A nurse is assessing a patient who is 6 hours postpartum and has endometritis. Which of the following findings should the nurse expect?

Uterine tenderness

WBC count 9,000/mm

Scant lochia

Temperature 37.4 C (99.3 F) .

Answer and Explanation

The Correct Answer is A

Choice A rationale
Uterine tenderness is a common symptom of endometritis, which is an inflammation or irritation of the lining of the uterus.
Choice B rationale
While a high WBC count can be an indicator of infection, a count of 9,000/mm is within the normal range.
Choice C rationale

Scant lochia is not typically associated with endometritis. In fact, women with endometritis may experience heavy lochia or prolonged bleeding.
Choice D rationale
A temperature of 37.4 C (99.3 F) is within the normal range. Endometritis is often associated with fever. .

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Correct Answer is C

Explanation

Choice A rationale
While demonstrating proper bathing of the infant is an important skill for new mothers, it is not typically a primary goal during the taking-in phase. This phase is characterized by the mother’s need to review her birth experience and begin to process her new role.
Choice B rationale
Verbalizing appropriate car seat safety is important, but it is not a primary goal during the taking-in phase. This phase is more focused on the mother’s internal processing of her birth experience.

Choice C rationale
This is the correct answer. Having adequate nutritional intake is a key goal during the taking-in phase. Good nutrition is essential for healing and recovery after childbirth, as well as for breastfeeding.
Choice D rationale
Identifying necessary family roles is an important part of adjusting to parenthood, but it is not a primary goal during the taking-in phase. This phase is more about the mother’s personal adjustment and recovery.

A. Regurgitation B. Transient strabismus C. Mottling D. Respiratory rate 70/min E. Continuous high-pitched cry

Correct Answer is {"A":{"answers":"C"},"B":{"answers":"A"},"C":{"answers":"C"},"D":{"answers":"C"},"E":{"answers":"C"}}

Explanation

• Regurgitation: This could be a sign of potential worsening condition as it might indicate gastrointestinal issues, which can be a symptom of Neonatal Abstinence Syndrome (NAS).
• Transient strabismus: This is unrelated to the diagnosis. Strabismus is common in newborns and usually resolves on its own within the first few months of life.
• Mottling: This could be a sign of potential worsening condition. Mottling (a lacy pattern of dilated blood vessels under the skin) can be a sign of distress in a newborn.
• Respiratory rate 70/min: This could be a sign of potential worsening condition. A respiratory rate of 70/min is higher than the normal range (30-60 breaths per minute) for a newborn, indicating possible respiratory distress.
• Continuous high-pitched cry: This could be a sign of potential worsening condition. A high-pitched cry is a common symptom of NAS.
• Loose stools: This could be a sign of potential worsening condition. Loose stools can be a symptom of NAS.

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A nurse is assessing a patient who is 6 hours postpartum and has endometritis. Which of the following findings should the nurse expect?

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Naxlex Comprehensive Predictor Exams

A nurse is planning care for a client in the postpartum unit. What goals should the nurse identify for the client to accomplish during the taking-in phase of postpartum adjustment?

Correct Answer is C

Explanation

Correct Answer is {"A":{"answers":"C"},"B":{"answers":"A"},"C":{"answers":"C"},"D":{"answers":"C"},"E":{"answers":"C"}}

Explanation

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