Social history: Married, 8th grade teacher, no history of depression, no history of substance abuse or domestic violence, planned and desired pregnancy.
Prenatal history: Normal, no complications.
Prenatal lab work: Group B strep: negative; Blood type: O neg; received RhoGAM at 28 weeks gestation; Pap test: normal; testing for gonorrhea and Chlamydia: negative; HIV negative, Hepatitis B negative; no anemia or gestational diabetes; immune to Rubella and to varicella
Labor and delivery course: 14 hours of labor; epidural anesthesia used; membranes ruptured for 6 hours clear fluid; NSVD of 9-lb infant girl; Apgar score 9 and 9; mother with third-degree perineal laceration repaired; estimated blood loss at delivery: 350 cc.
Current vital signs: T 100.2° F, P 100, R 20
1. What aspects of Marcia's history and vital signs are most significant at this time?
2. How should the nurse address her vital signs at this time?
3. How should Marcia be taught to care for the third-degree perineal laceration during her hospital stay?
4. Marcia is very tired and after one successful nursing of her infant, she request that the nurse watch the infant for a while. She is not interested in learning infant care or self-care at this time. She does not want to get up to try and void and requests a bedpan instead. How should the nurse respond?
5. Before discharge, Marcia's physician has ordered a flu vaccine and TDAP vaccine. What is the purpose of these vaccines?