Postpartum: Childbirth and Marie Wilson Marie Essay

Marie Wilson, a 34-year-old female customer who is gravida 4, para 3, is transferred to the postnatal unit two hours after a prolonged 14-hour labor and forceps legal transfer of a male infant weighing 9 lb, 2 oz. The placenta was total upon delivery. The labor and delivery nurse reports that Marie was catheterized for 600 ml of yellow urine scantily before delivery. Her record indicates that she had a repair of a 4th microscope stage laceration. A postpartum judgement reveals that her vital signs are stable kin pressure 120/80, pulse 84, respirations 20, temperature 98.9 F. Additional assessment indicates that her fundus is firm and fit(p) 1 cm above the umbilicus, and the perineal sutures are intact with edges well-approximated. The client describes herself as exhausted and without pain, since she has had no sensation below her waist since receiving epidural anesthesia.A 1,000 ml bag of Lactated Ringers solution containing 10 units of Pitocin (oxytocin) is infusing via an 18 g peripheral IV in the left hand forearm at 125 ml per hour, with 300 ml stay in the bag. The IV is patent, without redness or swelling, and can be give up when this bags infusion is complete. 1. Prior to discontinuing the IV Pitocin (oxytocin), which assessment is most important for the nurse to obtain?A) Vital signs.B) Vaginal discharge.C) uterine firmness.D) Oral intake.Correct answer(s) C2. What is the priority nursing diagnosis for Marie, who is experiencing eternal rest effects of epidural anesthesia?A) Risk for injury.B) Impaired physical mobility.C) adapted urinary elimination.D) Risk for infection.Correct answer(s) A3. What is the priority nursing fulfill to address Maries needs related to the repair of her 4th score perineal laceration? A) Provide prescribed oral pain medication and cause softener. B) Encourage warm sitz baths 2 to 3 times daily.C) Apply perineal ice packs consistently for the first 24 to 48 hours. D) Teach worthy and frequent use of the peri-bot tle. Correct answer(s) C