The postpartum client expresses concern about getting back into ...

[s.tung]

The postpartum client expresses concern about getting back into her pre-pregnant shape, and asks the nurse when she will be able to run again. Which statement indicates that teaching was effective?
 
  1. You can start running in two weeks. Breastfeed as soon as you are done.
  2. See how your energy level is at home, and increase your activity slowly.
  3. Running is not recommended for breastfeeding women.
  4. If you are getting eight hours of sleep per day, you can start running.

Question 2

The primigravida in labor asks the nurse to explain the electronic fetal heart rate monitor strip. The fetal heart rate baseline is 150, with accelerations to 165, variable decelerations to 140, and moderate long-term variability.
 
  Which statement indicates that the client understands the nurse's teaching? The most important part of fetal heart monitoring is the 1. Absence of variable decelerations.
  2. Presence of variability.
  3. Fetal heart rate baseline.
  4. Depth of decelerations.

[kishoreddi]

Answer to Question 1

2
Rationale:
1. Running might be feasible at two weeks, but it is better to tell a client how to gauge what her activity level should be. Breastfeeding should take place just prior to running, to minimize chest discomfort.
2. This response gets at increasing activity when there is a sense of energy returned, which personalizes the response to the individual client's needs. Increasing activity slowly is safer and less likely to cause injury than starting off running long distances.
3. This statement is not true. It is more comfortable to nurse prior to running, but running is not contraindicated.
4. Eight hours of sleep per day is an arbitrary number. Not all clients who get a total of eight hours of sleep feel rested, because their sleep can be interrupted and in several chunks of time.

Answer to Question 2

2
Rationale:
1. Variable decelerations indicate cord compression.
2. Variability is an indicator of the interplay between the sympathetic nervous system and the parasympathetic nervous system.
3. The fetal heart rate baseline does not indicate central nervous system function.
4. The depth of decelerations does not indicate central nervous system function.

[s.tung]

Excellent

[diana chang]

Thanks for the timely response, appreciate it