A home health care nurse is assessing a postpartum woman who was ...

[ereecah]

A home health care nurse is assessing a postpartum woman who was discharged 2 days ago. The woman tells the nurse that she has a low-grade fever and feels lousy..
 
  Which of the following findings would lead the nurse to suspect metritis? (Select all that apply.) A) Lower abdominal tenderness
  B) Urgency
  C) Flank pain
  D) Breast tenderness
  E) Anorexia

Question 2

The mother of a 4-month-old infant is concerned that the baby does not always want to take a bottle. What should the nurse instruct the mother about feeding the baby?
 
  A) Ensure the environment is quiet during mealtime.
  B) Happy and healthy babies do not always eat well.
  C) Force the infant to take a bottle when it is time to do so.
  D) Refusing a bottle means the child is ill and needs to be seen by the health care provider.

[AngeliqueG]

Answer to Question 1

A, E
Feedback:
Manifestations of metritis include lower abdominal tenderness or pain on one or both sides, elevated temperature, foul-smelling lochia, anorexia, nausea, fatigue and lethargy, leukocytosis and elevated sedimentation rate. Urgency and flank pain would suggest a urinary tract infection. Breast tenderness may be related to engorgement or suggest mastitis.

Answer to Question 2

A
Feedback:
If infants are fatigued or overstimulated, they also may not eat well. Providing a quiet environment away from distractions before mealtime might be the solution to this problem. Healthy happy babies will be hungry at mealtime and will eat. The mother should not force the baby to take a bottle when it is time to do so. Refusing a bottle may mean that the baby is tired, distracted, or ill. The baby does not always need to be seen by a health care provider when a bottle is refused.

[ereecah]

Thanks for the timely response, appreciate it

[isabelt_18]

Gracias!