A nurse is caring for a 28-year-old female client in the postpartum unit who gave birth 3 days ago. The client had a cesarean birth following prolonged rupture of membranes and cephalopelvic disproportion. The client reports general malaise, chills, and a decreased appetite.

Exhibits

Answer and Explanation

The Correct Answer is []

• Endometritis: The client’s symptoms such as general malaise, chills, decreased appetite, elevated temperature, boggy and tender uterus, and foul-smelling lochia suggest that she is most likely experiencing endometritis, an inflammation of the inner lining of the uterus, typically due to infection.
• Actions to take: The nurse should administer the prescribed IV antibiotics to treat the infection. The nurse should also encourage fluid intake to help flush out the bacteria from the body and prevent dehydration.

• Parameters to monitor: The nurse should monitor the client’s temperature to assess for fever, which can be a sign of infection. The nurse should also monitor the amount and odor of the client’s lochia, as changes can indicate worsening infection. If the client’s condition does not improve or worsens, the nurse should notify the healthcare provider immediately.

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Correct Answer is D

Explanation

Choice A rationale
Taking charge of all mothering tasks is more indicative of the “taking-hold” phase, which typically occurs a few days after birth.
Choice B rationale
Desiring privacy with the newborn is not specifically indicative of the “taking-in” phase.
Choice C rationale
Putting personal needs aside is not specifically indicative of the “taking-in” phase.
Choice D rationale

Reviewing the birth experience with others is indicative of the “taking-in” phase. During this phase, the new mother is often passive and somewhat dependent, and she may need to review her childbirth experience as a way to fully grasp her new role.

A. This medication stabilizes the fetal heart rate B. This medication improves tissue perfusion C. This medication prevents seizures D. This medication increases cardiac output

Correct Answer is C

Explanation

Choice A rationale
While magnesium sulfate can have an effect on the fetal heart rate, it does not primarily function to stabilize it. Magnesium sulfate is used in the management of preeclampsia primarily due to its anticonvulsant properties.
Choice B rationale
Magnesium sulfate does not primarily function to improve tissue perfusion. Its main role in the management of preeclampsia is to prevent seizures.
Choice C rationale

This is the correct answer. Magnesium sulfate is used in the management of preeclampsia primarily due to its anticonvulsant properties. It helps to prevent seizures in those with severe preeclampsia, which can minimize the risk of complications.
Choice D rationale
Magnesium sulfate does not increase cardiac output. Its primary role in the management of preeclampsia is to prevent seizures.

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A nurse is caring for a 28-year-old female client in the postpartum unit who gave birth 3 days ago. The client had a cesarean birth following prolonged rupture of membranes and cephalopelvic disproportion. The client reports general malaise, chills, and a decreased appetite. Exhibits

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A postpartum nurse is caring for a client and their newborn. Which of the following observations should indicate to the nurse that the client is in the taking-in phase of maternal role attainment?

Correct Answer is D

Explanation

A nurse is providing teaching about the expected effects of magnesium sulfate to a client who is at 28 weeks of gestation and has preeclampsia. Which of the following responses by the nurse is appropriate?

Correct Answer is C

Explanation

A nurse is preparing to administer phytonadione 0.5 mg to a newborn. What routes should the nurse choose for administration of the medication?

A nurse is providing instructions to a client who has chosen a diaphragm for birth control. Which of the following instructions should the nurse include?

A nurse is providing teaching to a postpartum client who has a prescription for a rubella immunization. Which of the following client statements indicates understanding of the teaching?

Select all that apply. Which of the following findings require immediate follow-up? Exhibits

A nurse is assessing a newborn who is 2 hours old. Which of the following findings is an indication of hypoglycemia? (Select all that apply)

A nurse is caring for a postpartum client who just delivered a newborn weighing 4.5 kg (10 lb). Which of the following signs should the nurse recognize as a potential indication of hemorrhage?

A nurse in a provider’s office is caring for a 20-year-old client who is at 12 weeks of gestation and requests an amniocentesis to determine the sex of the fetus. What responses should the nurse make?

A nurse is providing teaching to a new parent about findings that require notification of the newborn’s provider. Which of the following newborn clinical manifestations should the nurse include in the teaching?

A nurse is caring for a 28-year-old female client in the postpartum unit who gave birth 3 days ago. The client had a cesarean birth following prolonged rupture of membranes and cephalopelvic disproportion. The client reports general malaise, chills, and a decreased appetite.

Exhibits