Finall Exam:l NSGl 432/l NSG432l (Latestl
2025/l 2026l Update)l Nursingl Carel ofl thel Childbearingl Familyl Completel Guide|l Questionsl &l Answers|l Gradel A|l 100%l Correctl (Verifiedl Solutions)-l GCU
Q:l carel forl familyl inl ppl
Answer:
-womenl canl bel dischargedl in:
>6l hr:l birthingl center
>48l hr:l vaginal
>96l hr:l cl section
POSTl PARTUM -womenl eitherl inl LDRl rooml (labor,l delivery,l recovery)l andl isl transferredl tol ppl areal whenl stable or...-shel isl inl LDRPl rooml wherel shel staysl inl thel samel rooml forl postl partuml carel andl staysl wl samel nurse -ifl womenl hadl regionall orl generall anesthesial shel mustl bel clearedl byl anesthesiologistl beforel transferl -nursel usesl SBARl whenl transferringl tol communicatel prenatal,l peripartum,l immediatel postl partum,l andl newbornl factors
Q:l preparingl forl dischargel
Answer:
ONGOINGl PHYSICALl ASSESSMENT -vitall signs,l breast,l uterus,l bowel,l bladder,l lochia,l lowerl extremity,l perineum
-fulll headl tol toe:l BUBBLEl HE
-assessl legsl forl DVT,l homansl signl nol longerl used,l lookl forl s/s -assessl respl forl PE
1.l BP:
-N:l canl havel ol hypol forl 48l hours
-hypertension:l anxiety,l prel eclampsia 1 / 4
-hypotension:l hemorrhagel
2.l Temp:
->100.4l afterl 24l hours->infection
3.l Pulse:
-tachycardia:l hemorrhage,l dehydration,l infection,l pain
4.l RR:
-bradypnea:l froml opioidsl painl meds
5.l breathl sounds:
-fluidl volumel overload
6.l Breasts:
-1l tol 2l daysl soft -2l tol 3l daysl filling -3l tol 5l daysl fulll wl milk
-abnormal:l engorgement-hot,l pain,l firm
-nipplel abnormal:l red,l bruised,l fissure,l cracks,l abrasion,l blisters->associatedl wl latchingl problems
UTERUS
-firm,l midline,l firstl 24l hrl atl Ul thenl involutesl 1l cm/dayl
-abnormal:l laterall deviationl (bladderl distension),l uterinel atonyl (boggy)
BLADDER
-ablel tol voidl spontaneously,l nol distension -diuresisl atl 12l hrl ppl outputl 3000l mL/day
-abnormal:l distension,l dysuria,l burning-infection
BOWEL -BMl inl 2-3l days -abdomenl softl andl activel bowell sounds
-incision:l dry,l intact
-hemorrhoids:l nonel orl pink/soft
-abnormal:l nol BMl 3-4l days,l diarrhea,l incisionl red/edema/drainage/warm
LOCHIA
-rubra:l 1-3l days
-serosa:l 4-10l days
-alba:l 10-14l days
-amountl isl minimall tol moderate,l fewl clots,l fleshyl smell
-abnormal:l largel amtl ofl lochial andl largel clots,l foull odor
PERINEUM
-somel edema -painl isl minimall tol mod,l canl bel controlled -abnormal:l edema,l extremel discomfortl 1-2l daysl (hematoma)l orl >3l daysl (infection) LEGS -DTRl 1-2+ -minimall peripherall edema -abnormal:l DTRl 3+l (prel eclampsia),l edemal 2+l orl higherl (fluidl overload) 2 / 4
ENERGY
-ablel tol carel forl infantl andl sleep
-abnormal:l cantl sleep,l extremel fatigue,l lethargyl (ppl depression)
EMOTIONS
-happy,l interestedl inl infant,l excited
-abnormal:l sad,l tearful,l lackl ofl interestl (ppl bluel orl depression)
Q:l preparingl forl dischargel cont.l
Answer:
ROUTINEl TESTS
-Hl andl H:l evaluatel bloodl loss
-cleanl catchl orl catheterl urinaryl analysis -otherl testsl dependingl onl history NURSINGl INTERVENTIONS
1.l Preventl excessivel bleeding:
-colorl andl amountl assessedl frequentlyl pp
-amountl expressedl as:l scant,l light,l moderate,l heavy
-color:l rubra,l serosa,l alba
-shouldl havel nol clotsl orl smalll clots -foull odorl indicatesl infection -checkl underl womensl buttl forl poolingl bcl ofl gravityl
2.l Maintainl uterinel tone:
-fundusl shouldl bel firm,l boggyl indicatesl heavyl bleeding -ifl boggy->massagel untill firml -teachl herl howl tol massagel it
3.l Preventl bladderl distention:
-causesl uterusl tol deviatel andl losel tone -encouragel herl tol voidl frequently,l ifl shel cantl shel mayl needl catheterl
4.l Preventl Infection:
-handl hygiene,l changel perineall padl andl linensl frequently,l womenl shouldl wearl slippersl inl hospital
-peril care:l handl hygiene,l peril bottle,l wipel frontl tol back
5.l Promotel Comfort:
-nonl pharm:l touch,l massage,l hydrotherapy,l distraction,l aromatherapy,l music,l tens,l imagery,l relaxation,l acupressure
-pharm:l shouldl bel usedl inl step
>nsaidsl (ibuprofen),l topicall analgesicl (witchl hazel,l hemorrhoidl spray) >modl tol sevl pain:l opioidsl (needl carefull assessmentl ofl moml andl baby) **inl earlyl breastl feedingl mostl medsl willl passl intol breastl milkl tol baby
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Q:l healthl promotionl forl futurel pregnanciesl
Answer:
VACCINES
1.l rubella:l womenl shouldl bel offeredl thisl beforel dischargel isl shel isl notl immune,l shel shouldl notl getl pregnantl forl 1l mol afterl this,l needl informedl consent 2.l varicella:l offerl beforel dischargel ifl notl immune,l 2l dosesl (initial,l 4-8l weeksl after),l cannotl getl pregnantl forl onel monthl afterl 2ndl dose,l informedl consentl thatl shel understandsl thel effectsl itl couldl havel onl al fetus 3.l TDAP:l recl priorl tol dischargel tol preventl pertussisl (whoopingl cough),l alll ppll whol willl comel inl contactl wl babyl shouldl getl thisl 2l weeksl prior **withl alll ofl thesel moml canl contl tol breastfeedl RHl IMMUNEl GLOBULIN -ifl womenl isl Rhl -l andl babyl isl +l womenl receivesl al secondl dosel ofl Rhogaml atl 72l hoursl pp,l firstl dosel atl 28l weeks
Q:l effectl ofl thel birthl experiencel
Answer:
-womenl andl partnerl needl tol reflectl overl theirl birthl experience -mayl needl tol mournl theirl ideall pregnancy -askingl theml tol reviewl theirl feelingsl helpsl thel nursel assessl howl welll theyl canl putl thel birthl intol perspectivel andl ifl theyl understandl whatl happened
Q:l dischargel teachingl
Answer:
-beginsl onl admission -muchl ofl nursesl role -ptl shouldl knowl thel s/sl thatl theyl shouldl calll HCP -teachingl shouldl targetl thel women'sl indivl needsl SEXUALl ACTIVITY -needl tol discussl atl dischargel becausel mostl couplesl resumel sexuall activityl beforel thel followl upl visit -riskl ofl infectionl andl hemorrhagel sigl decreasel byl weekl 2 -couplel mayl bel reluctantl tol bringl itl up,l bringl itl upl whenl talkingl aboutl activity -lubricationl mayl bel decreasedl forl al while MEDICATIONl TEACHING -analgesics -stooll softener
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