A client who is 2-weeks postpartum presents with feelings of irritability, severe mood swings, and an irrational sense of her ability to keep her infant safe. She believes the infant is going to die, and there is nothing she can do to save her baby. The practical nurse (PN) should recognize the client may be exhibiting symptoms of which condition?

Postpartum depression.

Postpartum blues.

Postpartum dysphoria.

Postpartum psychosis.

Answer and Explanation

The Correct Answer is D

The practical nurse (PN) should recognize that the client who is 2-weeks postpartum and presents with feelings of irritability, severe mood swings, and an irrational sense of her ability to keep her infant safe may be exhibiting symptoms of postpartum psychosis. Postpartum psychosis is a rare but serious condition that can develop after childbirth and is characterized by symptoms such as delusions, hallucinations, and severe mood swings. The client's belief that her infant is going to die and that there is nothing she can do to save her baby may indicate the presence of delusions. The PN should report these symptoms to the appropriate healthcare provider for further assessment and intervention.

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Correct Answer is D

Explanation

Fetal heart rate (FHR) is one of the essential indicators of fetal well-being during labor. A fall in FHR following each contraction is known as recurrent deceleration and can be an indication of fetal distress. In this case, the PN should first reposition the client laterally, as this may help to alleviate compression of the umbilical cord and improve fetal oxygenation.
A. Administering oxygen at 10 L/face mask may be necessary, but it is not the first intervention to be implemented in this scenario.
B. Discontinuing oxytocin infusion may be necessary, but it is not the first intervention to be implemented in this scenario.
C. Observing perineum for cord prolapse is not necessary in this scenario.

A. Explain the unit rules to ensure his safety. B. Gather required admission information. C. Have the client put personal items away. D. Sit and oﬀer to listen to the client's concerns.

Correct Answer is D

Explanation

The first intervention the PN should implement is to **sit and oﬀer to listen to the client's concerns**. It is important to approach the client in a calm and non-threatening manner and to establish a rapport with him. Oﬀering to listen to his concerns can help the client feel heard and understood, and can help build trust between the client and the PN.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The practical nurse (PN) is monitoring a client who was admitted for induction of labor. As the client's labor progresses to the second stage, the fetal heart rate falls to 100 beats/minute following each contraction. Which intervention should the PN implement first?

Correct Answer is D

Explanation

A male client with paranoia has been admitted to the mental health unit, and upon arrival, he immediately goes to the corner of the room and sits quietly without communicating. In approaching the client, what intervention should the practical nurse (PN) implement first?

Correct Answer is D

Explanation

The practical nurse (PN) is assisting with collecting health information at a health fair for high school students. Which information is most important for the PN to obtain?

The practical nurse (PN) enters an examination room to gather routine health information for a teenage female client who is accompanied by her mother. Which action by the PN is likely to facilitate accurate responses to personal and social history questions?

The mother of a 3-year-old asks the practical nurse (PN) to clarify the healthcare provider's diagnosis of acute otitis media. Which is the most accurate explanation?

The practical nurse (PN) is assisting with the admission of a 12-month-old child with a history of frequent colds and growth failure. Testing is being planned for a possible diagnosis of cystic fibrosis (CF). Which information is most important for the PN to obtain?

Following a hysterectomy, an older adult's complete metabolic panel findings indicate that her magnesium level is low. To help increase the client's magnesium level, the PN should suggest that the client increase her intake of which food?

A postpartum client who delivered vaginally 6-hours ago and had a second-degree perineal laceration reports feeling increased pain and pressure in her vaginal area. Which intervention should the practical nurse (PN) implement?

The practical nurse (PN) is caring for a client that has just arrived in the emergency department with 2nd degree thermal burns to the right thigh, lower leg and foot, and reports severe pain in the right leg. Which priority action should the PN take while caring for this patient?