A nurse is providing discharge instructions to a patient who had a cesarean delivery.
Which of the following statements by the patient indicates an understanding of the teaching?
“I can resume driving as soon as I feel comfortable.”
“I can lift my baby and anything else that weighs less than 10 pounds.”
“I can have sexual intercourse as soon as I stop bleeding.”
“I can take ibuprofen or acetaminophen for pain relief.”
The Correct Answer is D
“I can take ibuprofen or acetaminophen for pain relief.” This is because these are safe and effective medications for pain management after a C-section.
Choice A is wrong because driving is not recommended until the incision is healed and the pain is gone, which can take 4 to 6 weeks.
Choice B is wrong because lifting anything heavier than the baby can strain the incision and cause bleeding or infection.
Choice C is wrong because sexual intercourse should be avoided until the vaginal bleeding stops and the incision is healed, which can take 4 to 6 weeks or longer.
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Correct Answer is C
Explanation
The correct answer is choice C) Encouraging coughing and deep breathing exercises.
This is because coughing and deep breathing exercises can help prevent atelectasis and pneumonia, which are common postoperative complications of C-section.
Coughing and deep breathing exercises also promote oxygenation and circulation.
Choice A) Administering an opioid analgesic is wrong because opioids can cause respiratory depression and sedation, which are not desirable before surgery.
Opioids can also cross the placenta and affect the fetus.
Choice B) Assessing for signs of deep vein thrombosis is wrong because this is not a priority intervention before surgery.
Deep vein thrombosis is more likely to occur after surgery due to immobility and venous stasis.
Choice D) Providing a high-carbohydrate meal is wrong because this can increase the risk of aspiration during surgery.
The client should be kept NPO (nothing by mouth) for at least 6 hours before surgery.
Correct Answer is B
Explanation
The correct answer is choice B. Mothers may be at increased risk for poor bonding with the newborn.This is because cesarean delivery can interfere with the natural hormonal and physiological processes that facilitate maternal-infant attachment, such as skin-to-skin contact, breastfeeding initiation, and oxytocin release.Cesarean delivery can also cause more pain, stress, and anxiety for the mother, which can affect her emotional availability and responsiveness to the newborn.
Choice A is wrong because mothers do not necessarily have more problems with parenting skills after cesarean delivery.
Parenting skills depend on many factors, such as education, support, personality, and motivation.
Cesarean delivery may pose some challenges for postpartum recovery and care, but it does not imply that mothers are less competent or capable of parenting.
Choice C is wrong because mothers can breastfeed right away after cesarean delivery, unless there are medical contraindications or complications.
Breastfeeding is beneficial for both the mother and the newborn, as it provides nutrition, immunity, comfort, and bonding.However, breastfeeding after cesarean delivery may require more assistance and support from health care providers and family members, as well as alternative positions and techniques to avoid pain and discomfort.
Choice D is wrong because mothers do not necessarily resent the health care team member for keeping the newborn in the nursery.
Mothers may appreciate the help and care that the health care team member provides for them and their newborns.
However, keeping the newborn in the nursery may delay or reduce the opportunities for maternal-infant interaction and bonding.
Therefore, it is recommended to promote early and frequent contact between the mother and the newborn after cesarean delivery, as long as it is safe
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