Author Question: Which instruction should be included in the discharge teaching plan to assist the client in ... (Read 59 times)

Pea0909berry · **on:** Jun 28, 2018

Which instruction should be included in the discharge teaching plan to assist the client in recognizing early signs of complications?

a. Palpate the fundus daily to ensure that it is soft.
b. Report any decrease in the amount of brownish red lochia.
c. The passage of clots as large as an orange can be expected.
d. Notify the health care provider of any increase in the amount of lochia or a return to bright red bleeding.

Question 2

A postpartum client would be at increased risk for postpartum hemorrhage if she delivered a(n):

a. 5-lb, 2-oz infant with outlet forceps.
b. 6.5-lb infant after a 2-hour labor.
c. 7-lb infant after an 8-hour labor.
d. 8-lb infant after a 12-hour labor.

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

Answer to Question 1

ANS: D
An increase in lochia or a return to bright red bleeding after the lochia has become pink indicates a complication. The fundus should stay firm. The lochia should decrease in amount. Large clots after discharge are a sign of complications and should be reported.

Answer to Question 2

ANS: B
A rapid labor and birth may cause exhaustion of the uterine muscle and prevent contraction. Delivering a 5-lb, 2-oz infant with outlet forceps would put this client at risk for lacerations because of the forceps. A 7-lb infant after an 8-hour labor is a normal labor progression. Less than 3 hours is rapid and can produce uterine muscle exhaustion. An 8-lb infant after a 12-hour labor is a normal labor progression. Less than 3 hours is a rapid birth and can cause the uterine muscles not to contract.