A nurse is assessing a client who is four hours postpartum. Her temperature is 39 C (102.2F), pulse 96 beats per minute, and respirations 18 breaths per minute. Based on this information, which of these orders is most appropriate for treating the client at this time?

Administer Lactated Ringers IV fluids as ordered.

Administer pyridoxine as ordered.

Administer antipyretic Tylenol 1000mg PO as ordered.

Administer Zofran 4mg IV push as ordered.

Answer and Explanation

The Correct Answer is C

A. IV fluids may be beneficial but do not directly address the fever.

B. Pyridoxine (Vitamin B6) is used for conditions like nausea in pregnancy, but it is not relevant for fever management.

C. Acetaminophen (Tylenol) is an antipyretic that helps reduce fever and improve comfort. Given the client's elevated temperature, treating the fever is the priority.

D. Zofran is used to manage nausea and vomiting, which is not the primary concern here.

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Correct Answer is B

Explanation

A. G2P1 (second pregnancy, one prior birth) may experience some afterbirth pains, but G3P2 is at higher risk.

B. Multiparous clients (those who have had multiple pregnancies) are more likely to experience stronger afterbirth pains due to repeated uterine stretching and contractions. Additionally, delivering a large baby (macrosomia) increases uterine involution and associated pain.

C. First-time mothers (G1P1) typically experience milder afterbirth pains due to a less stretched uterus.

D. G3P0 (three pregnancies, no births) suggests preterm labor without full-term delivery, making afterbirth pains unlikely.

A. Signs and symptoms of postpartum blues include: lack of appetite, feeling let down, tearfulness, and insomnia. B. Medications are available to relieve the symptoms. C. Postpartum blues last about a week or two. D. The father may become sad and weepy. E. Very few women experience postpartum blues.

Correct Answer is ["A","C"]

Explanation

A. Correct. Common symptoms of postpartum blues include emotional sensitivity, mood swings, crying spells, and difficulty sleeping.

B. Incorrect. Medications are not typically needed for postpartum blues, as the condition resolves on its own.

C. Correct. Postpartum blues usually last for about 10–14 days and resolve without intervention.

D. Incorrect. While fathers can experience mood changes postpartum, postpartum blues specifically refer to hormonal changes in the mother.

E. Incorrect. Postpartum blues are common, affecting up to 50-80% of postpartum women.

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A nurse is assessing a client who is four hours postpartum. Her temperature is 39 C (102.2F), pulse 96 beats per minute, and respirations 18 breaths per minute. Based on this information, which of these orders is most appropriate for treating the client at this time?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following clients is most likely to complain of afterbirth pains during her postpartum period?

Correct Answer is B

Explanation

A nurse is counseling a woman about postpartum blues. Which of the following should be included in the discussion? Select two that Apply.)

Correct Answer is ["A","C"]

Explanation

The nurse is preparing a care plan for her 12-hour postpartum patient which include prevention of thrombosis. During implementation, the nurse is expected to

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When discussing the need to support the lower uterine segment, which statement by the new nurse indicates understanding.

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When discussing the need to support the lower uterine segment, which statement by the new nurse indicates understanding.

The nurse can differentiate a new father is experiencing engrossment when she notices which behavior?

A nurse is caring for a client who is 1 hr postpartum following a vaginal birth of a newborn weighing 9 lb 6 oz. (4252 g). The nurse should recognize that this client is at risk for which postpartum complication?