The nurse is providing instructions to a postpartum patient who
has been diagnosed with mastitis. Which statement made by the
patient indicates a need for further teaching?
1 "I need to wear a supportive bra to relieve the discomfort."
2 "I need to stop breastfeeding until this condition resolves."
3 "I can use analgesics to alleviate some of the discomfort."
4 "I need to take antibiotics, and I should begin to feel better in
24 to 48 hours."
2 "I need to stop breastfeeding until this condition resolves."
The nurse examines a woman 1 hour after birth. The woman's
fundus is boggy, midline, and 1 cm below the umbilicus. Her
lochial flow is profuse, with two plum-sized clots. The nurse's
initial action is to:
1. place her on a bedpan to empty her bladder.
2. massage her fundus.
3. call the physician.
4. administer Methergine, 0.2 mg IM, which has been ordered
prn.
2. massage her fundus.
rationale: A boggy or soft fundus indicates that uterine atony is
present. This is confirmed by the profuse lochia and passage of
clots. The first action is to massage the fundus until firm
,Nursing Practice Act
Each state has one that defines the Scope of practice, Standards
of Care, Standards for education programs, Licensure
requirements, Grounds for disciplinary action
Scope of Practice
The range of services and care that may be provided by a nurse
based on state requirements
*Hospitals will have their own standards for nurses to follow
that fall within the state's scope of practice
Infant gets an immunological benefit of breastfeeding by getting
______ from the mother and colostrum
1. active immunity
2. passive antibodies
3. prolactin
4. full immunity
2. passive antibodies
autonomy
agreement to respect another's right to self determine a course of
action; support of independent decision making
Ethnocentrism
Conviction that the values and beliefs of ones' own cultural
group are the best or only acceptable ones
, When the placenta detaches, _________ needs to take place in
order to prevent the mother from bleeding out
1. vasodilation
2. fundal massage
3. cord clamping
4. vasoconstriction
4. vasoconstriction
Which of the following is a function of the amniotic sac?
1. Provides a medium for fetal movement
2. Assists in the development of the respiratory and digestive
tracts
3. Assists in the maintaining hormonal balance throughout the
pregnancy
4. Supplies metabolic and nutritional support to the developing
fetus
1. Provides a medium for fetal movement
The nurse teaches a client trying to conceive that fertilization of
the ovum usually occurs:
1. before ovulation
2. in the distal third of the fallopian tube