A nurse is caring for a client who is beginning to breastfeed her newborn after delivery. The new mother states, "I don't want to take anything for pain because I am breastfeeding." Which of the following statements should the nurse make?
We can time your pain medication so that you have an hour or two before the next feeding.
You need to take pain medications so you are more comfortable.
All medications are found in breast milk to some extent.
You have the option of not taking pain medication if you are concerned.
The Correct Answer is A
Choice a) reason:
Timing the administration of pain medication can help minimize the amount of medication that passes into the breast milk. By scheduling pain relief around breastfeeding times, the nurse can ensure that the peak concentration of the medication in the blood (and therefore potentially in the milk) does not coincide with the baby's feeding times. This approach helps manage the mother's pain while also protecting the newborn from unnecessary exposure to medication.
Choice b) reason:
While managing pain is important for the mother's comfort and recovery, stating that she needs to take medication without considering her concerns about breastfeeding may not be supportive or respectful of her wishes. It's essential to address her concerns and provide options that align with her breastfeeding goals.
Choice c) reason:
It is true that all medications can be found in breast milk to some extent; however, the levels can vary widely based on the medication's properties. The nurse should provide information about the specific medication's safety during breastfeeding and discuss any potential risks with the mother.
Choice d) reason:
Informing the mother that she has the option of not taking pain medication addresses her autonomy in decision-making. However, it's also important for the nurse to discuss the potential consequences of untreated pain, such as impaired ability to care for the newborn and delayed recovery.
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Correct Answer is B
Explanation
Choice A reason: Requesting photo identification from the grandmother is a standard security procedure in many hospitals to ensure the safety of the newborn. However, this option alone does not address the hospital's policy regarding who is permitted to transport infants. Typically, only hospital staff are allowed to move infants within the facility to ensure their safety and security.
Choice B reason: This choice aligns with common hospital policies that require a staff member, such as a nurse, to transport newborns. It ensures that the baby remains under the care of trained personnel during transport and helps prevent potential mix-ups or security issues. The nurse's offer to take the baby to the room upon the mother's request also supports family involvement in the care process while maintaining safety protocols.
Choice C reason: Allowing the grandmother to push the baby to the room in a wheeled bassinet may seem convenient, but it is not typically permitted due to safety and security protocols. Hospitals often have strict regulations about who can transport babies to prevent abductions and ensure that the infant is always accompanied by a staff member.
Choice D reason: While it may be a heartwarming gesture for the grandmother to carry her grandchild, it is not an appropriate response by the nurse. Newborns should be transported in a secure manner, which usually means being in a bassinet or held by hospital staff. Personal carrying increases the risk of falls or other accidents.
Correct Answer is A
Explanation
Choice A reason:
In the case of a client with painless, bright red vaginal bleeding at 38 weeks of gestation, the priority is to stabilize the client's condition. Initiating IV access is crucial as it allows for rapid administration of fluids or blood products to address potential hypovolemia and to prepare for the possibility of an emergency cesarean section if needed. The client's low blood pressure and elevated heart rate suggest that she may be experiencing hypovolemia, which can quickly lead to hypovolemic shock if not treated promptly.
Choice B reason:
While obtaining informed consent is important before any surgical procedure, it is not the immediate priority. The priority is to stabilize the client, and consent can be obtained concurrently with other stabilizing actions or by another member of the healthcare team.
Choice C reason:
Inserting an indwelling urinary catheter is a supportive measure that can be necessary during labor or before surgery to keep the bladder empty, reducing the risk of bladder injury during a cesarean section and monitoring urine output as an indicator of renal perfusion. However, it is not the first priority in the presence of significant vaginal bleeding.
Choice D reason:
Preparing the abdominal and perineal areas is part of the preoperative procedure for a cesarean section. This action would follow after the client has been stabilized and a decision for surgery has been made.
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