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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is B
Explanation
The correct answer is choice B. Encourage the woman to empty her bladder regularly.A boggy uterus is a condition that occurs when the uterus fails to contract properly after childbirth, leading to excessive bleeding and possible postpartum hemorrhage.One of the causes of a boggy uterus is bladder distension, which can prevent the uterus from contracting and returning to its normal position.Therefore, encouraging the woman to empty her bladder regularly can help reduce the risk of a boggy uterus and postpartum hemorrhage.
Choice A is wrong because administering oxytocics as prescribed is not an action that the nurse should take, but rather the physician or midwife.Oxytocics are medications that stimulate uterine contractions and are used to treat a boggy uterus when other methods fail.
Choice C is wrong because providing a peri-bottle with warm water for cleansing after each voiding or bowel movement is not an action that can prevent or treat a boggy uterus.It is a hygiene measure that can help prevent infection and promote healing of the perineal area after childbirth.
Choice D is wrong because advising the woman to avoid tampons is not an action that can prevent or treat a boggy uterus.It is a precautionary measure that can help prevent infection and irritation of the vaginal canal after childbirth.Tampons should be avoided for at least six weeks after delivery.
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