Rationale 4: Information should be delivered a little at a time and repeated to make sure that the parents understand what the nurse has discussed with them.

Answer to Question 2

1,2,3,5
Rationale 1: Protein is important for fetal development, increased maternal blood volume, and growth of other maternal tissues.
Rationale 2: Protein is needed for overall energy metabolism.
Rationale 3: The amount of protein recommended each day during pregnancy is 60 g.
Rationale 4: A pregnant woman needs at least 14 mg more protein than does a nonpregnant woman.
Rationale 5: Protein quality can vary. For instance, meat protein has more amino acids than does plant protein.