xam 3 45 &6- Requires Study Guide Answer Key Chapter 10 For the following case a
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xam 3 45 &6- Requires Study Guide Answer Key Chapter 10 For the following case applications, you are an LPN working on an OB unit of a hospital. You are the nurse caring for Jane, a 26 y.o. primiparous woman who is 2 days postpartum. Her newborn was of term gestation, but was very underweight. The newborn has needed respiratory support and blood glucose management, and has been in the nursery since birth. You don't currently have access to the patient's prenatal records, but the other nurses are concerned that the patient was probably using drugs during the pregnancy and this has contributed to the baby's complications. Your patient is ready to be discharged. You are reviewing the discharge education materials you will reinforce with her and notice that she has expressed a desire to breastfeed but has not been successfullin getting her infant to latch. She has a breastpump in her room, but no one has documented that they educated her on how to pump. Which postpartum complicationls) is Jane at risk for? Why? What interventions will you implement to reduce Jane's risk for the complication/s) you identified?Explanation / Answer
1. Ans: Since Mrs. Jane is unable to feed the newborn she she is in another place for respiration and blood glucose management, the breasts are swollen and oedematous, and the skin looks shiny and diffusely red. Usually the whole of both breasts are affected, and they are painful. Mrs jane may have a fever that usually subsides in 24 hours. The nipples may become stretched tight and flat which makes it difficult for the baby to attach and remove the milk. The milk does not flow well.
2. Ans: Breast milk would be drawn outside with the help of pump. If it is too hard apply hot fermentation and then take out the milk. Explain about the feeding positions after the baby comes back, if the chest is heavy with excess of ilk it can be drawn and throw out. Keep the nipples clean always, clean after eery feed to prevent infections to the newborn.
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