NURS 247 - CH 16 Test Questions and Correct Answers

The postpartum period is noted for traditional practices related to: Rest, healing, and consumption of food and drink. The skill set needed by nurses to provide culturally humble care to postpartum clients and their families includes: -Understanding their beliefs, experiences, and family environment -Facilitating their language through appropriate use of interpreters so that the information provided can be understood -Compassionately respecting clients and their human rights During the Postpartum period, the nurse's focus is on ___. Comprehensive nursing assessment begins ___. -Assistance for families to maximize their adjustment, surveillance for maladaptation, education, consultation, and collaboration as needed -Within an hour after the woman gives birth and continues through discharge. Postpartum assessment includes: -Vital Signs -Physical assessment -Psycho-social Assessment Postpartum assessment is typically performed at: -During the first hour: every 15 minutes -During the second hour: every 30 minutes -During the first 24 hours: every 4 hours -After 24 hours: every 8 hours Risk Factors for Postpartum Infection: -Operative procedure (forceps, cesarean birth, vacuum extraction) -History of diabetes, including gestational-onset diabetes -Prolonged labor (more than 24 hours) -Use of indwelling urinary catheter -Anemia (hemoglobin 10.5 mg/dL) -Multiple vaginal examinations during labor -Prolonged rupture of membranes (24 hours) -Manual extraction of placenta -Compromised immune system (HIV-positive) Risk Factors for Postpartum Hemorrhage: -Precipitous labor (less than 3 hours) -Uterine atony -Placenta previa or abruptio placenta -Labor induction or augmentation -Operative procedures (vacuum extraction, forceps, cesarean birth) -Retained placental fragments -Prolonged third stage of labor (more than 30 minutes) -Multiparity, more than three births closely spaced -Uterine overdistention (large infant, twins, hydramnios)