Author Question: The nurse working with mothers over 35 having their first baby knows there are some disadvantages. ... (Read 32 times)

rayancarla1 · **on:** Jun 27, 2018

The nurse working with mothers over 35 having their first baby knows there are some disadvantages. For what disadvantage would the nurse carefully assess in each patient?

1. What kind of insurance the patient has for maternity care
2. Whether the patient is married
3. Whether the patient will continue working after the baby arrives
4. Whether the patient has any chronic disease that will have to be addressed

Question 2

The postpartum nurse is caring for a patient who gave birth to full-term twins earlier today. The nurse will know to assess for symptoms of:

1. Increased blood pressure.
2. Hypoglycemia.
3. Postpartum hemorrhage.
4. Postpartum infection.

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

Answer to Question 1

4
Rationale 1: Insurance coverage is not a disadvantage with which the nurse would be concerned.
Rationale 2: Whether the patient is married is not a disadvantage for which the nurse would be assessing.
Rationale 3: Plans for working after the baby arrives is not an disadvantage for which the nurse would be assessing at this point.
Rationale 4: It is important for the nurse to question and assess for any chronic illnesses, such as diabetes, which are more common as one ages.

Answer to Question 2

3
Rationale 1: Increased blood pressure would cause vasoconstriction, and is not identified in this patient.
Rationale 2: Hypoglycemia would not be a usual assessment for the mother, but possibly for the infants.
Rationale 3: The nurse will assess for postpartum hemorrhage. This patient is at risk for hemorrhage due to overdistention of the uterus with twins and possible slower uterine involution.
Rationale 4: Postpartum infection would be assessed through lochia odor and uterine pain, and would not be expected this soon after delivery.