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Author Question: A postpartal patient is being treated for a separated symphysis pubis. Which outcome should the ... (Read 119 times)

jessicacav

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on: Jun 27, 2018
A postpartal patient is being treated for a separated symphysis pubis. Which outcome should the nurse identify when planning care for this patient?
 
  A) Patient plans to return to work in 2 weeks.
  B) Patient has coordinated child care assistance.
  C) Patient picks up the infant from the bassinette.
  D) Patient has a urine output of 30 ml per hour or greater.

Question 2

A postpartal patient is receiving heparin as treatment for thrombophlebitis. What should the nurse instruct the patient about breastfeeding during this time?
 
  A) Breastfeeding can continue.
  B) The baby will need weekly blood work.
  C) The effect of anticoagulants is counteracted by infant gastric juices.
  D) All anticoagulants pass in breast milk so breastfeeding will have to stop.


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ngr69

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Reply #1 on: Jun 27, 2018
Answer to Question 1

B
Feedback:
With a separated symphysis pubis, bed rest and the application of a snug pelvic binder to immobilize the joint may be necessary to relieve pain and allow healing. A 4- to 6-week period is necessary for healing to be complete. During this time, the patient should avoid heavy lifting and may need to arrange for a person to help with child care at home. The patient should not be lifting the baby. The patient needs at least 4 to 6 weeks to heal before returning to work. Urine output is not a measurement for a separated symphysis pubis.

Answer to Question 2

A
Feedback:
A patient can continue to breastfeed while receiving heparin. The baby is not going to need weekly blood work. Infant gastric juices do not impact the effect of anticoagulants. Medications due affect breast milk; however, breastfeeding can continue while receiving heparin.


jessicacav

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Reply #2 on: Jun 27, 2018
Thank you :)


ngr69

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Reply #3 on: Jun 27, 2018
Happy to help you


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