Author Question: The nurse is providing care to a postpartum client 24 hours after delivery who has been diagnosed ... (Read 64 times)

Shelles · **on:** Jun 28, 2018

The nurse is providing care to a postpartum client 24 hours after delivery who has been diagnosed with metritis. Which response by the nurse is accurate when the client asks what made her sick?

1. Early infections such as this are often caused by group beta strep (GBS).
2. Most infections are often caused by a chlamydial infection. Do you practice safe sex?
3. You must have already been sick when you came to deliver your baby.
4. There is no way to knowing why you got sick. Sometimes it just happens.

Question 2

The nurse is conducting a postpartum visit to a client who is formula-feeding her infant. Which client statement indicates that teaching about weight maintenance has been effective?

1. I have increased my caloric intake by 600 calories per day.
2. My dietician has set my weight loss goal at 1 to 2 pounds per week.
3. Instead of making another doctor's appointment, I started a diet that my best friend recommended.
4. My daily regimen includes taking extra vitamin A, vitamin C, and thiamine in order to meet my body's increased need for nutrients after pregnancy.

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

Answer to Question 1

1
Explanation:
1. Most early metritis infections are caused by group beta strep (GBS).
2. Most late, not early, metritis infections are caused by chlamydia. Also, it is not appropriate to ask her about safe sex practices at this time.
3. Telling the client that she was sick when she came to deliver the baby is often not true and does not specifically address the client's question.
4. This response is inaccurate as most cases of early metritis are attributed to a GBS infection.

Answer to Question 2

2
Explanation:
1. If the mother has a good understanding of nutritional principles, it is sufficient to advise her to reduce her daily caloric intake by about 300 kcal and to return to prepregnancy levels for other nutrients.
2. Weight loss goals of 1 to 2 pounds (0.45 to 0.9 kg)/week are usually suggested for mothers who formula-feed.
3. The woman should diet only under the guidance of her primary healthcare provider.
4. After birth, the formula-feeding mother's dietary requirements return to prepregnancy levels.