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The nurse develops a teaching plan for a postpartum
client and includes teaching about how to perform Kegel
exercises. The nurse includes this information for which
reason? A) Reduce lochia
B) Promote uterine involution
C) Improve pelvic floor tone
D) Alleviate perineal pain - ANSWER-C
Muscle clenching perineal exercises help to improve pelvic
floor tone, strengthen perineal muscles, and promote healing,
ultimately helping to prevent urinary incontinence later in life.
Kegel exercises have no effect on lochia, involution, or pain.
After reviewing information about postpartum blues, a group of
students demonstrate understanding when they state which of
the following about this condition?
A) Postpartum blues is a long-term emotional disturbance.
,B) Sleep usually helps to resolve the blues.
C) The mother loses contact with reality.
D) Extended psychotherapy is needed for treatment. -
ANSWER-B Postpartum blues require no formal treatment
other than support and reassurance because they do not
usually interfere with the woman's ability to function and
care for her infant. Nurses can ease a mother's distress by
encouraging her to vent her feelings and demonstrating
patience and understanding with her and her family. Suggest
that getting outside help with housework and infant care
might help her to feel less overwhelmed until the blues ease.
Provide telephone numbers she can call when she feels
down during the day. Making women aware of this disorder,
while they are pregnant, will increase their knowledge about
this mood disturbance, which may lessen their
embarrassment and increase their willingness to ask for and
accept help if it does occur
A nurse is developing a teaching plan for a postpartum woman
who is breast- feeding about sexuality and contraception.
Which of the following would the nurse most likely include?
(Select all that apply.)
A) Resumption of sexual intercourse about two weeks after
delivery
B) Possible experience of fluctuations in sexual interest
, C) Use of a water-based lubricant to ease vaginal discomfort
D) Use of combined hormonal contraceptives for the first three
weeks
E) Possibility of increased breast sensitivity during sexual
activity - ANSWER-B, C, E
Typically, sexual intercourse can be resumed once bright-red
bleeding has stopped and the perineum is healed from an
episiotomy or lacerations. This is usually by the third to the
sixth week postpartum. Fluctuations in sexual interest are
normal. In addition, breastfeeding women may notice a let-
down reflex during orgasm and find that breasts are very
sensitive when touched by their partner. Precoital vaginal
lubrication may be impaired during the postpartum period,
especially in breastfeeding women. The use of water-based gel
lubricants can help.
After teaching a group of students about risk factors
associated with postpartum hemorrhage, the instructor
determines that the teaching was successful when the students
identify which of the following as a risk factor? (Select all that
apply.)
A) Prolonged labor
B) Placenta previa
C) Null parity
D) Hydramnios