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A nurse is caring for a 32-year-old female client who is 2 days postpartum in the postpartum unit.

Exhibits

For each potential client finding, click to specify if the finding is expected or unexpected.

A.

White blood cell count

B.

Blood clot size

C.

Uterine findings

D.

Lochia findings

E.

Calf findings

F.

Blood pressure

Answer and Explanation

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

  • White blood cell count: Expected—mild leukocytosis is normal postpartum due to physiological stress.
  • Blood clot size: Expected—small clots, like a pea-sized clot, are common and not concerning unless excessive bleeding occurs.
  • Uterine findings: Expected—firm and midline uterus indicating effective involution.
  • Lochia findings: Expected—progressing normally without signs of infection (no foul odor).
  • Calf findings: Expected—a single varicose vein without tenderness or swelling is not concerning.
  • Blood pressure: Expected—within normal postpartum range.


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Related Questions

Correct Answer is A

Explanation

Choice A rationale

G represents gravida, the total number of pregnancies, including the current one (2). T represents term births, the number of pregnancies delivered at 37 weeks gestation or later (1). P represents preterm births, the number of pregnancies delivered between 20 and 36 weeks gestation (0). A represents abortions, the number of pregnancies ending before 20 weeks gestation (0). L represents living children (1).

Choice B rationale

This option incorrectly states L as 2. The client has one living child from the previous pregnancy.

Choice C rationale

This option incorrectly states P as 1. The client's previous pregnancy was delivered at 38 weeks, which is considered a term birth, not preterm.

Choice D rationale

This option incorrectly states G as 3. The client is currently pregnant with twins, making this her second pregnancy in total.

Correct Answer is D

Explanation

Choice A rationale

While understanding methods of labor induction is important if the pregnancy progresses to 42 weeks, it is not the priority teaching at 31 weeks gestation. The immediate focus should be on recognizing potential complications that could arise before the scheduled induction.

Choice B rationale

The benefits of breastfeeding are important for all pregnant women but are not the priority teaching for a client at 31 weeks who is not yet in labor. Information about breastfeeding can be provided later in the pregnancy.

Choice C rationale

Teaching the signs of labor is important as the client approaches term, but at 31 weeks, the priority is to educate the client on recognizing potential warning signs that require immediate attention, such as decreased fetal movement.

Choice D rationale

Monitoring fetal movement is a crucial teaching point at 31 weeks gestation. A decrease in fetal movement can be an early indicator of fetal compromise and requires prompt evaluation. Instructing the client on how to perform kick counts and when to report changes is a priority for ensuring fetal well-being before the scheduled induction.

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