A nurse is assisting in the care of a client who had a vaginal birth yesterday, is not breastfeeding, and had no perineal lacerations. The client was given ibuprofen 1 hr ago.
Which of the following outcomes should the nurse identify as an indication that the medication achieved the desired effect?
Decrease in swelling in the extremities.
Decrease in discomfort from contractions.
Decrease in milk production.
Decrease in amount of lochia and passage of clots.
The Correct Answer is B
Choice A rationale
While ibuprofen can reduce general inflammation, its primary use in the postpartum period is not aimed at reducing swelling in the extremities, making this a less relevant outcome for the medication's effectiveness.
Choice B rationale
Ibuprofen is an effective analgesic for reducing discomfort from uterine contractions, known as afterpains, which occur as the uterus involutes post-delivery. A decrease in this type of discomfort indicates the medication has achieved its desired effect.
Choice C rationale
Ibuprofen does not have an effect on milk production; therefore, a decrease in milk production is not an expected or desired outcome of administering this medication to a postpartum client.
Choice D rationale
Ibuprofen is not intended to reduce lochia or the passage of clots. These are normal postpartum processes, and their reduction would not be an expected outcome of ibuprofen administration.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
A longitudinal fetal lie, where the baby is aligned vertically with the mother’s spine, is the normal and optimal position for labor. It typically does not cause prolonged or difficult labor.
Choice B rationale
A gynecoid pelvis is considered the most favorable pelvic shape for vaginal delivery. It is roomy and allows for the easiest passage of the baby through the birth canal, reducing the likelihood of prolonged labor.
Choice C rationale
General flexion, where the baby’s chin is tucked to its chest and the limbs are flexed, is the optimal fetal attitude for birth. This position facilitates a smoother and shorter labor process.
Choice D rationale
Persistent occiput posterior (OP) position, where the baby’s head is down but facing the mother’s front, can result in a difficult and prolonged labor. This position often leads to severe back pain for the mother and may complicate the labor process.
Correct Answer is B
Explanation
Choice A rationale
G6PD deficiency is an inherited condition affecting red blood cells but does not increase the risk of postpartum hemorrhage.
Choice B rationale
Von Willebrand disease is a bleeding disorder that can lead to excessive bleeding, increasing the risk of postpartum hemorrhage due to impaired blood clotting.
Choice C rationale
History of hyperemesis gravidarum is associated with severe nausea and vomiting in pregnancy but does not increase the risk of postpartum hemorrhage.
Choice D rationale
Peripheral artery disease affects blood flow to the limbs and does not directly increase the risk of postpartum hemorrhage.
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