Cesarean Section (11 Questions)

1. Mme. Anaïs Leblanc, 32 years old, is 8 hours postoperative following a scheduled low transverse cesarean section performed under spinal anesthesia for breech presentation. Her pregnancy and delivery were otherwise uncomplicated.

Current medical orders include:
*Acetaminophen 1,000 mg PO q6h scheduled
*Ibuprofen 600 mg PO q6h PRN mild to moderate pain
*Morphine 2 mg IV q4h PRN severe pain (≥7/10)
*Vital signs q4h

During routine assessment, Mme. Leblanc reports incisional pain rated 8/10, especially when coughing or changing position. She appears tense and guarded but is alert, oriented, and hemodynamically stable.

Question:
What is the most appropriate nursing action? *
2. Mme. Karine Morin, 29 years old, is postoperative day 1 following an emergency cesarean section for fetal distress. She received IV oxytocin in the immediate postpartum period.

Current orders include:
*Fundal and lochia assessment q4h
*Foley catheter removed 4 hours ago

On assessment, the nurse notes that the uterus is boggy and displaced to the right, with moderate lochia rubra. Mme. Morin reports lower abdominal discomfort and has not voided since catheter removal.

Question:
What is the nurse’s priority intervention? *
3. Mme. Sophie Tremblay, 35 years old, is postoperative day 1 following a C-section under spinal anesthesia. She has started clear fluids but complains of abdominal bloating and discomfort. Bowel sounds are hypoactive, and she has not yet passed flatus.

Orders include:
*Advance diet as tolerated
*Encourage early ambulation

Question:
Which nursing intervention best promotes return of peristalsis? *
4. Mme. Nadia Pelletier, 27 years old, is postoperative day 1 following her first cesarean section. She expresses fear of getting out of bed due to pain at the incision site.

Orders include:
*Ambulate with assistance
*Acetaminophen and ibuprofen as prescribed

Question:
What explanation best supports early ambulation? *
5. Mme. Mélanie Gagnon, 38 years old, is postoperative day 2 following a cesarean section. On inspection, the incision is well approximated, clean, and dry. There is mild redness along the incision edges, but no warmth, swelling, or drainage. She is afebrile.

Question:
How should the nurse interpret this finding? *
6. Mme. Laurence Côté, 31 years old, is 12 hours post-cesarean and wishes to breastfeed her newborn. She reports increased incisional pain when holding the baby close to her abdomen.

Question:
Which breastfeeding position is most appropriate? *
7. Mme. Véronique Roy, 36 years old, is postoperative day 1 following a prolonged cesarean section. She reports feeling weak and lightheaded. Assessment reveals a soft uterus and heavy lochia.

Question:
What is the nurse’s priority action? *
8. Mme. Pascale Boucher, 40 years old, is postoperative day 1 following a repeat cesarean section. She has limited mobility.

Orders include:
*Elastic compression stockings
*Early ambulation

Question:
What is the primary purpose of the compression stockings? *
9. Mme. Chloé Lapointe, 28 years old, had her Foley catheter removed 6 hours ago after a cesarean section. She reports suprapubic discomfort and has not voided despite oral fluids.

Question:
What is the most appropriate nursing action? *
10. Mme. Julie Fortin, 34 years old, is preparing for discharge 48 hours after a cesarean section. She asks about activity limitations at home.

Question:
Which instruction is most important to prevent complications? *
11. Mme. Laurence Côté, 30 years old, is postoperative day 1 following a low transverse cesarean section performed under spinal anesthesia for arrest of labor. Her newborn is healthy and rooming-in. Mme. Côté wishes to exclusively breastfeed but expresses concern about the medications she is receiving.

Current medical orders include:
*Acetaminophen 1,000 mg PO q6h scheduled
*Ibuprofen 600 mg PO q6h PRN pain
*Morphine 2 mg IV q4h PRN severe pain (≥7/10)
*Encourage breastfeeding on demand

During assessment, Mme. Côté reports incisional pain rated 7/10 and states:
“I’m worried that taking morphine might harm my baby. I’m not sure if I should breastfeed while I’m on this medication.”

Vital signs are stable, and the newborn shows normal feeding behavior.

Question:
What is the most appropriate nursing response? *