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?

Call the healthcare provider.

Encourage the client to void.

Administer ibuprofen 800 mg by mouth.

Increase the intravenous fluid to 150 mL/hour.

Answer and Explanation

The Correct Answer is B

Choice A rationale

While notifying the healthcare provider is important, it is not the first action to take. The nurse should first address the immediate issue of a potentially full bladder that could be displacing the uterus.

Choice B rationale

Encouraging the client to void can help if the bladder is full. A full bladder can displace the uterus and interfere with uterine contractions, leading to increased bleeding.

Choice C rationale

Administering ibuprofen can help with cramping, but it does not address the immediate issue of a potentially full bladder displacing the uterus.

Choice D rationale

Increasing the intravenous fluid rate is not the first action to take. The nurse should first address the immediate issue of a potentially full bladder displacing the uterus.

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Correct Answer is B

Explanation

Choice A rationale

While measuring vital signs is important, it is not the most appropriate action based on the given symptoms.

Choice B rationale

Obtaining human chorionic gonadotropin levels is the most appropriate action. The symptoms described by the client could indicate a possible miscarriage or ectopic pregnancy, and hCG levels can help confirm this.

Choice C rationale

Collecting a urine sample for urinalysis is not the most appropriate action based on the given symptoms.

Choice D rationale

Recommending bed rest is not the most appropriate action based on the given symptoms.

A. Corn starch powder. B. Clear water. C. Talcum powder. D. Baby lotion.

Correct Answer is B

Explanation

Choice B rationale

When changing a newborn’s diaper, it is recommended to use clear water for cleaning. This is because newborns have sensitive skin, and clear water is gentle and unlikely to cause irritation.

Choice A rationale

Corn starch powder is not typically recommended for use in diaper changes. While it can help absorb moisture, it can also create a paste with the stool that is difficult to clean and can potentially cause skin irritation.

Choice C rationale

Talcum powder is not recommended for use in diaper changes. It can cause respiratory problems if inhaled by the baby.

Choice D rationale

While baby lotion can be used to moisturize a baby’s skin, it is not typically used during diaper changes. It does not have the same cleaning properties as water and can leave a residue on the skin.

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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?

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Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is B

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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?