Author Question: The nurse manager of a postpartum care area is planning educational sessions for the nursing staff ... (Read 529 times)

2125004343 · **on:** Jun 27, 2018

The nurse manager of a postpartum care area is planning educational sessions for the nursing staff to support the 2020 National Health Goals for postpartum care. Which information should be included in this staff training? (Select all that apply.)

A) Encourage postpartum patients to participate in breastfeeding.
B) Provide information on reproductive life planning if requested.
C) Suggest postpartum patients remain on bed rest for at least 2 postpartum days.
D) Recommend new mothers to attend prenatal classes to learn infant care after delivery.
E) Explain the importance of close observation to detect postpartum maternal hemorrhage.

Question 2

The nurse is assessing the fundus of a patient on postpartum day 2 . What should the nurse expect when palpating the fundus?

A) Fundus 4 cm above symphysis pubis and firm
B) Fundus height 4 cm below umbilicus and midline
C) Fundus two fingerbreadths below umbilicus and firm
D) Fundus two fingerbreadths above symphysis pubis and hard

Tabitha_2016 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

A, B, E
Feedback:
Nurses can help the nation achieve the 2020 National Health Goals for postpartum care by maintaining close observation in the immediate postpartal period to detect maternal hemorrhage, encouraging and supporting women as they begin breastfeeding, and ensuring women receive reproductive life planning information if desired. Bed rest and attending prenatal classes to learn newborn care are not strategies to support the 2020 National Health Goals for postpartum care.

Answer to Question 2

C
Feedback:
Because uterine contraction begins immediately after placental delivery, the fundus of the uterus is palpable through the abdominal wall, halfway between the umbilicus and the symphysis pubis, within a few minutes after birth. One hour later, it will rise to the level of the umbilicus, where it remains for approximately the next 24 hours. From then on, it decreases one fingerbreadth or centimeter per day and will be palpable 1 cm below the umbilicus. For the second postpartal day, the uterus will be two fingerbreadths or centimeters below the umbilicus. The fundus should not be palpated 4 cm above the symphysis pubis, 4 cm below the umbilicus, or two fingerbreadths above the symphysis pubis on the second postpartum day. The fundus should not be hard.