Nokea
A nurse is providing discharge instructions to a client following a cesarean birth. Which of the following should the nurse include in the instructions?
- A. Limit stair climbing for the first few weeks
- B. Avoid lifting anything heavier than the newborn
- C. Use a pillow to support the abdomen when coughing or sneezing
- D. All of the above
Correct Answer: D
Rationale: After a cesarean birth, the client should limit physical activity, including stair climbing and lifting, to allow the incision to heal. Supporting the abdomen with a pillow when coughing or sneezing can also reduce discomfort and protect the incision.
You may also like to solve these questions
A nurse is caring for a client who is experiencing preterm labor and has a new prescription for terbutaline. Which of the following findings is a contraindication for administration of this medication?
- A. Heart disease
- B. Cervical dilation of 2 cm
- C. Gestational age of 34 weeks
- D. Allergy to penicillin
Correct Answer: A
Rationale: Terbutaline is contraindicated in clients with heart disease due to the risk of tachycardia and other cardiac complications associated with beta-agonists.
A laboring client received meperidine IV one hour prior to delivery. Which of the following medications should the nurse have available to counteract the effects of this medication on the newborn?
- A. Naloxone
- B. Epinephrine
- C. Atropine
- D. Diazepam
Correct Answer: A
Rationale: Meperidine is an opioid analgesic that can cross the placenta and cause respiratory depression in the newborn. Naloxone is an opioid antagonist that is administered to reverse the effects of opioids. It is critical to have Naloxone available when opioids are administered during labor, especially close to delivery.
A nurse is assessing a newborn who is 48 hr old and is experiencing opioid withdrawals. Which of the following findings should the nurse expect?
- A. Hypotonicity
- B. Moderate tremors of the extremities
- C. Axillary temperature 36.1° C (96.9° F)
- D. Excessive sleeping
Correct Answer: B
Rationale: Moderate tremors of the extremities are a common sign of opioid withdrawal in newborns. Other signs may include irritability, feeding difficulties, and gastrointestinal disturbances.
A newborn demonstrates respiratory distress, and routine suctioning with the bulb syringe is unsuccessful. What is the next nursing intervention?
- A. Initiate chest thrusts
- B. Administer oxygen
- C. Suction with a mechanical device
- D. Notify the healthcare provider
Correct Answer: C
Rationale: If routine suctioning with a bulb syringe is ineffective, the next step is to use mechanical suction. This ensures that any obstruction in the airway is cleared. If the newborn's condition does not improve, chest compressions or further interventions may be needed.
A nurse is providing discharge instructions to parents of a circumcised newborn. To prevent diaper adherence to the penis, what will be recommended to apply during diaper changes?
- A. Baby oil
- B. Antibiotic ointment
- C. Petroleum jelly
- D. Alcohol wipes
Correct Answer: C
Rationale: Petroleum jelly is recommended to prevent the diaper from sticking to the circumcised area, reducing irritation and promoting healing. It should be applied during every diaper change until the site heals.