Patient Education
Patient Education ( 14 Questions)
A nurse is caring for a client who had an unscheduled cesarean delivery due to fetal distress.
Which of the following interventions should the nurse implement in the immediate postoperative period?
assessing the client’s fundus for firmness and position is important to prevent postpartum hemorrhage and monitor uterine involution. The fundus should be firm and at the level of the umbilicus one hour after delivery and descend into the pelvis at a rate of approximately 1 cm per day.
encouraging early ambulation can prevent thromboembolism, which is a potential complication of cesarean delivery. Early mobilization can also reduce pain, ileus, and urinary retention.
monitoring the client’s intake and output can help detect fluid imbalance, dehydration, or urinary tract infection.
Fluid intake should be adequate to maintain hydration and support lactation. Urinary output should be at least 30 mL per hour.
All of the above interventions should be implemented in the immediate postoperative period after a cesarean delivery.
because all of the above interventions are appropriate for postoperative care after a cesarean delivery.
The correct answer is choice D. All of the above interventions should be implemented in the immediate postoperative period after a cesarean delivery.
Choice A is correct because assessing the client’s fundus for firmness and position is important to prevent postpartum hemorrhage and monitor uterine involution. The fundus should be firm and at the level of the umbilicus one hour after delivery and descend into the pelvis at a rate of approximately 1 cm per day.
Choice B is correct because encouraging early ambulation can prevent thromboembolism, which is a potential complication of cesarean delivery. Early mobilization can also reduce pain, ileus, and urinary retention.
Choice C is correct because monitoring the client’s intake and output can help detect fluid imbalance, dehydration, or urinary tract infection.
Fluid intake should be adequate to maintain hydration and support lactation. Urinary output should be at least 30 mL per hour.
Therefore, choice D is correct because all of the above interventions are appropriate for postoperative care after a cesarean delivery.
