Author Question: The postpartum nurse provides anticipatory guidance for the new mother as well as teaching on ... (Read 108 times)

jon_i · **on:** Jun 27, 2018

The postpartum nurse provides anticipatory guidance for the new mother as well as teaching on self-care and infant care before discharge.

Which topics should be included? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Role changes brought on by the addition to the family unit
2. The realities of having a new baby, and how it affects previous lifestyle
3. Potential complications such as infant colic, postpartum fatigue, and postpartum depression
4. Sexuality and contraception
5. Toilet-training and preschool options

Question 2

The nurse is teaching a pregnant 14-year-old patient who is at 10 weeks' gestation about the expected body changes that will occur during pregnancy. Which patient statement indicates that additional information is needed?

1. My breasts are going to get even bigger than they've gotten over the past couple of years.
2. My belly will gradually get more round, especially from the middle of pregnancy on.
3. My hair will feel thicker until I deliver, and then I'll lose more hair than usual for a few weeks.
4. My skin won't change, and I'll look just as good in a bikini next year as I did last summer.

durant1234 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

1,2,3,4
Rationale 1: Family members must adapt to changes in roles and responsibilities.
Rationale 2: Many new mothers are not prepared for the new responsibilities and for how they will impact their liferstyle.
Rationale 3: The new mother needs to be prepared to deal with problems that commonly arise after discharge.
Rationale 4: It is important to cover concerns about sexuality and contraception prior to discharge.
Rationale 5: Toilet-training and educational options are not essential to cover prior to discharge, and will not be a concern until the future.

Answer to Question 2

4
Rationale 1: Breasts will enlarge, as will the belly.
Rationale 2: Breasts will enlarge, as will the belly.
Rationale 3: Hair decreases shedding during pregnancy, which results in the perception of thicker hair, but after delivery, the shedding rate increases until it is back to what was normal prior to conception.
Rationale 4: Skin changes of pregnancy are common, and include darkening of the linea nigra, darkened areas on the skin of the face and neck (chloasma), and striae or stretch marks.