A client who is 3 weeks postpartum tells the nurse, “I am so tired all the time.
I didn’t realize having a baby would be this challenging.”. What should the nurse’s response be?

It can be tough adjusting to a new baby.

You shouldn’t be doing any chores.

It’s common to feel worn out for the first 3 months. Try to rest when the baby is sleeping.

It’s normal to feel fatigued for the first few weeks. Be patient with yourself and try to rest more.

None

Answer and Explanation

The Correct Answer is A

Choice A rationale

A client who is 3 weeks postpartum and feeling tired all the time is a common scenario. Adjusting to a new baby can be challenging and it’s normal for new mothers to feel overwhelmed and fatigued. The nurse’s response should be empathetic and supportive,

encouraging the client to share more about her situation. This could help the nurse understand the client’s support system and provide appropriate advice or resources.

Choice B rationale

While it’s important to ensure that the client isn’t overexerting herself with chores, suggesting that she shouldn’t be doing any at all might not be practical or feasible. The presence and involvement of family members can vary greatly, and while their help can be beneficial, it’s not the only factor in managing postpartum fatigue.

Choice C rationale

It’s indeed common for new mothers to feel worn out for the first few months. However, simply advising the client to rest when the baby is sleeping might not address the root cause of her fatigue. It’s also important to consider other factors such as nutrition, emotional well- being, and available support.

Choice D rationale

Telling the client that it’s normal to feel fatigued for the first few weeks might minimize her feelings. Each person’s postpartum experience is unique, and it’s crucial to validate her feelings and provide individualized care.

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Correct Answer is B

Explanation

Choice A rationale

Calcium is essential for the development of fetal bones and teeth, but it is not specifically linked to preventing neural tube defects like anencephaly.

Choice B rationale

Folic acid is vital for preventing neural tube defects, including anencephaly. It’s recommended for women of childbearing age and especially during the early stages of pregnancy.

Choice C rationale

Vitamin D is important for bone health, but its primary function is not directly related to preventing neural tube defects like anencephaly.

Choice D rationale

Iron is crucial for preventing anemia in pregnancy, supporting increased blood volume. However, it is not directly associated with preventing neural tube defects.

A. Monitor the variability of the fetal heart rate. B. Assess the level of pain sensation. C. Check the maternal blood pressure. D. Determine the station of the presenting part.

Correct Answer is C

Explanation

Choice A rationale

While monitoring the variability of the fetal heart rate is important during labor, it is not the most crucial assessment after administering epidural anesthesia15.

Choice B rationale

Assessing the level of pain sensation is important to ensure the effectiveness of the epidural anesthesia. However, it is not the most crucial assessment15.

Choice C rationale

Checking the maternal blood pressure is the most crucial assessment after administering epidural anesthesia15. Epidural anesthesia can cause a drop in blood pressure, which can lead to complications for both the mother and the baby.

Choice D rationale

Determining the station of the presenting part is important during labor, but it is not the most crucial assessment after administering epidural anesthesia15.

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A client who is 3 weeks postpartum tells the nurse, “I am so tired all the time. I didn’t realize having a baby would be this challenging.”. What should the nurse’s response be?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is providing preconception counseling.Which supplement should the nurse recommend to help prevent the occurrence of anencephaly?

Correct Answer is B

Explanation

What is the most crucial assessment for the nurse to perform after administering epidural anesthesia to a patient who is at 40 weeks gestation?

Correct Answer is C

Explanation

A client at 35 weeks gestation complains of pain whenever the baby moves.The nurse notes the client’s temperature to be 101.20 F (38.4° C), with severe abdominal or uterine tenderness on palpation.What condition do these findings suggest?

A new mother, who is breastfeeding her 4-week-old infant and has type I diabetes, reports that her insulin needs have decreased since the birth of her child.What action should the nurse take?

A multiparous client at 36-hours postpartum reports increased bleeding and cramping. On examination, the nurse finds the uterine fundus 2 cm above the umbilicus.What action should the nurse take first?

The nurse is caring for a postpartum client who is experiencing severe pain and a sensation of pressure in her perineum.Her uterus is firm, and she has a moderate flow of lochia.Upon inspection, the nurse discovers that a perineal hematoma is starting to form. What should the nurse assess first?

Which signs of postpartum depression require additional attention from the nurse? (Select all that apply.)

A mother inquires about what to use when changing her newborn’s diaper. What should the nurse recommend to this mother?

A client at 32 weeks gestation visits the women’s health clinic and reports feeling nauseous and vomiting. Upon examination, the nurse notes that the client’s blood pressure is elevated.What should the nurse do next?

A client who is 3 weeks postpartum tells the nurse, “I am so tired all the time.
I didn’t realize having a baby would be this challenging.”. What should the nurse’s response be?