Which instruction should the nurse include in the teaching plan for a postpartum woman with mastitis?

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What teaching points should the nurse provide to a postpartum client regarding mastitis?
Which instruction would the nurse provide to a woman who is breastfeeding and has mastitis?
Which nursing discharge instructions are appropriate to include when teaching a postpartum woman?
Which instruction should the nurse offer a client as primary preventive measures to prevent mastitis?

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pretest questions

Question	Answer
The nurse is assessing a client 24 hours after delivery and finds the fundus to be slightly boggy and two centimeters above the umbilicus. What should be the priority nursing intervention?	After having the patient void, gently massage the fundus until firm.
A new mother complains of 'afterpains.' The nurse's first action should be to do which of the following?	administer an analgesic
The nurse is caring for a woman who gave birth to a daughter yesterday, but greatly desired a son. Today she seems withdrawn, staying in bed and staring at the wall. What is the most appropriate intervention?	encourage the mother to verbalize her disappointment
The nurse is preparing to instruct a new mother about resuming sexual intercourse postpartum. The nurse should include which of the following in the teaching plan?	Wait until episiotomy is healed and lochia has stopped before resuming intercourse AND a water soluble lube may be necessary
The nurse is caring for a client who has decided not to breastfeed. What should the nurse include in client teaching to promote lactation suppression?	Apply ice bag AND bind the breasts
A client has a temperature of 100.2 F four hours after delivery. What is the appropriate action for the nurse to take?	do nothing since this is an expected finding at this time
A client delivered 90 minutes ago. She is alert and physically active in the bed. She stated that she needs to go to the bathroom. What is the nurse's most appropriate response?	"I'll walk you to the bathroom and stay with you.
36 yo woman, gravida 6 para 6, delivered a 7 lb14 oz girl at term after an eight hour labor, vital are stable, lochia is bright red, heavy, and contains some clots; some half dollar size. The nurse would consider the client at risk for uterine atony why?	grandmultiparity
nurse massaged boggy fundus, but she continues to pass several large clots and bright red lochia. The uterine fundus remains boggy and fundal massage and Pitocin aren't successful. What med will be prescribed next?	Carboprost (Prostin 15-M or Hemabate)
A new mother with mastitis is concerned about breastfeeding while she has an active infection. How should the nurse respond?	the organisms that cause mastitis are not passed through milk
If the nurse suspects a uterine infection in the postpartum client, the nurse should make which priority assessment?	odor of lochia
A postpartum pt develops a temp during her postpartum course. Which temp measurement indicates to the nurse the presence of postpartum infection?	100.6 F at 48 postpartum and continues into the third day (should lower after day 2)
Which sign of thrombophlebitis should the nurse instruct the postpartal client to look for when at home after discharge from the hospital?	localized posterior leg tenderness, heat, and swelling
Which instruction should the nurse include in the discharge teaching to assist the postpartal client to recognize early signs of complications?	notify health care provider of increased lochia or bright red bleeding
At two days old, the nurse hears a murmur over the right and left auricles of the newborn's heart. The nurse concludes that this may represent patency of which structure>	foramen ovale
The maternal newborn nurse formulates which nursing goal for a newborn in transition within the first few hours after birth?	to identify actual and potential problems that may require immediate or emergency attention
The nurse conducts a neurological assessment of the newborn. Which indicates need for further evaluation?	Asymmetrical fine jumping movement of the leg and arm muscles AND muscle flaccidity not relieved by holding the newborn AND weak and ineffective sucking movements
Most newborns void in the first 24 hours after birth. The nurse interprets that which of the following is responsible for the reddish stain, sometimes called "red brick dust spots" or "brick deposits" on the newborns diaper?	uric acid crystal in the urine
A nurse providing care to a newborn would use which concept underlying adaption of the newborn's immune system when planning nursing care?	The newborn is unable to limit invading organisms at their point of entry
The nurse who is trying to prevent heat loss in the newborn recalls that which physical characteristics serve to increase a newborn's loss of heat?	blood vessel dilation and reddened skin AND limited subcutaneous fat AND larger body surface related to that of an adult
A postpartal client is bottle feeding her newborn. The nurse should teach the client to take which actions when the baby regurgitates small amounts of formula.	recognize this is a normal occurrence AND understand that this may result from overfeeding
the client who experienced postpartal demise states, 'Sometimes I feel like I have left my baby somewhere, and I can't remember where she is. Then I remember she that she isn't alive' The nurse interprets that this client is experiencing what?	search and yearning
The father of a stillborn infant tells the nurse he wants to hold the child. What is the nurse's best response?	dress the infant in a tshirt and diaper and let him hold the infant
The nurse determines that teaching about SIDS has been effective when the client makes which statement?	No definite cause of death is found at autopsy
The nurse interprets which of the following as somatic complaints of a postpartal woman who is grieving for her deceased infant?	Heaviness in the chest and fatigue AND weight loss and decreased appetite
The client being seen for a postpartal exam after delivering a still born girl six weeks ago asks the nurse, "When will i feel normal again?" The nurse's reply reflects the understanding that grief work takes approximately how long?	about one year
The maternal newborn nurse interprets the anticipatory grieving is likely to occur in a client who has experienced which of the following situations?	fetal anomaly identified during pregnancy
Which of the following tokens of remembrance would be appropriate for the nurse to provide to parents who are grieving the death of an infant?	lock of hair, footprints
The family is experienced a fetal loss. Which statement indicates that the nurse's teaching about family involvement in the birthing process needs clarification?	We should have the funeral through the mortuary the hospital uses

What teaching points should the nurse provide to a postpartum client regarding mastitis?

Apply warm, moist compresses to the affected breast every few hours or take a warm shower. Breastfeed every two hours or more often to keep milk flowing through the milk ducts. If needed, use a breast pump to express milk between feedings. Drink plenty of fluids and rest when possible.

Which instruction would the nurse provide to a woman who is breastfeeding and has mastitis?

Take your time when you breastfeed to allow your baby to empty your breast. Try not to switch breasts too early. Express or pump after you breastfeed if your baby is not emptying your breasts when he or she feeds. Prevent sore and cracked nipples.

Which nursing discharge instructions are appropriate to include when teaching a postpartum woman?

A nurse is providing discharge instructions to a postpartum client following a cesarean birth..

Feed the newborn less frequently..

Continue to breast-feed every 2 to 4 hours..

Switch to bottle-feeding the infant for 2 weeks..

Stop breast-feeding and switch to bottle-feeding permanently..

Which instruction should the nurse offer a client as primary preventive measures to prevent mastitis?

Explanation: As a primary preventive measure to prevent mastitis, the nurse should instruct the client to perform good handwashing before breastfeeding. The nurse should instruct the client to frequently breastfeed to prevent engorgement and milk stasis.

Which instruction should the nurse include in the teaching plan for a postpartum woman with mastitis?

pretest questions

What teaching points should the nurse provide to a postpartum client regarding mastitis?

Which instruction would the nurse provide to a woman who is breastfeeding and has mastitis?

Which nursing discharge instructions are appropriate to include when teaching a postpartum woman?

Which instruction should the nurse offer a client as primary preventive measures to prevent mastitis?

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