A client calls the clinic to report some concerns.
She had an IUD inserted a few weeks ago and her present menstrual flow is heavy.
You advise her to:
Come to the clinic as soon as possible.
Take her temperature every 4 hours.
Consider this normal.
Change her method of birth control.
The Correct Answer is A
Choice A rationale: Heavy menstrual bleeding after an IUD insertion can be a sign of complications such as displacement of the IUD, infection, or other issues that require medical attention. It's important for the client to come to the clinic as soon as possible to be evaluated by a healthcare provider and ensure everything is functioning properly.
Choice B rationale: Taking her temperature every 4 hours is not directly relevant to the concern of heavy menstrual bleeding unless there is a suspicion of infection, which should still be evaluated in the clinic.
Choice C rationale: While some spotting or light bleeding can be normal after IUD insertion, heavy menstrual bleeding is not typical and should be assessed by a healthcare provider to rule out complications.
Choice D rationale: Advising the client to change her method of birth control without a proper evaluation is not appropriate. A healthcare provider should determine if the IUD is the right method for her or if there are any issues that need to be addressed.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D"]
Explanation
Choice A rationale
Respiratory assessment is vital, especially following childbirth, to ensure the mother is not experiencing respiratory issues.
Choice B rationale
Monitoring hemoglobin levels can help identify significant blood loss during delivery, which can lead to anemia and other complications.
Choice C rationale
A heart rate that is elevated postpartum may indicate underlying issues such as infection or hemorrhage, which need to be reported.
Choice D rationale
Continuous blood trickling from the vagina is a warning sign of potential postpartum hemorrhage, which is a medical emergency.
Correct Answer is C
Explanation
Choice A rationale
While burping is important after feeding to prevent discomfort and regurgitation, it does not directly indicate overall health or hydration status.
Choice B rationale
Frequent loose yellow stools are typical in breastfed infants and indicate proper digestion and nutrition, but do not address overall hydration status directly.
Choice C rationale
Steady weight gain indicates good nutrition and overall health in the infant, reflecting adequate feeding and hydration.
Choice D rationale
Sleeping through the night is not an expectation for newborns, as they typically need frequent feeding due to small stomach capacity and rapid growth needs.
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