Author Question: Which response by the nurse is most appropriate to the statement, This test isn't my idea, but my ... (Read 28 times)

pepyto · **on:** Jun 28, 2018

Which response by the nurse is most appropriate to the statement, This test isn't my idea, but my husband insists?

a. Don't worry. Everything will be fine.
b. Why don't you want to have this test?
c. You're concerned about having this test?
d. It's your decision.

Question 2

Fran delivered a 9 lb, 10 oz baby 1 hour ago. When you arrive to perform her 15-minute assessment, she tells you that she feels all wet underneath.

You discover that both pads are completely saturated and that she is lying in a 6-inch diameter puddle of blood. What is your first action? a. Call for help.
b. Assess the fundus for firmness.
c. Take her blood pressure.
d. Check the perineum for lacerations.

Li Jun · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

C
The nurse should clarify the statement and assist the client in exploring her feelings about the test.
This is false reassurance and does not deal with the concerns expressed by the woman.
The woman may not by able to answer why questions. It may also make her defensive.
This is a closed statement and does not encourage the woman to express her feelings.

Answer to Question 2

B
Firmness of the uterus is necessary to control bleeding from the placental site. The nurse should first assess for firmness and massage the fundus as indicated.