Author Question: The primiparous patient is at 42 weeks' gestation. Which order should the nurse question? 1. ... (Read 61 times)

Pineapplelove6 · **on:** Jun 27, 2018

The primiparous patient is at 42 weeks' gestation. Which order should the nurse question?

1. Obtain biophysical profile today.
2. Begin nonstress test now.
3. Schedule labor induction for tomorrow.
4. Have the patient return to the clinic in 1 week.

Question 2

What information should the nurse include when teaching the postpartal patient and partner about resumption of sexual activity? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

1. Couples should be encouraged to abstain from intercourse until the episiotomy is healed and the lochial flow has stopped.
2. Postpartum women often experience vaginal dryness, and should be encouraged to use some kind of lubrication initially during intercourse.
3. Breastfeeding the newborn after intercourse can reduce the chance of milk spouting from the nipples.
4. Maternal changes in libido are usually indicative of psychological depression.
5. Maternal fatigue is often a significant factor limiting the resumption of sexual intercourse.

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

Answer to Question 1

4
Rationale 1: A biophysical profile is a commonly used assessment for the postterm fetus.
Rationale 2: The nonstress test is a commonly used assessment for the postterm fetus.
Rationale 3: Labor induction is likely to occur with postterm pregnancies because the aging placenta becomes less efficient at transporting oxygen and nutrients, and because the risk of fetal macrosomia increases with the length of gestation.
Rationale 4: A postterm pregnancy is high-risk. Fetal assessments must be obtained to verify fetal well-being or the need for delivery via induction or cesarean. One week is too long a period between assessments.

Answer to Question 2

1,2,5
Rationale 1: Currently, the couple is advised to abstain from intercourse until the episiotomy is healed and the lochia has stopped.
Rationale 2: Vaginal dryness is due to hormonal changes, and might require some form of lubrication.
Rationale 3: Breastfeeding the baby before intercourse can reduce the chance of milk release.
Rationale 4: These changes are expected due to hormonal changes, can persist for several months, and do not necessarily indicate depression.
Rationale 5: Interest and desire vary, but couples generally resume sexual activity within 3 months.