Question: 1. A Nurse Receives A Report On A 4-hour Postpartum Mother Who Delivered An Infant That Was 9 Pounds, 12 Ounces. She Has A Second-degree Vaginal Tear That Was Repaired. The Vaginal Delivery Required McRoberts’s Maneuver And Suprapubic Pressure. The Mother Was “straight-cathed” Post-delivery For 800 ML Of Clear Yellow Urine. The Mother Has Feeling In …

1. A nurse receives a report on a 4-hour postpartum mother who delivered an infant that was 9 pounds, 12 ounces. She has a second-degree vaginal tear that was repaired. The vaginal delivery required McRoberts’s maneuver and suprapubic pressure. The mother was “straight-cathed” post-delivery for 800 mL of clear yellow urine. The mother has feeling in her legs and was able to pass the leg strength test prior to ambulation to the bathroom with the assistance of the nurse and nursing assistant. She was unable to void and taught how to use the squirt bottle for peri care and to change her pad with each bathroom visit. • What priority nursing interventions can be done to help the patient be able to void without needing to be catheterized again? • The pediatrician has diagnosed the infant as macrosomic. What impact did the size of the infant have on the delivery? 2. A nurse is caring for three infants. The assessments show the following: • Baby Ais a 38-1/7-week white male infant who is large for the gestational age. The parents mention they ade concerned with the swelling they noticed on the infant’s head. Assessment shows swelling that crosses the suture line and some bruising that is forming. The baby is alert and awake. Baby B is a 36-3/7-week female infant of mixed descent. The assessment of the scalp has a firm mass the size of half an avocado that stops at the suture line. The baby is pink and warm with stable vital signs. • Baby C is a 40-2/7-week male infant of Indian descent. The baby was born vaginally and a vacuum was utilized. Four pop offs of the vacuum are charted. The infant has significant bruising and swelling of the scalp that crosses the suture line. The head circumference is 2 cm larger than at birth. . What could be the cause of the swelling for Baby A? • Are there other assessments the nurse will evaluate to determine the significance of the bruising for Baby B? • What causative factors may be present with Baby C?