Question

A 38-year-old woman with a history of infertility delivered at 38 weeks via cesarean section for failure to progress two hours ago. She and her husband are both vice presidents at a local banking institution, and they did not take any prenatal courses because of their busy schedules, but they have done a lot of research on the Internet. Both sets of grandparents live on the opposite coast, but the couple have hired a nanny to help with infant care. The nurse from the delivery room calls you with the following report on the patient:

• IV infusing into left forearm of lactated Ringer's at 125 ml/hour
• Dressing dry and intact
• Foley catheter draining clear yellow urine of 60–70 ml/hour
• Positive movement and sensation in the legs
• Epidural site clean and dry
• Alert and oriented and denies pain at present
• Attempted breast-feeding in the recovery room, but the infant was sleepy.

1. What assessments should the nurse make when the patient is transferred to the postpartum area?
2. What questions should the nurse ask to determine the patient's readiness to learn?
3. What major points should the nurse be sure are covered before discharge when teaching the mother?

Answer 1

According to the the given scenario

Question 1) physical assessment is most important thing to perform both of the mother and newborn . Check for vitals of mother and newborn . Assessment of emotion of mother is also very important.

While checking vitals special concern to be given on respiration of new born.

Avoid any exposure to the body fluids.

Since the couple has not attended any training in pregnancy she must be aware of skin to skin contact of mother and newborn. Exclusive breastfeeding , how to breastfeed and potential risks .every finding should be reported to the mother also.

2) According to the peak model of readiness to question to be asked is

Ask whether the mother is physically stable or not ?

Is mother is comfortable with the settings or feeling distracted?

Whether the mother is emotionally stable or not?

Whether the mother is feeling motivated and oriented or not?

How much the mother know about the topic or what is her knowledge base?

What learning method she is comfortable with?

3) Major points should be covered before discharge when teaching the mother are

Is mother and child is comfortable or not? Look for their vitals .look for any bleeding.

Ask the patient to whether she learned about the everything or not

Ask the patient to demonstrate about the method in her own words.