The postpartum homecare patient asks the nurse why the visit is ...

[imowrer]

The postpartum homecare patient asks the nurse why the visit is taking place. Which response is best? We make homecare visits to:
 
  1. Reinforce any teaching that you didn't quite grasp in the hospital.
  2. Verify that both you and the baby are safe and doing well.
  3. Provide a service that leads to better statistical outcomes.
  4. Thoroughly assess your baby to make sure he is growing.

Question 2

The nurse is caring for a client who was just admitted to rule out ectopic pregnancy. Which orders are the most important for the nurse to perform? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
 
  Select all that apply. 1. Assess the client's temperature.
  2. Document the time of the client's last meal.
  3. Obtain urine for urinalysis and culture.
  4. Report complaints of dizziness or weakness.
  5. Have the lab draw blood for B-hCG level every 48 hours.

[amandanbreshears]

Answer to Question 1

2
Rationale 1: Although reinforcement of hospital teaching is one aspect of a homecare visit, this response is not therapeutically worded.
Rationale 2: Verifying the physical safety of both mother and baby is the main goal of the postpartum homecare visit.
Rationale 3: Although mandated insurance coverage came about as a result of statistical analysis of outcomes of mothers and babies, this is not the most important reason for home visits.
Rationale 4: This is only part of the reason homecare visits are performed after birth.

Answer to Question 2

4, 5
Explanation: 4. Reporting complaints of dizziness and weakness is important, as it can indicate hypovolemia from internal bleeding.
5. Having the lab draw blood for B-hCG levels every 48 hours is important, as the level rises much more slowly in ectopic pregnancy than in normal pregnancy.

[imowrer]

Excellent

[samiel-sayed]

TYSM