1. A nurse on the b. amount of lochia
postpar- tum unit is
caring for a pt. when using the ABCs approach to client care, the nurse
following a cesarean should place the priority in the immediate postpartum
birth. Which of the period on assessing the amount of postpartum lochia. the
following as- greatest risk to the client is bleeding and postpartum
sessments is the hemorrhage.
nurse's priority?
a. parent-child
attachment
b. amount of lochia
c. patency of the
IV catheter
d. quality and
quantity of urine a. apply sacral counter pressure
2. a nurse is caring for the nurse should apply sacral counter pressure to assist in
a client who is in relieving back labor pain related to fetal posterior position
labor and whose
fetus is in the b. the nurse should perform TENS during the first stage
right occiput posterior of labor.
po- sition. the client is
dilated to 8cm and
reports back
pain. which of the following
c. the nurse should transition a client to pattern-paced
breathing
actions should the a. apply sacral counter pressure
nurse take?
b. perform trancutaneous electrical
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nerve stimulation
during this stage of labor.
(TENS)
d. The nurse should teach the client about biofeedback
during the prenatal period for it to be ettective during labor.
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c. initiate slow-
paced breathing
d. assist with
biofeedback
a. wipe the newborn's eyes from inner canthus
3. a nurse is outward
demonstrating to a
client how to bathe c. wash the newborn's neck by lifting the newborn's
her newborn. in which chin
or- der should the
nurse per- form the d. cleanse the skin around the newborn's umbilical stump
following actions
b. wash the newborn's legs and feet
a. wipe the newborn's
eyes from inner e. clean the newborn's diaper area
canthus out- ward
b. The nurse should demonstrate how to bathe a newborn
by using
wash theanewborn's legs
and feet client and her partner who have
experienced a fetal
c.wash the newborn's
neck by lifting the
newborn's chin
d. cleanse the skin
around the newborn's
umbilical stump
e. clean the newborn's
dia- per area
4. a nurse is caring for a
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head to toe, clean to dirty, approach.
a. take photos of the newborn to give
to the parents
the nurse should create a memory box
that includes mementos of the newborn
(ex: photos, ID bands, newborn hat and
blanket)
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