The nurse is discussing the importance of doing Kegel exercises during the postpartum period. Which of the following should be included in the teaching plan?

Correct Answer: B

Rationale: In the context of pharmacology, understanding the importance of Kegel exercises during the postpartum period is crucial for nurses to educate their patients effectively. Option B, which states that the woman should practice by stopping the urine flow midstream every time she voids, is the correct choice. This option is correct because it accurately describes the process of performing Kegel exercises. Stopping the urine flow midstream helps the woman identify the correct muscles to contract, which are the pelvic floor muscles. By regularly practicing this technique, women can strengthen their pelvic floor muscles, which can help prevent urinary incontinence and promote faster recovery after childbirth. The other options are incorrect for several reasons. Option A, contracting and relaxing rectal and thigh muscles, does not target the pelvic floor muscles specifically, which are the muscles involved in Kegel exercises. Option C, getting on hands and knees, is not necessary for performing Kegel exercises and may confuse the patient. Option D, linking toned pubococcygeal muscles to decreased blood loss, is a misleading statement as Kegel exercises primarily target pelvic floor muscle strength and are not directly related to blood loss. In an educational context, nurses must provide accurate and evidence-based information to empower women to take control of their postpartum recovery. By explaining the correct method of performing Kegel exercises, nurses can help women improve their pelvic floor muscle strength and overall well-being during the postpartum period.

Correct Answer: B

Rationale: In the postpartum period, the most critical assessment for a recently delivered breastfeeding client, like G10 P6408, is the assessment of the fundus (Option B). The fundus assessment helps in evaluating the uterine tone and detecting any excessive bleeding or potential uterine atony, a common complication after childbirth. A firm fundus indicates proper involution of the uterus, which is crucial for preventing postpartum hemorrhage. Pulse (Option A) is important but not as immediate as assessing the fundus in the early postpartum period. Monitoring the bladder (Option C) is essential to prevent urinary retention, but it is not as urgent as assessing the fundus. Breast assessment (Option D) is important for breastfeeding success but is not the priority immediately after delivery in terms of preventing complications like postpartum hemorrhage. Educationally, understanding the significance of timely fundus assessment postpartum is crucial for nurses and healthcare providers caring for postpartum clients. It highlights the importance of early detection and intervention in preventing life-threatening complications. This knowledge equips nurses to provide safe and effective care to postpartum clients and promotes positive maternal outcomes.

Correct Answer: A

Rationale: The correct answer is A) Apply an ice pack to the perineum. This intervention is appropriate for a second-degree perineal laceration as it helps to reduce swelling, inflammation, and pain in the perineal area. The application of ice packs also promotes vasoconstriction, which can help in minimizing bleeding and promoting healing of the laceration. Option B) Advise the woman to use a sitz bath after every voiding is not the most appropriate intervention at this time because using a sitz bath may not be recommended immediately after delivery, especially in the case of a recent perineal laceration. Sitz baths are generally recommended after the initial postpartum period when the perineal area has started to heal. Option C) Advise the woman to sit on a pillow may provide some comfort but does not directly address the issue of managing the perineal laceration or promoting healing. Option D) Teach the woman to insert nothing into her rectum is a general postpartum instruction to prevent infection but does not specifically address the immediate care needed for a second-degree perineal laceration. In an educational context, it is essential for nurses to understand the appropriate interventions for postpartum complications like perineal lacerations to provide optimal care and promote the well-being of their patients. Proper knowledge and application of evidence-based practices in postpartum care can help prevent complications and support the healing process for new mothers.

Correct Answer: B

Rationale: In the context of postpartum care following a cesarean section, it is crucial to educate the patient on the proper use of patient-controlled analgesia (PCA). Option B, which states that the client should report any feelings of nausea or itching to the nurse, is the correct answer. This is important because nausea and itching can be side effects of the pain medication administered through PCA, and timely reporting can help prevent complications or the need for additional interventions. Option A is incorrect because monitoring how often the button is pressed is not as critical as recognizing and reporting side effects. Option C is incorrect as only the patient should control the PCA administration to ensure safe dosing. Option D is incorrect because it is the responsibility of the patient, not the family, to communicate any changes in symptoms or condition to the healthcare team. Educationally, this question highlights the importance of patient education in managing postoperative pain and the role of the healthcare team in supporting patients through effective communication and monitoring for potential complications in the postpartum period.

Correct Answer: B

Rationale: The correct answer is B) 0.6 mL. To calculate the wastage, we first determine the total morphine used in 24 hours, which is 4 mg every 3-4 hours. If we assume the maximum frequency (every 3 hours), the patient would receive 6 doses in 24 hours (24 hours ÷ 3 hours = 8 doses, but the last dose is not fully utilized). Therefore, the total morphine used in 24 hours is 24 mg (4 mg/dose x 6 doses). Given that each syringe contains 10 mg/1 mL, the total volume of morphine needed in 24 hours is 2.4 mL (24 mg ÷ 10 mg/mL = 2.4 mL). However, since the syringes are premeasured and contain 1 mL each, there will be a wastage of 0.4 mL per dose. Therefore, for 6 doses in 24 hours, the total wastage will be 2.4 mL (0.4 mL/dose x 6 doses), which is equivalent to 0.6 mL when rounded to the nearest tenth. Educationally, understanding medication calculations is crucial for safe and effective nursing practice. Nurses must be able to accurately calculate dosages to prevent medication errors and ensure patient safety. This question highlights the importance of precise calculations in medication administration to minimize wastage and optimize patient care.