The nurse conducts discharge teaching for a postpartum client who ...

[waynest]

The nurse conducts discharge teaching for a postpartum client who is diagnosed with deep vein thrombosis (DVT). Which statements indicate accurate understanding of the information presented? Select all that apply.
 
  1. I will cross my legs while I sit and watch TV in the evening.
  2. I will wear supportive stockings if I have to stand for long periods of time.
  3. I will only have to continue taking Coumadin for 1 month once I am home.
  4. If I develop bleeding gums, I should contact my healthcare provider.
  5. I should plan to elevate my legs during times of rest.

Question 2

When caring for a client with oligohydramnios, on what should the nurse focus? Select all that apply.
 
  1. Induction is typically scheduled.
  2. Early decelerations are more likely.
  3. Fetal pulmonary hypoplasia can develop.
  4. There is an increased risk of cord compression.
  5. Labor progress is often more rapid than average.

[chinwesucks]

Answer to Question 1

2, 4, 5
Explanation:
1. The client would be instructed not to cross the legs while sitting as this can increase venous stasis which further increases the client's risk for more DVTs. This statement indicates the need for further education.
2. The use of supportive stockings if the client has to stand for long periods of time is recommended when diagnosed with DVT. This statement indicates correct understanding of the information presented.
3. Clients diagnosed with a DVT will require warfarin (Coumadin) therapy for 2 to 6 months, not 1 month, after discharge. This statement indicates the need for further education.
4. Bleeding of the gums while on warfarin (Coumadin) therapy can be an indication of a dose that is too large and would be reported to the healthcare provider. This statement indicates correct understanding of the information presented.
5. The postpartum client who is diagnosed with DVT should plan to elevate the legs during times of rest. This statement indicates correct understanding of the information presented.

Answer to Question 2

1, 2, 3, 4
Explanation:
1. As soon as the fetus is term, induction is typically scheduled because the fetus is at an increased risk for intrauterine fetal demise.
2. Decreased amniotic fluid can contribute to fetal head compression, which can manifest itself as early decelerations.
3. Because there is less fluid available for the fetus to use during fetal breathing movements, pulmonary hypoplasia may develop.
4. Less amniotic fluid lessens the cushioning effect, and cord compression is more likely.
5. Labor progress is slower than average due to the decreased fluid volume.

[waynest]

TYSM

[smrtceo]

Excellent