Author Question: A client who delivered 2 hours ago tells the nurse that she is exhausted and feels guilty because ... (Read 55 times)

plus1 · **on:** Jun 27, 2018

A client who delivered 2 hours ago tells the nurse that she is exhausted and feels guilty because her friends told her how euphoric they felt after giving birth. How should the nurse respond?

1. Everyone is different, and both responses are normal.
2. Most mothers do feel euphoria; I don't know why you don't.
3. It's good for me to know that because it might indicate a problem.
4. Let me bring your baby to the nursery so that you can rest.

Question 2

The nurse is caring for a client who had a cesarean birth 4 hours ago. Which interventions would the nurse implement at this time? Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply.

1. Administer analgesics as needed.
2. Encourage the client to ambulate to the bathroom to void.
3. Encourage leg exercises every 2 hours.
4. Encourage the client to cough and deep-breathe every 2 to 4 hours.
5. Encourage the use of breathing, relaxation, and distraction.

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

Answer to Question 1

1
Explanation: 1. Following birth, some women feel exhausted and in need of rest. Other women are euphoric and full of psychic energy, ready to retell their experience of birth repeatedly.

Answer to Question 2

1, 3, 4, 5
Explanation: 1. The nurse continues to assess the woman's pain level and provide relief measures as needed.
3. Within the first 12 hours postoperatively, unless medically contraindicated, the woman should be assisted to dangle her legs on the side of the bed.
4. The woman is encouraged to cough and breathe deeply and to use incentive spirometry every 2 to 4 hours while awake for the first few days following cesarean birth.
5. The nurse should encourage the use of breathing, relaxation, and distraction techniques.