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A client, G1 P1001, 1 hour postpartum from a spontaneous vaginal delivery with local anesthesia, states that she needs to urinate. Which of the following actions by the nurse is appropriate at this time?
- A. Provide the woman with a bedpan.
- B. Advise the woman that the feeling is likely related to the trauma of delivery.
- C. Remind the woman that she still has a catheter in place from the delivery.
- D. Assist the woman to the bathroom.
Correct Answer: D
Rationale: After delivery, if the woman feels the need to urinate, assisting her to the bathroom is appropriate to allow for normal voiding. A catheter should not still be in place unless indicated.
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Which of the following statements is true about breastfeeding mothers as compared to bottle-feeding mothers?
- A. Breastfeeding mothers usually involute completely by 3 weeks postpartum.
- B. Breastfeeding mothers have decreased incidence of diabetes mellitus later in life.
- C. Breastfeeding mothers show higher levels of bone density after menopause.
- D. Breastfeeding mothers are prone to fewer bouts of infection immediately postpartum.
Correct Answer: B
Rationale: Breastfeeding has long-term health benefits, including a decreased risk of developing type 2 diabetes later in life.
What assessment finding would indicate a fluid volume deficit?
- A. skin tenting with testing of skin turgor
- B. hypertension
- C. bradycardia
- D. bounding pulse
Correct Answer: A
Rationale: Skin tenting indicates dehydration, a sign of fluid volume deficit.
A 2-day postpartum mother, G2 P2002, states that her 2-year-old daughter at home is very excited about taking 'my baby sister ' home. Which of the following is an appropriate response by the nurse?
- A. It 's always nice when siblings are excited to have the babies go home.
- B. Your daughter is very advanced for her age. She must speak very well.
- C. Your daughter is likely to become very jealous of the new baby.
- D. Older sisters can be very helpful. They love to play mother.
Correct Answer: C
Rationale: It is common for older siblings to feel jealousy when a new baby arrives. Preparing the child for the changes can help manage these feelings.
The nurse is providing care for a patient who is 1 day postpartum and exhibiting symptoms of postpartum psychosis. Which medical management does the nurse expect for this patient?
- A. Prescriptions for antidepressant/antipsychotic drugs
- B. Discharge to home with 24-hour observation in place
- C. Immediate hospitalization in a psychiatric unit
- D. Prescribed neonate visits during in-patient treatment
Correct Answer: C
Rationale: The nurse expects the health care provider to immediately hospitalize the patient in a psychiatric unit. Maintaining the patient in the postpartum unit delays necessary psychiatric treatment.
A postpartum patient calls the clinic 4 days after the birth of her newborn because she is extremely tired and her vaginal bleeding is heavier. Which does the nurse anticipate when advising her to come in to the office right now?
- A. A hematocrit will be drawn, and the licensed provider will check for retained placental fragments.
- B. Her stress level and sleep deprivation will be evaluated, and a prescription for sleeping medication will be given.
- C. The perineum will be evaluated for lacerations that were missed.
- D. Reassure the client that this is all normal and provide a prescription for slow-release iron tablets.
Correct Answer: A
Rationale: The patient is presenting symptoms of postpartum hemorrhage and retained placental fragments, which requires prompt evaluation.