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. Remove the client's bra: Incorrect. A well-fitted supportive bra helps reduce discomfort and swelling. Removing the bra may increase pain and worsen engorgement.

B. Alternate with warm compresses and ice packs to the breasts: Correct. Warm compresses before breastfeeding help with milk flow, and cold compresses after feeding reduce swelling and discomfort.

C. Administer acetaminophen as prescribed: Incorrect. While pain relief can help, it does not directly address the engorgement.

D. Limit breastfeeding to twice a day: Incorrect. Frequent breastfeeding or pumping is encouraged to relieve engorgement.

A. Administer pain reliever round-the-clock to promote extended rest periods B. Keep a bedside commode to prevent frequent trips to the bathroom C. Offer the woman assistance to ambulate around the unit D. Maintain strict bedrest until the woman has fully recovered

Correct Answer is C

Explanation

A. Prolonged bed rest increases the risk of thrombus formation. Pain management should not encourage inactivity.

B. While preventing excessive exertion is important, encouraging movement is essential for preventing thrombosis.

C. Correct. Early ambulation promotes circulation and reduces the risk of deep vein thrombosis (DVT).

D. Strict bed rest increases the risk of thromboembolism and is not recommended postpartum unless medically indicated.

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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

On the fourth postpartum day, a client experiences breast engorgement. To relieve her discomfort, which of these nursing interventions is most effective to meet the expected outcome?

Correct Answer is B

Explanation

The nurse is preparing a care plan for her 12-hour postpartum patient which include prevention of thrombosis. During implementation, the nurse is expected to

Correct Answer is C

Explanation

Which of the following clients is most likely to complain of afterbirth pains during her postpartum period?

When a woman is diagnosed with postpartum depression, what is one of the main concerns?

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 is administering Labetalol 40MG IV q4h. On hand is a 5ML multi-dose vial with a concentration of 5MG/ML. How many ML will the nurse administer every four hours?

You are assessing a patient who delivered vaginally 48 hours ago. At this time, where would you expect to feel her fundus?

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.)