Author Question: The nurse assesses the perineal pad placed on a 3-hour postdelivery patient and finds that there is ... (Read 83 times)

naturalchemist · **on:** Jun 28, 2018

The nurse assesses the perineal pad placed on a 3-hour postdelivery patient and finds that there is no lochia on it. What would the nurse expect to find on further assessment? (Select all that apply.)

a. A firm fundus the size of a grapefruit
b. A full bladder
c. Retained placental fragments
d. Vital signs indicative of shock
e. A soft, boggy fundus

Question 2

What will the nurse teach a nursing mother to do to reduce the risk of mastitis? (Select all that apply.)

a. Limit fluid intake to 1 liter per day.
b. Empty both breasts with each feeding.
c. Take warm showers.
d. Wear a supportive bra. e.
Pump breasts to ensure emptying.

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

Answer to Question 1

ANS: B, E
Large clots that form in a flaccid uterus can obstruct the flow of lochia. A full bladder is a major cause of a uterus that is boggy.

Answer to Question 2

ANS: B, C, D, E
Nursing mothers should take in about 3 liters of fluid a day. All the other options are interventions to reduce the risk of mastitis and milk accumulation in the breast.