NURS 4341 - Office Hours OB 601
(Postpartum) - Exam 3 Questions With
Complete Solutions
A patient is experiencing nipple pain. Which
intervention is not appropriate?
- Application of lanolin cream
- expressing milk, and rubbing on the nipples after
feeds
- allow a break from breast-feeding
- Assess latch, utilize different positions, lactation
consult Correct Answers Allow a break from
breast-feeding
(So we would not want to take a break from
breastfeeding just because Mom is having some
nipple pain and we want it assess and see what the
cause of it is. And but we definitely would give
them lanolin cream.
We definitely would help them with latch and
making sure the baby's latching appropriately then
if they have a spot that's really sore, we want to
change positions so that the baby's mouth is not
rubbing on that same spot, causing a blister or like
a compression as they feed and have a lactation
consoles, and then one of the other things that
could do is have them express their milk and rub it
on the nipple after they feed the baby and kind of
let air dry.
,It's like natures nipple cream, essentially, but
allowing a break from breastfeeding can cause a
change in their milk production and can cause
some increase in gorgen if they're not feeding and
emptying the breast.
And that can actually cause more swelling and
pressure on the nipple and more pain.
So we don't want to necessarily take a break from
breastfeeding unless they have like a major major
nipple issue, but even then we would try and pump
or do something to express some milk.
After delivery with an epidural, how does the nurse
assess mobility? (select all that apply)
- have the patient try to stand first
- ask the patient to lift at knees and then raise hips
up off the bed
- assess sensation by pinching them
- wait two hours and the epidural will have worn off
Correct Answers - ask the patient to lift at knees
and then raise hips up off the bed
- assess sensation by pinching them
(We talked about this a little bit prior, but after a
mom delivers, you know they've had an epidural.
Which affects the nerves and sensation in their
lower extremities.
And so we, we don't want to just like let them get
up and get going anymore.
,We have to really make sure that they have
sensation and they are able to bear weight.
Now get up.
So we ask them to the answer here is we asked the
patient to lift it the knees and then raise their hips
up off of the bed.
So the epidurals and kind of starts to wear off from
the toes up.
So when they'll start, they'll be able to like wiggle
their feet and then the knees, they get more
sensation, epidural or spinal.
And then when they can lift their bottom up off the
bed, that means they have extremity strength and
sensation.
By that point, we don't pinch them.
You've probably seen that in a C-section to verify
the block to tell like how far up their block is.
Umm really. The main thing we're worried about is
mobility, that we don't let them just get up and
see, and we don't say automatically in two hours
it's worn off.
We always assess how far up they can bend and
bear weight, so some patients will ask him to lift
their hips up off the bed and they'll pull their knees
up towards them and then they'll just go and
they're like, oh, I can't do that yet.
And when I did my patients up because this is like
the number one fall, uh area and labor and delivery
postpartum, I may come stand at the bedside,
been their knees and worked in place and typically
, if they can do that and they're safe to walk to the
bathroom but wh
During which phase does the woman depend on
others to meet her needs and relive events
surrounding the birth process?
- taking-in phase
- taking-hold phase
- letting-go phase
- commitment phase Correct Answers Taking-in
phase
(The taking in phase that's kind of that's the first
phase after delivery.
Umm, so really relying on others.
Really just reliving that birth process?
Kind of.
What happened?
Emotions. All the things.)
How can nurses promote early parent-newborn
interactions and attachment?
- encouraging breast-feeding, and kangaroo care
- performing routine, newborn care without
involving parents
- minimizing parent-newborn contact to reduce
stress
(Postpartum) - Exam 3 Questions With
Complete Solutions
A patient is experiencing nipple pain. Which
intervention is not appropriate?
- Application of lanolin cream
- expressing milk, and rubbing on the nipples after
feeds
- allow a break from breast-feeding
- Assess latch, utilize different positions, lactation
consult Correct Answers Allow a break from
breast-feeding
(So we would not want to take a break from
breastfeeding just because Mom is having some
nipple pain and we want it assess and see what the
cause of it is. And but we definitely would give
them lanolin cream.
We definitely would help them with latch and
making sure the baby's latching appropriately then
if they have a spot that's really sore, we want to
change positions so that the baby's mouth is not
rubbing on that same spot, causing a blister or like
a compression as they feed and have a lactation
consoles, and then one of the other things that
could do is have them express their milk and rub it
on the nipple after they feed the baby and kind of
let air dry.
,It's like natures nipple cream, essentially, but
allowing a break from breastfeeding can cause a
change in their milk production and can cause
some increase in gorgen if they're not feeding and
emptying the breast.
And that can actually cause more swelling and
pressure on the nipple and more pain.
So we don't want to necessarily take a break from
breastfeeding unless they have like a major major
nipple issue, but even then we would try and pump
or do something to express some milk.
After delivery with an epidural, how does the nurse
assess mobility? (select all that apply)
- have the patient try to stand first
- ask the patient to lift at knees and then raise hips
up off the bed
- assess sensation by pinching them
- wait two hours and the epidural will have worn off
Correct Answers - ask the patient to lift at knees
and then raise hips up off the bed
- assess sensation by pinching them
(We talked about this a little bit prior, but after a
mom delivers, you know they've had an epidural.
Which affects the nerves and sensation in their
lower extremities.
And so we, we don't want to just like let them get
up and get going anymore.
,We have to really make sure that they have
sensation and they are able to bear weight.
Now get up.
So we ask them to the answer here is we asked the
patient to lift it the knees and then raise their hips
up off of the bed.
So the epidurals and kind of starts to wear off from
the toes up.
So when they'll start, they'll be able to like wiggle
their feet and then the knees, they get more
sensation, epidural or spinal.
And then when they can lift their bottom up off the
bed, that means they have extremity strength and
sensation.
By that point, we don't pinch them.
You've probably seen that in a C-section to verify
the block to tell like how far up their block is.
Umm really. The main thing we're worried about is
mobility, that we don't let them just get up and
see, and we don't say automatically in two hours
it's worn off.
We always assess how far up they can bend and
bear weight, so some patients will ask him to lift
their hips up off the bed and they'll pull their knees
up towards them and then they'll just go and
they're like, oh, I can't do that yet.
And when I did my patients up because this is like
the number one fall, uh area and labor and delivery
postpartum, I may come stand at the bedside,
been their knees and worked in place and typically
, if they can do that and they're safe to walk to the
bathroom but wh
During which phase does the woman depend on
others to meet her needs and relive events
surrounding the birth process?
- taking-in phase
- taking-hold phase
- letting-go phase
- commitment phase Correct Answers Taking-in
phase
(The taking in phase that's kind of that's the first
phase after delivery.
Umm, so really relying on others.
Really just reliving that birth process?
Kind of.
What happened?
Emotions. All the things.)
How can nurses promote early parent-newborn
interactions and attachment?
- encouraging breast-feeding, and kangaroo care
- performing routine, newborn care without
involving parents
- minimizing parent-newborn contact to reduce
stress
