Author Question: After providing discharge teaching for the parents of a child who has undergone a cardiac ... (Read 74 times)

audie · **on:** Jun 27, 2018

After providing discharge teaching for the parents of a child who has undergone a cardiac catheterization, the nurse determines that additional teaching is necessary based on which statement by the parents?

A) We'll put on a new dressing tomorrow, covering it with plastic if it might get wet.
B) If there is any redness or swelling at the site, we'll call the doctor right away.
C) We can give him a tub bath tomorrow after we remove the pressure dressing.
D) We need to call the doctor if his temperature is 100.4 degrees or higher.

Question 2

A woman gives birth to a newborn at 36 weeks' gestation. She tells the nurse, I'm so glad that my baby isn't premature. Which response by the nurse would be most appropriate?

A) You are lucky to have given birth to a term newborn.
B) We still need to monitor him closely for problems.
C) How do you feel about delivering your baby at 36 weeks?
D) Your baby is premature and needs monitoring in the NICU.

nekcihc358 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

C
Response:
After a cardiac catheterization, tub baths are avoided for approximately 3 days after the procedure. The pressure dressing is changed on the day after the procedure and a dry sterile dressing is applied; it should be covered with plastic if there is a chance of it becoming wet or soiled. Signs of infection such as redness, irritation, swelling, or drainage or evidence of bleeding should be reported to the physician immediately. A temperature of 100.4 degrees or higher also should be reported.

Answer to Question 2

B
Response:
A baby born at 36 weeks' gestation is considered a late-preterm newborn. These newborns face similar challenges as those of preterm newborns and require similar care. Telling the mother that close monitoring is necessary can prevent any misconceptions that she might have and prepare her for what might arise. The baby is not considered a term newborn, nor is the baby considered premature. The decision for care in the NICU would depend on the newborn's status. Asking the woman how she feels about the delivery demonstrates caring but does not address the woman's lack of understanding about her newborn.