A nurse is assessing a client who is 2 days postpartum.

Which of the following findings should the nurse expect?

Lochia rubra

Lochia serosa

Lochia alba

No lochia

Answer and Explanation

The Correct Answer is A

The correct answer is choice A. Lochia rubra. This is because lochia rubra is the first stage of postpartum bleeding and discharge, which lasts for about three to four days after giving birth. Lochia rubra is dark or bright red in color and contains blood, mucus, uterine tissue and other materials from the uterus.

Choice B. Lochia serosa is wrong because lochia serosa is the second stage of postpartum bleeding and discharge, which lasts for four to 12 days after giving birth. Lochia serosa is pinkish brown in color and thinner and more watery than lochia rubra.

Choice C. Lochia alba is wrong because lochia alba is the third and final stage of postpartum bleeding and discharge, which lasts from about 12 days to six weeks after giving birth. Lochia alba is yellowish white in color and contains little to no blood.

Choice D. No lochia is wrong because lochia is a normal part of the postpartum healing process and does not usually cause complications. Lochia helps clear the uterus of any residual tissue, blood and fluid after pregnancy. No lochia may indicate a problem such as infection or retained placenta.

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Correct Answer is C

Explanation

The correct answer is choice C. Palpate the fundus for firmness.This is because an unpleasant odor of lochia (postpartum vaginal discharge) can indicate an infection or retained placental fragments in the uterus.Palpating the fundus can help assess the uterine involution and detect any abnormalities.

Choice A is wrong because documenting the finding is not enough to address the potential problem.The nurse should also notify the provider and take further actions as ordered.

Choice B is wrong because encouraging the woman to empty her bladder regularly is not related to the odor of lochia.It is a general measure to prevent urinary tract infections and promote uterine contraction.

Choice D is wrong because administering oxytocics as prescribed is not a nursing action for lochia with an unpleasant odor.Oxytocics are drugs that stimulate uterine contractions and are used to prevent or treat postpartum hemorrhage.

They do not affect the infection or retention of placental fragments.

Normal ranges for lochia are:

• Lochia rubra: dark or bright red blood, lasts for 3 to 4 days, flows like a heavy period, small clots are normal.

• Lochia serosa: pinkish brown discharge, lasts for 4 to 12 days, thinner and more watery than lochia rubra, moderate flow, less or no clots.

• Lochia alba: yellowish white discharge, lasts from 12 days to 6 weeks, light flow or spotting, no clots.

Lochia should have a stale, musty or metallic odor like menstrual blood.It should not smell fishy or foul, which can indicate an infection.

A. “Apply heat to your perineum.” B. “Use an ice pack on your perineum.” C. . “Take a warm sitz bath.” D. D. “Use a heating pad on your abdomen.”.

Correct Answer is C

Explanation

The correct answer is choice C.“Take a warm sitz bath.” A sitz bath is a shallow bath that covers the hips and buttocks and can help reduce swelling and discomfort in the perineal area after delivery.A warm sitz bath can also ease the pain of urination and promote blood flow to the area for faster healing.

Choice A is wrong because applying heat to the perineum can increase inflammation and pain.Choice B is wrong because using an ice pack on the perineum can cause an uncomfortable, sudden sensation of coldness on the skin.Choice D is wrong because using a heating pad on the abdomen has no effect on the perineal area and can also increase inflammation.

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A nurse is assessing a client who is 2 days postpartum. Which of the following findings should the nurse expect?

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Naxlex Comprehensive Predictor Exams

A nurse is assessing a postpartum client’s lochia and notes that it has an unpleasant odor. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse is caring for a client who is 4 days postpartum and has a vaginal birth with an episiotomy. The client reports that her perineal area is sore and asks the nurse what she can do to relieve the discomfort. Which of the following responses should the nurse make?

Correct Answer is C

Explanation

A nurse is caring for a client who is 5 days postpartum and has a vaginal birth with an episiotomy. The client reports that she has pain in her perineal area and asks the nurse what she can do to relieve the discomfort. Which of the following responses should the nurse make?

A nurse is assessing the amount, color, odor, consistency, and presence of clots or tissue in the lochia of a postpartum client. Which of the following findings should the nurse report as abnormal?

A nurse is teaching a postpartum client about lochia and when to report abnormal findings. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is educating a postpartum client about resuming sexual intercourse after delivery. What information should the nurse provide to the client?

A nurse is caring for a client who is 1 week postpartum and has a vaginal birth with an episiotomy. The client reports that she has pain in her perineal area and asks the nurse what she can do to relieve the discomfort. Which of the following responses should the nurse make?

A nurse is caring for a client who is 5 days postpartum and has a vaginal birth with an episiotomy. The client reports that she has pain in her perineal area and asks the nurse what she can do to relieve the discomfort.

A nurse is assessing a client who is 2 days postpartum. Which of the following findings should the nurse expect?

(select all that apply) A nurse is teaching a breastfeeding client about engorgement prevention and management. What should the nurse include in the teaching?

A nurse is assessing a client who is 2 days postpartum.

Which of the following findings should the nurse expect?