A nurse is assessing a client who is 3 days postpartum. Which of the following findings should the nurse report to the provider?

BP 120/70 mm Hg

Cool clammy skin

Moderate lochia serosa

Heart rate 89/min

Answer and Explanation

The Correct Answer is B

Rationale:

A. A blood pressure of 120/70 mm Hg is within the normal range for a postpartum client and does not require immediate reporting to the provider.

B. Cool clammy skin may indicate hypoperfusion or inadequate blood flow, which could be a sign of hemorrhage or other circulatory issues. This finding should be reported promptly for further evaluation and intervention.

C. Moderate lochia serosa is a normal finding in the early postpartum period and does not typically require immediate reporting.

D. A heart rate of 89/min is within the normal range for a postpartum client and does not require immediate reporting to the provider.

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Correct Answer is B

Explanation

Rationale:

A. Vaginal candidiasis would not typically contraindicate the use of a suppository for constipation.

B. A third-degree perineal laceration involves injury to the anal sphincter and rectal mucosa, making the use of a suppository contraindicated due to the risk of exacerbating the injury and causing further discomfort.

C. Abdominal distention may indicate constipation, which could be a reason for using a suppository, rather than a contraindication.

D. Afterpains, or uterine cramping after childbirth, would not typically contraindicate the use of a suppository for constipation.

A. Temperature 37.4°C (99.3°F) B. WBC count 9,000/mm3 C. Scant lochia D. Uterine tenderness

Correct Answer is D

Explanation

Rationale:

A. A temperature of 37.4°C (99.3°F) may be within the normal range, but it can also indicate a fever, which is common with endometritis.

B. A WBC count of 9,000/mm3 is within the normal range, but it may be elevated in response to infection such as endometritis.

C. Scant lochia is not typically associated with endometritis; instead, clients with endometritis may have increased or foul-smelling lochia.

D. Uterine tenderness is a common finding in clients with endometritis, as the infection causes inflammation and discomfort in the uterine lining.

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A nurse is assessing a client who is 3 days postpartum. Which of the following findings should the nurse report to the provider?

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Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is D

Explanation

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