A nurse in the newborn nursery is collecting data about a (2024)

FAQs

When a nurse is collecting data from a postpartum client and notes the clients fundus is boggy? ›

A boggy and displaced fundus indicates uterine atony and bladder distension, which can interfere with uterine contraction and involution and increase the risk of hemorrhage and infection. The nurse should assist the client to empty their bladder and then massage the fundus until it becomes firm and midline.

When collecting data on a postterm neonate, the nurse expects to find: 2. abundant subcutaneous fat. The nurse is teaching parents how to select appropriate toys for their 10-month-old infant.

Final answer: The two priority complications a nurse would report while monitoring newborns are homeostatic imbalances, detected via the Apgar score system, and signs or symptoms of disease onset.

If the client has a large amount of lochia rubra with several clots, it may indicate that the uterus is not contracting well and needs to be massaged to expel any retained tissue or blood. Checking the client's fundus is the first action the nurse should take to assess the uterine tone and location.

All postpartum women should have regular assessment of vagin*l bleeding, uterine tonus, fundal height, temperature and heart rate (pulse) routinely during the first 24 hours, starting from the first hour after birth. Blood pressure should be measured shortly after birth.

We're very concerned about hemorrhage immediately after the baby is born and in those first few days. So if we find that the fundus is boggy, the primary nursing action is going to be to massage the fundus, and that's going to be done using the side of the hand.

The most important assessment before anything else is the respiratory assessment. The newborn's height and weight can determine their maturity and establish baseline data of their height and weight. The newborn is weighed daily at exactly the same time to note any abnormal weight loss or gain.

Explanation: Respiratory Distress Syndrome (RDS) occurs most often in newborns born preterm, affecting nearly all newborns who are born before 28 weeks of pregnancy. Less often, RDS can affect full-term newborns.

Essential newborn care includes: Immediate care at birth (delayed cord clamping, thorough drying, assessment of breathing, skin-to-skin contact, early initiation of breastfeeding) Thermal care. Resuscitation when needed.

They summarize the causes for PPH as related to abnormalities of one or more of four basic processes, namely the “four Ts”: tone, trauma, tissue, and thrombin. Atonic bleeding is major factor of PPH.

Which of the following is one of the most common postpartum complications? ›

Common postpartum complications

A serious infection such as sepsis. Heavy bleeding after giving birth, called hemorrhage. A disease of the heart muscle called cardiomyopathy. This condition makes it hard for the heart to pump blood to the rest of the body.

Complications can arise during this period, including hemorrhage, venous thromboembolism, and infection. As the nurse, you'll collaborate with the registered nurse, or RN, to provide care for your patient experiencing postpartum complications.

By approximately one hour post delivery, the fundus is firm and at the level of the umbilicus. The fundus continues to descend into the pelvis at the rate of approximately 1 cm or finger-breadth per day and should be nonpalpable by 14 days postpartum.

Immediately postpartum, the uterine fundus is palpable at or near the level of the maternal umbilicus. Thereafter, most of the reduction in size and weight occurs in the first 2 weeks, at which time the uterus has shrunk enough to return to the true pelvis.

Ask the client to urinate and empty her bladder. Before assessing the client's fundus, the nurse would ask the client to empty her bladder for an accurate assessment.

Position one hand around the top of the client's fundus and one hand just above the client's symphysis pubis. C. Rotate the upper hand to massage the client's uterus while using slight downward pressure to compress the fundus.