Author Question: Which statement made by a postpartal woman indicates that further teaching is not needed regarding ... (Read 48 times)

khang · **on:** Jun 28, 2018

Which statement made by a postpartal woman indicates that further teaching is not needed regarding thrombus formation?

a. I'll stay in bed for the first 3 days after my baby is born.
b. I'll keep my legs elevated with pillows.
c. I'll sit in my rocking chair most of the time.
d. I'll put my support stockings on every morning before rising.

Question 2

The nurse has been caring for a primiparous client who is suspected of carrying a macro-somic infant.

Pushing appears to have been effective so far; however, as soon as the head is born, it retracts against the perineum much like a turtle's head drawing into its shell. In evaluating the labor progress so far, the nurse is aware that this is normal with large in-fants and extra pushing efforts by the mother may be necessary. Indicate whether the statement is true or false

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

Answer to Question 1

D
The woman should ambulate frequently, as early as possible. The mother should avoid knee gatching and pillows, which increases pressure on the popliteal space. Sitting in a chair with legs in a dependent position causes pooling of blood in the lower extremities. Venous congestion begins as soon as the woman stands up. The stockings need to be applied before she rises from the bed in the morning.

Answer to Question 2

F
This is often referred to as the turtle sign and is an indication of shoulder dystocia. Delayed or difficult birth of the shoulders may occur if they become impacted above the maternal symphysis pubis. This complication of birth requires immediate intervention because the umbilical cord is compressed and the chest cannot expand within the vagina. Any of several methods may be employed to relieve the impacted shoulders. Shoulder dystocia is unpre-dictable and although more common in large infants, can occur with a baby of any weight.