Practice Question
A patient delivered 2 hours ago without medication. She is alert and active in bed but has not been out of bed yet. She states she needs to go the bathroom. What is the nurse's most appropriate response?
Answer Choices:
Correct Answer:
"I'll walk you to the bathroom and stay with you."
Rationale:
🔶 The patient is in the immediate postpartum period, during which there is a high risk of orthostatic hypotension and fainting due to blood loss, hormonal changes, and shifting circulatory volume.
🔶 Although she is alert and active, she has not yet ambulated, so the nurse must assess her stability during the first mobilization to ensure safety.
🔶 Walking the patient to the bathroom while staying with her provides support and allows the nurse to observe for dizziness, weakness, or excess bleeding.
🔶 This intervention promotes early mobility, which supports circulation, bladder emptying, and reduces the risk of complications like urinary retention or falls.
🔶 It is both safe and empowering, maintaining the patient’s dignity while ensuring close monitoring.
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This question is from Maternity exam 2 ( Samuel Merit University) which contains 49 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: General Exams
- Domain: 🤱🏼Maternity & Newborn Care
- Answer Choices: 4