Nokea
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.
You may also like to solve these questions
A postpartum client is experiencing heavy lochia and a boggy uterus. What should be the nurse's initial action?
- A. Administer a uterotonic medication
- B. Encourage the client to void
- C. Perform fundal massage
- D. Increase the client's fluid intake
Correct Answer: C
Rationale: The correct initial action for a postpartum client experiencing heavy lochia and a boggy uterus is to perform fundal massage. Fundal massage helps to firm the uterus and reduce bleeding by promoting uterine contractions, which can assist in preventing postpartum hemorrhage. Administering uterotonic medication may be necessary in some cases but should not be the initial action. Encouraging the client to void and increasing fluid intake can be important interventions but are not the priority in this situation where immediate uterine firmness is needed to control bleeding.
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.
The caregiver is teaching a new mother about infant safety. Which statement indicates that further teaching is needed?
- A. I will place my baby on their back to sleep.
- B. I will keep soft toys and pillows out of the crib.
- C. I will use a car seat for every car ride.
- D. I will allow my baby to sleep in my bed.
Correct Answer: D
Rationale: Allowing a baby to sleep in an adult bed increases the risk of suffocation and Sudden Infant Death Syndrome (SIDS). It is safer for infants to sleep on a firm, flat surface in their own crib or bassinet to reduce the risk of accidental suffocation or strangulation. Therefore, the caregiver should be advised against co-sleeping with the infant to ensure the baby's safety.
A new parent is concerned because their newborn's stools are loose and yellow. The healthcare provider should explain that this is:
- A. A sign of dehydration
- B. A normal finding in breastfed infants
- C. Indicative of an infection
- D. Due to lactose intolerance
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The nurse is assessing a postpartum client's fundus. Where should the nurse expect to find the fundus 24 hours after delivery?
- A. At the level of the umbilicus
- B. 1 cm above the symphysis pubis
- C. At the level of the xiphoid process
- D. 2 cm below the umbilicus
Correct Answer: A
Rationale: After delivery, the fundus is expected to be at the level of the umbilicus 24 hours postpartum. This position indicates that the uterus is involuting properly. Assessing the fundal height helps monitor the progress of uterine involution and can identify any potential complications like postpartum hemorrhage.