A client is admitted to the postpartum unit with an ice pack to a right lateral episiotomy.
The client tells the practical nurse (PN), "That ice is cold! Take it off!" When responding to the client, which should the PN say is the most important reason for placing a cold pack to the perineum following a vaginal delivery?
The ice helps to reduce swelling of the episiotomy.
This is a nursing measure used to promote comfort.
It is not necessary since it is only used to prevent bruising.
The healthcare provider (HCP) uses this measure to control bleeding.
The Correct Answer is A
Choice A rationale
Applying a cold pack to the perineum after a vaginal delivery effectively reduces localized edema and inflammation. Cold therapy causes vasoconstriction, which decreases blood flow to the area, thereby minimizing fluid extravasation into the interstitial spaces and reducing swelling of the episiotomy site.
Choice B rationale
While cold packs do provide a degree of comfort by numbing nerve endings and reducing pain signals, their primary physiological benefit in the postpartum period is the reduction of swelling and inflammation, which indirectly contributes to comfort. Comfort is a secondary effect.
Choice C rationale
The statement is incorrect. Cold therapy is a recognized and effective intervention postpartum. While it may help reduce bruising by limiting subcutaneous bleeding, its most significant and immediate benefit relates to the reduction of swelling and pain.
Choice D rationale
While cold can induce vasoconstriction and thus potentially reduce bleeding, it is not the primary or most effective method for controlling significant postpartum hemorrhage. Fundal massage and uterotonics are the primary interventions for controlling postpartum bleeding.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Preventing further disability is often challenging with established developmental disabilities, which typically involve permanent neurological or genetic conditions. Interventions focus on managing symptoms and optimizing function rather than halting the underlying progression, as the primary pathology is often non-progressive or already expressed.
Choice B rationale
While rehabilitation is an integral part of care for children with developmental disabilities, it serves as a means to an end, aiming to improve function and quality of life. The ultimate goal extends beyond mere rehabilitation to encompass holistic development and independent functioning.
Choice C rationale
The primary goal for a child with a developmental disability is to empower them to reach their highest possible level of physical, cognitive, social, and emotional functioning. This involves individualized interventions, therapies, and educational support tailored to their specific needs and strengths, fostering independence and participation.
Choice D rationale
Promoting social acceptability is an important aspect of care, as it contributes to the child's quality of life and integration into society. However, it is a secondary objective, stemming from the broader goal of helping the child develop their full potential and navigate social interactions effectively.
Correct Answer is ["0.3"]
Explanation
Step 1 is to convert the child's weight from pounds to kilograms. 66 pounds ÷ 2.2 pounds/kg = 30 kg.
Step 2 is to calculate the total dose in milligrams. 0.01 mg/kg × 30 kg = 0.3 mg.
Step 3 is to calculate the volume to administer in milliliters. 0.3 mg ÷ (1 mg/mL) = 0.3 mL.
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