A client who gave birth 15 days ago has returned to the emergency room with reports of a gush of foul-smelling rubra lochia and a temperature of 39°C (102.2°F). The nurse suspects postpartum hemorrhage and understands that this is most likely caused by

coagulation disorder

cervical laceration

hypertonic uterus

Endometritis

Answer and Explanation

The Correct Answer is D

A. Coagulation disorders cause excessive bleeding but are not associated with foul-smelling lochia or fever.

B. Cervical lacerations cause continuous bright red bleeding rather than foul-smelling lochia.

C. A hypertonic uterus (overly contracted) is more associated with prolonged labor but does not cause foul-smelling discharge.

D. Correct. Endometritis is a postpartum infection of the uterine lining, often presenting with foul-smelling lochia, fever, uterine tenderness, and elevated white blood cell count.

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Correct Answer is B

Explanation

A. "I understand your concern, but your baby will be okay." This response does not provide education or reassurance.

B. "Milk normally comes in around the third day." Correct. This provides factual information to reassure the mother.

C. "You can bottle feed until your milk comes in." Incorrect. Supplementing may reduce breastfeeding success.

D. "Your baby seems content, so you should not worry about him getting enough to eat." This dismisses the mother's concern without providing information.

A. Kernicterus B. Uterine atony C. Gestational diabetes D. Retained placental fragments

Correct Answer is B

Explanation

A. Kernicterus: Unrelated to postpartum complications; it is a bilirubin-related condition in newborns.

B. Uterine atony: Correct. A large infant increases the risk of uterine overstretching, leading to poor uterine contraction and postpartum hemorrhage.

C. Gestational diabetes: This is diagnosed during pregnancy, not as a postpartum complication.

D. Retained placental fragments: A possible concern but less likely than uterine atony in a client with a macrosomic infant.

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A client who gave birth 15 days ago has returned to the emergency room with reports of a gush of foul-smelling rubra lochia and a temperature of 39°C (102.2°F). The nurse suspects postpartum hemorrhage and understands that this is most likely caused by

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who is breastfeeding tells her nurse that she is concerned that her baby is not getting enough food since her milk has not come in. The best response from the nurse is which statement.

Correct Answer is B

Explanation

A nurse is caring for a client who is 1 hr postpartum following a vaginal birth of a newborn weighing 9 lb 6 oz. (4252 g). The nurse should recognize that this client is at risk for which postpartum complication?

Correct Answer is B

Explanation

The nurse is assessing a postpartum patient who had an uncomplicated vaginal delivery one hour ago. Which assessment finding requires immediate intervention?

When discussing the need to support the lower uterine segment, which statement by the new nurse indicates understanding.

The nurse can differentiate a new father is experiencing engrossment when she notices which behavior?

A nurse is conducting a teaching session for postpartum patients on the benefits of breastfeeding. The nurse concludes that the patient's have a good understanding of breastfeeding when they make the following statements: (Select All that Apply.)

The nurse is teaching prenatal clients about the benefits of skin to skin. Which statement made is correct?

When discussing the need to support the lower uterine segment, which statement by the new nurse indicates understanding.

A nurse is counseling a woman about postpartum blues. Which of the following should be included in the discussion? Select two that Apply.)