Nokea
Postpartum teaching related to urinary health should emphasize:
- A. Drinking any type of fluid whenever thirsty.
- B. Allowing the bladder to fill to promote emptying.
- C. Cleansing the perineum in a front-to-back direction.
- D. Eating two servings of acidic fruits or vegetables each day.
Correct Answer: C
Rationale: Proper perineal care such as wiping front to back is essential to prevent urinary tract infections after birth.
You may also like to solve these questions
A 3-day-breastfeeding client who is not immune to rubella is to receive the rubella vaccine at discharge. Which of the following must the nurse include in her discharge teaching regarding the vaccine?
- A. The woman should not become pregnant for at least 4 weeks.
- B. The woman should pump and dump her breast milk for 1 week.
- C. Surgical masks must be worn by the mother when she holds the baby.
- D. Antibodies transported through the breast milk will protect the baby.
Correct Answer: A
Rationale: The rubella vaccine is a live vaccine, and it is contraindicated during pregnancy. Women should avoid pregnancy for at least 4 weeks after receiving the vaccine to ensure no risk to the developing fetus.
Which is the initial treatment for the client with vWD who experiences a PPH?
- A. Cryoprecipitate
- B. Factor VIII and von Willebrand factor (vWf)
- C. Desmopressin
- D. Hemabate
Correct Answer: C
Rationale: The correct initial treatment for vWD client with PPH is desmopressin (Choice C) because it stimulates the release of von Willebrand factor and factor VIII from storage sites, helping to improve clotting. Cryoprecipitate (Choice A) contains multiple clotting factors and is usually reserved for severe bleeding. Factor VIII and vWf (Choice B) can be used for severe cases but are not typically the initial treatment. Hemabate (Choice D) is a medication used for postpartum hemorrhage due to uterine atony, not specifically for vWD-related bleeding.
The nurse must initiate discharge teaching with the couple regarding the need for an infant car seat for the day of discharge. Which of the following responses indicates that the nurse acted appropriately? The nurse discussed the need with the couple:
- A. On admission to the labor room.
- B. In the client room after the delivery.
- C. When the client put the baby to the breast for the first time.
- D. The day before the client and baby are to leave the hospital.
Correct Answer: D
Rationale: Teaching about the need for an infant car seat should occur before discharge to ensure the parents have time to arrange for one, typically the day before discharge.
During the first 8 hours postpartum, the nurse will demonstrate how to perform a fundal massage and assist with breast-feeding techniques. What other assessment is important at this time?
- A. assessment of partner changing a diaper
- B. assessment of vaginal bleeding
- C. assessment of social support
- D. assessment of family dynamics
Correct Answer: B
Rationale: Monitoring vaginal bleeding in the first 8 hours postpartum helps detect any potential complications such as postpartum hemorrhage.
What postpartum infection can be transferred between the breast-feeding person and newborn if both are not treated appropriately?
- A. wound infection
- B. urinary tract infection
- C. thrush
- D. mastitis
Correct Answer: C
Rationale: The correct answer is C: thrush. Thrush is a fungal infection caused by Candida that can be transmitted between the breast-feeding person and the newborn if not treated appropriately. The infection can pass back and forth during breastfeeding. Thrush manifests as white patches on the tongue and inside the mouth of the newborn and as nipple pain and redness in the breast-feeding person. Wound infection (A) typically refers to an infection at the site of a surgical incision and is not transmitted between the breast-feeding person and newborn. Urinary tract infection (B) is a bacterial infection of the urinary tract and is not typically transmitted through breastfeeding. Mastitis (D) is a bacterial infection of the breast tissue and is not directly transferred between the breast-feeding person and the newborn.