Clara Guidry Scenario 5
Further assessment: BP 106/64, P. 86, R 22, SAO2 97%, fundus firm, 2 cm below umbilicus, lochia moderate, no clots, patient is alert and oriented, less pale, but too tired to breastfeed baby. She expresses a concern about baby not being held or fed. SELECT THE FIRST TWO NURSING ACTIONS IN THE ORDER THAT THEY SHOULD BE IMPLEMENTED:
1Use therapeutic communication/active listening to assess patient's concerns and interest in pumping for colostrum.Active listening allows patient to express herself concerning choices of infant feeding and should be done first.
2Consult Lactation Consultant or provide education to patient and assist with pumping.Provides expert assistance in learning new skill. 3Discuss with patient's partner for willingness/interest to feed baby colostrum.Allows choices in infant feeding and promotes paternal-infant bonding.
4Assist partner in feeding pumped colostrum and partner skin-to-skin contact.Promotes confidence in learning a new skill.
5Assess patient's ability to hold infant and assist patient with holding baby skin-to-skin after feeding for maternal-infant bonding.Facilitates maternal-infant bonding and confidence in maternal role.