A nurse is providing discharge teaching to a postpartum client who had a vaginal delivery with an episiotomy.

The client asks, “How can I take care of myself at home?” Which of the following responses should the nurse give?

You should avoid taking sitz baths until your stitches dissolve

You should change your perineal pad from back to front

You should drink plenty of fluids and eat high-fiber foods

You should resume sexual intercourse as soon as you feel comfortable

Answer and Explanation

The Correct Answer is C

The correct answer is choice C. You should drink plenty of fluids and eat high-fiber foods. This will help you prevent constipation and ease your bowel movements, which can be painful after an episiotomy.

Choice A is wrong because you should not avoid taking sitz baths until your stitches dissolve. Sitz baths can help reduce the pain, swelling, and bruising around the wound area.

However, you should consult your doctor before taking a sitz bath.

Choice B is wrong because you should not change your perineal pad from back to front. This can introduce bacteria into your wound and increase the risk of infection. You should change your perineal pad from front to back and use a squirt bottle filled with warm water to cleanse the area every time you use the bathroom.

Choice D is wrong because you should not resume sexual intercourse as soon as you feel comfortable. You should wait until your wound is fully healed and your bleeding has stopped, which may take several weeks. You should also use a lubricant and a condom to prevent irritation and infection.

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Correct Answer is C

Explanation

The correct answer is choice C. Interdependent.According to Mercer’s theory of maternal role attainment, the interdependent phase is when the mother redefines her relationship with her older child and integrates the new baby into the family.She also reestablishes her role in society and resumes her pre-pregnancy activities.

Choice A is wrong because dependent is the first phase of maternal role attainment, when the mother is focused on her own needs and recovery after childbirth.She relies on others for support and guidance.

Choice B is wrong because dependent-independent is the second phase of maternal role attainment, when the mother begins to take charge of her own care and learns how to care for the baby.She seeks information and validation from health professionals and experienced mothers.

Choice D is wrong because independent is the fourth and final phase of maternal role attainment, when the mother has a strong sense of identity and competence in her maternal role.She develops her own style of mothering and feels confident and comfortable with her baby.

A. You should avoid taking sitz baths until your stitches dissolve B. You should change your perineal pad from back to front C. You should drink plenty of fluids and eat high-fiber foods D. You should resume sexual intercourse as soon as you feel comfortable

Correct Answer is C

Explanation

The correct answer is choice C. You should drink plenty of fluids and eat high-fiber foods.This will help you prevent constipation and ease your bowel movements, which can be painful after an episiotomy.

Choice A is wrong because you should not avoid taking sitz baths until your stitches dissolve.Sitz baths can help reduce the pain, swelling, and bruising around the wound area.

However, you should consult your doctor before taking a sitz bath.

Choice B is wrong because you should not change your perineal pad from back to front.This can introduce bacteria into your wound and increase the risk of infection.You should change your perineal pad from front to back and use a squirt bottle filled with warm water to cleanse the area every time you use the bathroom.

Choice D is wrong because you should not resume sexual intercourse as soon as you feel comfortable.You should wait until your wound is fully healed and your bleeding has stopped, which may take several weeks.You should also use a lubricant and a condom to prevent irritation and infection.

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A nurse is providing discharge teaching to a postpartum client who had a vaginal delivery with an episiotomy. The client asks, “How can I take care of myself at home?” Which of the following responses should the nurse give?

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Naxlex Comprehensive Predictor Exams

A nurse is assessing a postpartum client who delivered her second baby 3 days ago. The client says, “I feel sad that my older child will not get as much attention from me as before.” The nurse recognizes that the client is in which phase of maternal role attainment?

Correct Answer is C

Explanation