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 ["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.

A. The newborn stops exhibiting hunger cues. B. The newborn suckles and appears to swallow while breastfeeding. C. The newborn has six to eight wet diapers and several stools per day. D. The newborn appears satiated and falls asleep while breastfeeding.

Correct Answer is C

Explanation

A. Hunger cues may decrease, but this is not a reliable sign of adequate milk intake.

B. Suckling and swallowing indicate milk transfer, but this alone does not confirm adequate intake.

C. Correct. A well-hydrated newborn should produce 6–8 wet diapers and several stools per day, indicating sufficient milk intake.

D. While newborns often fall asleep after feeding, this does not necessarily mean they have had an adequate intake.

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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

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

A breastfeeding mother expresses concern about whether her one-week-old newborn is getting enough milk. Which finding is a concrete indicator that the baby is getting enough milk?

Correct Answer is C

Explanation

A client who is breastfeeding tells her nurse that she is concerned that her baby is not getting enough food since her milk has not come in. The best response from the nurse is which statement.

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Exhibits The nurse should recognize that the client is at risk of dropdown due to dropdown

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