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A nurse in a provider's office is reinforcing teaching with a client who is pregnant and is scheduled for a nonstress test.
Which of the following statements should the nurse make?
- A. You will not be able to eat or drink anything for several hours prior to the test.
- B. You will receive medication through an IV to initiate contractions.
- C. You will be required to lie flat on your back for the duration of the test.
- D. You will press the provided button when you feel the baby move during the test.
Correct Answer: D
Rationale: Pressing a button when the baby moves during a nonstress test records fetal activity, assessing well-being without inducing contractions.
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A nurse is reinforcing teaching with a newly licensed nurse concerning a client on a postpartum unit following a cesarean birth.
Which of the following measures should the nurse include in the instructions to prevent thrombophlebitis?
- A. Have the client ambulate as often as possible.
- B. Apply warm, moist packs to the client's lower legs.
- C. Apply elastic stockings before the client gets out of bed.
- D. Administer NSAIDs every 6 to 8 hours.
Correct Answer: A
Rationale: Ambulation promotes venous return, preventing blood stasis and reducing thrombophlebitis risk after cesarean birth.
A nurse is reinforcing teaching about preventing mastitis with a client who is breastfeeding.
Which of the following instructions should the nurse include?
- A. You should use a breast pump if you plan to return to work.
- B. Cover your breasts immediately after feedings.
- C. Wash your nipples with soap and water daily.
- D. Wear an underwire bra between feedings.
Correct Answer: A
Rationale: Using a breast pump prevents engorgement and maintains milk flow, reducing mastitis risk when returning to work.
A nurse is contributing to the plan of care for a client who is postpartum and has mastitis.
Which of the following actions should the nurse plan to take?
- A. Encourage the client to continue to breastfeed.
- B. Prepare the client for an abdominal sonogram.
- C. Encourage the client to wear a loose-fitting bra.
- D. Limit the client's daily fluid intake.
Correct Answer: A
Rationale: Encouraging the client to continue to breastfeed helps empty the breast, reducing pain and inflammation and promoting healing from mastitis.
A nurse is reinforcing discharge instructions about breastfeeding with a client.
Which of the following statements should the nurse make?
- A. You should recognize that your baby sucking on his hands is a hunger cue.
- B. You should feed your baby six times a day.
- C. You should feed your baby for 10 minutes on each breast.
- D. You should wake your baby at least every 6 hours at night for feedings.
Correct Answer: A
Rationale: Recognizing hand-sucking as a hunger cue ensures timely feeding, critical for establishing successful breastfeeding.
A nurse is caring for a client who had a vaginal delivery 4 hours ago and reports perineal pain of 6 on a scale of 0 to 10.
Which of the following actions should the nurse take?
- A. Catheterize the client's bladder.
- B. Apply a corticosteroid cream to the perineal area twice daily.
- C. Offer an ice pack to the client during the first 24 hours.
- D. Increase the client's fluid intake for 48 hours.
Correct Answer: C
Rationale: Offering an ice pack reduces swelling and numbs perineal pain, a standard intervention within the first 24 hours post-delivery.