A nurse is caring for a 22-year-old female client, 2 days postpartum after her first delivery, in the maternity unit.
Complete the following sentence by using the list of options.
As a maternity-prepared nurse, the nurse understands that the client’s elevated WBC count is
The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}
As a maternity-prepared nurse, the nurse understands that the client’s elevated WBC count is A. Expected due to postpartum recovery and A. Expected to decrease to normal levels in about one week postpartum.
Elevated WBC counts are common in the immediate postpartum period due to the body’s response to labor and delivery. These levels typically return to normal within the first week postpartum.
The elevated white blood cell (WBC) count in the immediate postpartum period is a normal physiological response to labor and delivery. Here’s why:
- Body’s Response to Labor: During labor, the body undergoes significant stress and physical exertion, which naturally leads to an increase in WBC count. This is part of the body’s inflammatory response to the physical trauma of childbirth.
- Postpartum Changes: After delivery, the body continues to experience changes as it begins to recover. The elevated WBC count helps the body to heal and protect against potential infections during this vulnerable period.
- Expected Decrease: Typically, the WBC count peaks within the first 24 hours postpartum and then gradually decreases, returning to normal levels within the first week. This decrease aligns with the body’s recovery process as the immediate postpartum inflammation subsides.
In summary, the elevated WBC count is expected due to the body’s natural response to childbirth and is anticipated to normalize within about a week postpartum.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
While sharing personal experiences can sometimes be comforting, it may not always be appropriate or helpful in a professional setting. The focus should be on the patient’s needs and feelings.
Choice B rationale
Calling for a chaplain can be supportive, but it is important to first offer the parents the opportunity to hold their baby and spend time with them, which can be an important part of the grieving process.
Choice C rationale
Allowing the parents to hold their baby for as long as they want provides them with the opportunity to say goodbye and can be a crucial part of the grieving process. It helps them to acknowledge their loss and begin to process their emotions.
Choice D rationale
Telling the parents that the loss is for the best is not supportive and can be hurtful. It is important to validate their feelings and provide compassionate care during this difficult time. .
Correct Answer is D
Explanation
Choice A rationale
Staying home until one week after delivery is not a specific intervention for postpartum depression. Social support and monitoring are more effective strategies.
Choice B rationale
While adequate rest is important, advising to sleep as much as possible is not a targeted intervention for postpartum depression. Structured support and counseling are more beneficial.
Choice C rationale
Returning to work two weeks after delivery is not advisable for someone with a history of postpartum depression. Early return to work can increase stress and exacerbate symptoms.
Choice D rationale
Contacting a crisis counselor once a week provides structured support and monitoring, which is crucial for managing postpartum depression. Regular counseling helps in early identification and management of symptoms.
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