A nurse is reinforcing preoperative teaching with a client who is scheduled for a cesarean birth. Which of the following client statements indicates an understanding of the teaching?
"The nurse will take out my urinary catheter 48 hours after surgery."
"The nurse might need to massage my uterus frequently after surgery."
"I can have regular food once I am able to swallow safely."
"I will need to stay flat on my back in bed for the first 24 hours after surgery."
The Correct Answer is B
A. The urinary catheter is usually removed within the first 24 hours after a cesarean birth, not 48 hours. Early removal helps prevent complications and promotes recovery.
B. Uterine massage is performed to prevent postpartum hemorrhage and ensure the uterus is contracting properly. This practice is part of standard postpartum care to promote uterine involution.
C. Postoperative diet progression typically starts with clear liquids and advances as tolerated. Regular food is introduced once the client can swallow safely and shows no signs of nausea or gastrointestinal issues.
D. Staying flat on the back is not required post-cesarean section. Early ambulation is encouraged to prevent complications like deep vein thrombosis and to promote healing.
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Related Questions
Correct Answer is C
Explanation
A. Fever is not a common adverse effect of epidural anesthesia. Fever is more commonly associated with infection or other causes and would require further investigation but is not directly linked to the epidural itself.
B. Tachypnea is not an expected adverse effect of epidural anesthesia. It may be a sign of anxiety, pain, or respiratory complications, but it is not typically caused by the epidural.
C. Tachycardia can be an adverse effect of epidural anesthesia. It may occur as a compensatory mechanism due to hypotension, which is a known side effect of epidural anesthesia. When blood pressure drops, the heart rate may increase to maintain cardiac output.
D. Hypertension is generally not associated with epidural anesthesia. Hypotension is more common due to the vasodilatory effects caused by sympathetic nerve blockade, rather than an increase in blood pressure.
Correct Answer is A
Explanation
A. Witch hazel pads can soothe the perineal area and reduce discomfort from an episiotomy and hemorrhoids. This is a common and effective part of postpartum perineal care.
B. Heat packs are not recommended for episiotomy care as they can increase swelling. Instead, cold packs or ice can be used to reduce swelling and discomfort.
C. Numbing sprays should not be used prior to cleansing the area. Instead, gentle cleaning with mild soap and water is recommended for postpartum perineal care.
D. A sitz bath should typically be used for 15 to 20 minutes, not just 10 minutes, to effectively soothe the perineal area and promote healing.
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