A nurse is assessing a postpartum client who delivered vaginally 2 days ago and notes that her fundus is boggy and displaced to the right side of her abdomen.

Which of the following actions should the nurse take first?

Administer oxytocin as prescribed

Assist with ambulation.

Encourage frequent voiding

Massage her fundus

Answer and Explanation

The Correct Answer is D

The correct answer is choice D. Massage her fundus.

This is because a boggy and displaced fundus indicates uterine atony, which is the failure of the uterus to contract sufficiently after delivery.

This can lead to excessive bleeding and postpartum hemorrhage. Massaging the fundus can help stimulate uterine contractions and reduce blood loss.

Choice A is wrong because administering oxytocin is not the first action the nurse should take. Oxytocin is a medication that can also help the uterus contract, but it should be given after massaging the fundus and assessing the bleeding.

Choice B is wrong because assisting with ambulation is not appropriate for a client with a boggy and displaced fundus. Ambulation can increase bleeding and cause orthostatic hypotension due to blood loss.

Choice C is wrong because encouraging frequent voiding is not the first action the nurse should take.

A full bladder can displace the uterus and prevent effective contractions, so voiding can help the uterus return to its normal position. However, this should be done after massaging the fundus and assessing the bleeding.

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Correct Answer is D

Explanation

The correct answer is D) Decreased white blood cell count.Postpartum endometritis is an infection of the lining of the uterus that causes fever, abdominal pain, uterine tenderness and sometimes discharge.It is usually caused by bacteria from the lower genital or gastrointestinal tract.White blood cell count is a marker of inflammation and infection, so a decreased white blood cell count indicates that the treatment is effective and the infection is resolving.

A) Decreased vaginal bleeding is not a sign of effective treatment for postpartum endometritis.

Vaginal bleeding after delivery is normal and gradually decreases over time.It is not related to the infection of the uterus.

B) Increased abdominal pain is a sign of worsening infection, not effective treatment.Abdominal pain is one of the symptoms of postpartum endometritis and should improve with antibiotic therapy.

C) Increased temperature is also a sign of worsening infection, not effective treatment.Fever is another symptom of postpartum endometritis and should decrease with antibiotic therapy.

A. Calling infant by nam B. Exploration of newborn head-to-toe C. In face position D. Avoiding eye contact with newborn E. Holding newborn close to chest

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

Explanation

The correct answer is choices A, B and C.These are three signs of positive bonding between parents and newborn.

Calling infant by name shows recognition and affection.

Exploration of newborn head-to-toe shows curiosity and interest.

In face position shows eye contact and communication.

Choice D is wrong because avoiding eye contact with newborn is a sign of detachment or depression.Choice E is wrong because holding newborn close to chest may prevent eye contact and facial expressions.

Positive bonding is essential for a baby’s healthy development and attachment.

It makes parents want to shower their baby with love and care, and it makes babies feel secure and confident.Bonding can happen at any time, but it usually starts right after birth or adoption.

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A nurse is assessing a postpartum client who delivered vaginally 2 days ago and notes that her fundus is boggy and displaced to the right side of her abdomen. Which of the following actions should the nurse take first?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has postpartum endometritis and is receiving IV antibiotics. Which of the following findings indicates that the treatment is effective? A) Decreased vaginal bleeding.

Correct Answer is D

Explanation

(select all that apply, from search results) What are three signs of positive bonding between parents and newborn?

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

Explanation

A nurse is providing discharge teaching to a client who had a vaginal delivery with a midline episiotomy. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)

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A nurse is assessing a postpartum client who delivered vaginally 2 days ago and notes that her fundus is boggy and displaced to the right side of her abdomen.

Which of the following actions should the nurse take first?