interventions nurse assist postpartum woman difficulty voiding

Which interventions would the nurse use to assist the postpartum woman who has difficulty voiding?

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c)Postpartum psychosis
Explanation:
The client's signs and symptoms suggest that the the client has developed postpartum psychosis. Postpartum psychosis is characterized by clients exhibiting suspicious and incoherent behavior, confusion, irrational statements, and obsessive concerns about the baby's health and welfare. Delusions, specific to the infant, are present. Sudden terror and a sense of impending doom are characteristic of postpartum panic disorders. Postpartum depression is characterized by a client feeling that her life is rapidly tumbling out of control. The client thinks of herself as an incompetent parent. Emotional swings, crying easily--often for no reason, and feelings of restlessness, fatigue, difficulty sleeping, headache, anxiety, loss of appetite, decreased ability to concentrate, irritability, sadness, and anger are common findings are characteristics of postpartum blues.

a)Endometritis
Explanation:
The woman with endometritis typically looks ill and commonly develops a fever of 100.4°F (38°C) or higher (more commonly 101°F [38.4°C], possibly as high as 104°F [40°C]) on the third to fourth postpartum day. The rise in temperature at this specific time is the most significant finding. The woman exhibits tachycardia, typically a rise in pulse rate of 10 beats per minute for each rise in temperature of one degree. In addition, the woman may report chills, anorexia, and general malaise. She also may report abdominal cramping and pain, including strong afterpains. Fundal assessment reveals uterine subinvolution and tenderness. Lochia typically increases in amount and is dark, purulent, and foul-smelling. However, with certain microorganisms, her lochia may be scant or absent.

One of the primary assessments you, as a postpartum nurse, make every day is for postpartum hemorrhage. What do you assess the fundus for?

a) Consistency, location, and place
b) Content, lochia, place
c) Location, shape, and content
d) Consistency, shape, and location

a)Feels like eating all the time
Explanation:
Some signs and symptoms of postpartum depression include feeling restless, worthless, guilty, hopeless, moody, sad, overwhelmed, cry a lot, exhibit a lack of energy and motivation, experience a lack of pleasure, changes in appetite, sleep, or weight, withdraw from friends and family, feel negatively toward her baby, or shows lack of interest in her baby.

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Which nursing interventions can help prevent abdominal distention and gas discomfort for a postpartum woman who delivered by cesarean birth?

Increased ambulation stimulates peristalsis and helps prevent abdominal distention and gas for a woman who delivered by C-section. Encourage increased PO fluid intake. Increased PO fluid intake stimulates peristalsis and helps prevent abdominal distention and gas for a woman who delivered by C-section.

What are your nursing interventions in caring for a mother who's experiencing difficulty in labor?

These interventions can include bed rest/recumbent position, electronic fetal monitoring (EFM), limited oral intake during labor, frequent vaginal exams, inductions/augmentations, amniotomy, regional anesthesia, catheterization, ineffective pushing, episiotomy, instrumental vaginal birth, and cesarean surgery.

Which meaning would the nurse assign to the observation that a client is voiding frequently in small amounts 8 hours after giving birth?

For approximately 8 hours after delivery, amount of urine at each void. Patients should void a minimum of 150 mL per void; less than 150 mL per void could indicate urinary retention due to decreased bladder tone post delivery (in the absence of preeclampsia or other significant health problems).

What are the nursing priorities for the immediate post partum?

Care within the First 24 Hours Assess the labor and birth history such as the length of labor and if any analgesia or anesthesia was used to determine any necessary procedures to be done. Determine the infant's data and profile to help with planning the care of the newborn and promote bonding between the parents.

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