Author Question: A woman at 40 weeks of gestation should be instructed to go to a hospital or birth center for ... (Read 23 times)

mrsjacobs44 · **on:** Jun 27, 2018

A woman at 40 weeks of gestation should be instructed to go to a hospital or birth center for evaluation when she experiences

a. A trickle of fluid from the vagina
b. Thick pink or dark red vaginal mucus
c. Irregular contractions for 1 hour
d. Fetal movement

Question 2

The postpartum client is concerned about mastitis because she experienced it with her last baby. Preventive measures the nurse could teach include:

1. Wearing a tight-fitting bra.
2. Limiting feedings to q.i.d.
3. Frequent breastfeeding.
4. Forcing fluids.

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

Answer to Question 1

A
Feedback
A A trickle of fluid from the vagina may indicate rupture of the membranes
requiring evaluation for infection or cord compression.
B Bloody show may occur before the onset of true labor. It does not require
professional assessment unless the bleeding is pronounced.
C This is a sign of false labor and does not require further assessment.
D The lack of fetal movement needs further assessment.

Answer to Question 2

3
Rationale:
1. Although wearing a supportive bra is recommended, a tight-fitting bra would mechanically suppress lactation
2. Limiting feedings to q.i.d. would suppress lactation.
3. Frequent breastfeeding is important because complete emptying of the breasts prevents engorgement and stasis.
4. Forcing fluids is not necessary.