Maternal-Newborn Nursing: The Critical Components of Nursing Care 2nd Edition by Roberta Durham, Linda Chapman

Exercise 1

Your patient, who gave birth to a 7-pound baby boy 24 hours ago, is complaining of uterine cramping (afterpains). This is her second baby and she is breastfeeding. Your assessment reveals a firm fundus at midline at 1 cm below the umbilicus. Select all of your initial nursing actions.
A) Instruct the patient to bottle-feed for 36 hours or until the cramping has stopped.
B) Place a warm blanket on her abdomen.
C) Explain that these are normal for second-time mothers to experience.
D) Offer the patient acetaminophen with codeine so she can continue to breastfeed.