In which area should the nurse expect that the postbirth care of ...

[naturalchemist]

In which area should the nurse expect that the postbirth care of a cesarean section will differ from that of a vaginal birth?
 
  a. Quantity of lochia rubra
  b. Pain management techniques
  c. Frequency of vital signs and fundal checks
  d. Assessment of infection risk from loss of skin integrity

Question 2

To facilitate adequate urinary elimination during the postpartum period, the nurse should incorporate which intervention in the plan of care?
 
  a. Have the client drink carbonated beverages to promote urinary excretion.
  b. Tell the client that because of postpartum diuresis there is less risk to develop dehydration.
  c. Limit fluid intake to prevent polyuria.
  d. Teach the client to do pelvic floor exercises to combat potential stress incontinence.

[kiamars2010]

Answer to Question 1

ANS: B
A cesarean section is major surgery. Pain relief is provided in various ways, including patient-controlled analgesia and oral and intramuscular analgesics. Postvaginal birth pain is managed with oral analgesic combinations that include acetaminophen; the quantity of lochia, frequency of vital signs, and fundal checks and assessment of infection risk are the same for both types of birth.

Answer to Question 2

ANS: D
Educating the client to use pelvic floor exercises will help strengthen pelvic muscles. Carbonated beverages will lead to increased gas and potential gastrointestinal discomfort. During the postpartum period, the client is at greater risk for dehydration and thus should increase fluids. Limitation of fluids is not warranted during the postpartum period.