A nurse is conducting discharge and teaches parents about the care of their infant after cardiac surgery.

The nurse instructs the parents to notify the physician if the conditions occur. (Select all that apply.)

This is because oil peppermint can stimulate the micturition reflex and help the woman to void.

Some possible explanations for the other choices are:

Choice A is wrong because pouring water over the perineum may not be enough to trigger the micturition reflex and may cause discomfort or infection.

Choice C is wrong because analgesics may not address the underlying cause of urinary retention and may have side effects such as drowsiness or nausea.

Choice D is wrong because inserting a sterile catheter is an invasive procedure that carries risks such as trauma, infection, or bladder spasms. It should be used only as a last resort after other methods have failed.

Normal ranges for postpartum bladder function are:

• Urine output: 3000 to 5000 mL/day for the first 2 to 3 days after delivery.
• Urine specific gravity: 1.005 to 1.030.
• Urine pH: 4.6 to 8.0.

Give small amounts of favorite fluids frequently to prevent dehydration.

Dehydration is a common complication of upper respiratory tract infections in infants, especially if they have a fever. Giving small amounts of fluids frequently can help maintain hydration and electrolyte balance.

Some additional information about the other choices are:

Choice A is wrong because tepid water baths are not recommended for fever reduction. They can cause shivering, which increases heat production and can raise the

temperature further. Instead, antipyretics such as acetaminophen or ibuprofen can be given as prescribed.

Choice B is wrong because food intake may be decreased due to poor appetite, difficulty breathing, or sore throat. Forcing food intake can cause vomiting or aspiration. Fluid intake is more important than caloric intake during an acute infection.

Choice C is wrong because heavy clothing can increase heat retention and discomfort. The infant should be dressed in light clothing and the room temperature should be comfortable.