Author Question: The postpartum patient expresses concern about getting back to her prepregnant shape, and asks the ... (Read 52 times)

naturalchemist · **on:** Jun 27, 2018

The postpartum patient expresses concern about getting back to her prepregnant shape, and asks the nurse when she will be able to run again. Which statement by the patient indicates that teaching was effective?

1. I can start running in 2 weeks, and can breastfeed as soon as I am done.
2. I should see how my energy level is at home, and increase my activity slowly.
3. Running is not recommended for breastfeeding women.
4. If I am getting 8 hours of sleep per day, I can start running.

Question 2

The nurse developing a care plan for a pregnant teen knows that the plan best suited to pregnant teens is to:

1. Assess menstrual history and the presence of any food allergies.
2. Inquire about family relationships and location of the home.
3. Ask what her body image is, then correct her misconceptions.
4. Determine whether there are substance abuse or eating disorder issues.

missalyssa26 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

2
Rationale 1: Running might be feasible at 2 weeks, but it is better to tell a patient how to gauge what her activity level should be. Breastfeeding should take place just prior to running, to minimize chest discomfort.
Rationale 2: This response suggests increasing activity when there is a sense of returning energy, which personalizes the response to the individual patient's needs. Increasing activity slowly is safer and less likely to cause injury than is starting off by running long distances.
Rationale 3: This statement is not true. It is more comfortable to nurse prior to running, but running is not contraindicated.
Rationale 4: This response does not address a more important factor, which is encouraging the patient to assess her own energy level and to gradually return to previous activity levels.

Answer to Question 2

4
Rationale 1: Menstrual history is important for determining gestational age, and food allergies can impact nutritional intake. However, assessment of these factors is not necessarily better suited to pregnant teens than to pregnant women of other ages.
Rationale 2: Family relationships are important to understand, specifically to find out what support systems are available to the teen. However, the location of the home is not important.
Rationale 3: Asking a patient directly what her body image is most often leads to a blank stare. Body image must be addressed more indirectly, by asking a patient what she thinks about her body. But a patient's body image is her belief, and cannot be corrected by the nurse.
Rationale 4: Both substance abuse and eating disorder issues are important to assess during pregnancy of teens, as both are fairly common among this age group.