The nurse is assessing a new mother's efforts to bond with her newly born infant.
Identify three (3) factors that can impact effective bonding between
... [Show More] mother and infant? -
ANSWER ==· Mother's physical and emotional condition
· Baby's physical condition
· Family being prepared for the baby
The client enters the obstetrical clinic for birth control information on using a diaphragm.
What five (5) instructions would be provided by the nurse to explain use of the
diaphragm - ANSWER ==client should be properly fitted with a diaphragm by a
provider
Replaced every 2 years and refitted for a 20% weight fluctuation, after abdominal or
pelvic surgery, and after every pregnancy
Requires proper insertion and removal. Prior to coitus, the diaphragm is inserted
vaginally over the cervix with spermicidal jelly or cream that is applied to the cervical
side of the dome and around the rim. The diaphragm can be inserted up to 6 hours
before intercourse and must stay in place 6 hours after intercourse but for no more than
24 hrs
Spermicide must be reapplied with each act of coitus
A client should empty her bladder prior to insertion of the diaphragm.A
A nurse is caring for a client who was diagnosed with group B streptococcus during her
initial screening. What effects can this infection have on her pregnancy? - ANSWER
==Premature rupture of membranes, preterm labor & delivery, chorioamnioitis,
infections of urinary tract, maternal sepsis.
What are five (5) risk factors that affect female fertility? - ANSWER ==1) Age greater
than 35
2) Weight
3) Substance use
4) STDs
5) Surgical history
A nurse is providing education to a new mother regarding storage of breast milk. Identify
five (5) teaching points to discuss with the new mother regarding storage of breast milk.
- ANSWER ==1) Breast milk can be stored at room temp for up to 8 hrs, refrigerated
in sterile bottles for up 8 days, and can be frozen up to 6 months, and deep-freezed for
up to 12 months
2) Thaw refrigerated milks for 24 hrs to preserve immunoglobins, or by placing bottle in
lukewarm water rotate but do not shake the bottle
3) Microwaving the bottle to thaw out the milk is contraindicated because it destroys the
nutritive and immune properties of breastmilk, it also causes uneven heating putting the
newborn at risk for burns
4) Do not refreeze thawed milk
5) used portions of breast milk must be disposed of
A nurse is providing care for an uncircumcised male newborn and his mother. What
information should be provided during discharge regarding bathing of the penile area of
the newborn male? - ANSWER ==Wash with soap and water and rinse the penis
To prevent constriction do not force back the foreskin
What is the recommended weight gain in the first, second and third trimesters? -
ANSWER ==1st trimester: 1-2 kg (2.2 - 4.4 lbs)
2nd and 3rd trimester: 0.4 kg ( 1lb) per week
What are six (6) emotional responses the nurse would assess for if a mother is
experiencing postpartum depression? - ANSWER ==) Feeling loss, irritability
2) Intense mood swings
3) Anxiety
4) Guilt
5) Inadequacies feelings
6) Decrease appetite
What would the nurse teach to the postpartum mother before administering the Rho(D)
Immune Globulin? - ANSWER ==Educate the mother that all Rh-negative mothers
who have newborns who are Rh-positive must be given Rho(D) immune globulin
administered IM within 72 hr of the newborn being born to suppress antibody formation
in the mother. Infants who are Rh0positive are given Rho(D)Immune globulin to prevent
sensitization in future pregnancies
A nurse is instructing a newly diagnosed client with fibrocystic breast tissue disorder
about diet. What should the nurse instruct the client to avoid in their diet? (Review the
Med Surg RM)
a. Alcohol
b. Caffeine
C. Milk
d. Orange juice - ANSWER ==b. Caffeine
What are five (5) adverse effects noted with epidural analgesia administration during
labor? - ANSWER ==1) Maternal Hypotension
2) Fetal Bradycardia
3) Bladder distention
4) Loss of bearing down reflex
5) Respiratory depressio [Show Less]