Nokea
A postpartum client is being discharged and asks the nurse when she should expect her menstrual period to return if she is not breastfeeding. The nurse's best response is:
- A. In about 6 to 8 weeks
- B. In about 3 to 4 months
- C. In about 6 months
- D. In about 1 year
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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The healthcare provider is providing postpartum care to a client who had a vaginal delivery. Which finding would require further assessment?
- A. Perineal swelling
- B. Moderate lochia serosa
- C. Headache unrelieved by analgesics
- D. Breast engorgement
Correct Answer: C
Rationale: A headache unrelieved by analgesics can be a sign of a serious condition such as preeclampsia, which is a life-threatening condition characterized by high blood pressure and often protein in the urine. Prompt assessment and intervention are crucial to prevent complications for both the mother and baby.
The caregiver is teaching a new parent about signs of adequate breastfeeding. Which statement by the parent indicates understanding?
- A. My baby should have a bowel movement once a week.
- B. My baby should wet at least six diapers a day.
- C. My baby should feed for 5 minutes on each breast.
- D. My baby should sleep through the night without waking up to feed.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A new mother is learning to breastfeed her newborn. Which position is recommended for a mother recovering from a cesarean section?
- A. Cradle hold
- B. Football hold
- C. Side-lying position
- D. Cross-cradle hold
Correct Answer: B
Rationale: The football hold is recommended for mothers recovering from a cesarean section because it positions the baby higher up and away from the incision site, avoiding pressure on the abdomen. This hold also provides better support for the baby's head and neck, making it a more comfortable position for both the mother and the newborn.
The nurse is preparing to administer erythromycin eye ointment to a newborn. The mother asks why this is necessary. What is the nurse's best response?
- A. It helps to prevent eye infections caused by bacteria in the birth canal.
- B. It protects the baby's eyes from bright lights in the delivery room.
- C. It prevents the development of jaundice.
- D. It helps the baby see more clearly after birth.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The healthcare provider assesses a postpartum client who is 1 day post-delivery. Which finding would require immediate intervention?
- A. Lochia rubra with a few small clots
- B. Fundus firm and midline
- C. Temperature of 100.4°F (38°C)
- D. Saturated perineal pad in 15 minutes
Correct Answer: D
Rationale: A saturated perineal pad in 15 minutes indicates excessive bleeding, which is abnormal postpartum. This finding could suggest hemorrhage, requiring immediate intervention to prevent further complications like hypovolemic shock. Monitoring and managing postpartum bleeding are crucial to ensure the client's safety and prevent serious consequences.