A nurse is caring for a client at 12 hours postpartum who has voided a total of 200 ml. Upon assessment the nurse notes that the bladder is distended. What is the priority intervention by the nurse?

No intervention is needed at this time. 200 ML is adequate output.

Notify the provider immediately of urinary retention.

Notify the provider if the client does not void in 24 hours.

Encourage the client to consume more fluids.

Answer and Explanation

The Correct Answer is B

A. Incorrect. 200 mL of urine in 12 hours is inadequate postpartum output and may indicate urinary retention.

B. Correct. A distended bladder can interfere with uterine involution and increase the risk of postpartum hemorrhage. The provider should be notified, and interventions such as catheterization may be necessary.

C. Incorrect. Waiting 24 hours before intervention is inappropriate when urinary retention is already evident.

D. Encouraging fluids is helpful, but it does not directly address the immediate concern of a distended bladder.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

A. Skin-to-skin contact promotes thermoregulation and early breastfeeding, which can help prevent severe jaundice by facilitating bilirubin excretion. However, it does not completely eliminate the risk of jaundice.

B. Skin-to-skin can still be done after a C-section, with assistance from the healthcare team.

C. Skin-to-skin does not directly prevent postpartum hemorrhage, though it may support uterine contraction through early breastfeeding.

D. Correct. Skin-to-skin contact enhances maternal-infant bonding, supports breastfeeding by stimulating milk production, and reduces maternal stress by promoting relaxation and oxytocin release.

A. Signs and symptoms of postpartum blues include: lack of appetite, feeling let down, tearfulness, and insomnia. B. Medications are available to relieve the symptoms. C. Postpartum blues last about a week or two. D. The father may become sad and weepy. E. Very few women experience postpartum blues.

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

Explanation

A. Correct. Common symptoms of postpartum blues include emotional sensitivity, mood swings, crying spells, and difficulty sleeping.

B. Incorrect. Medications are not typically needed for postpartum blues, as the condition resolves on its own.

C. Correct. Postpartum blues usually last for about 10–14 days and resolve without intervention.

D. Incorrect. While fathers can experience mood changes postpartum, postpartum blues specifically refer to hormonal changes in the mother.

E. Incorrect. Postpartum blues are common, affecting up to 50-80% of postpartum women.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is caring for a client at 12 hours postpartum who has voided a total of 200 ml. Upon assessment the nurse notes that the bladder is distended. What is the priority intervention by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is teaching prenatal clients about the benefits of skin to skin. Which statement made is correct?

Correct Answer is D

Explanation

A nurse is counseling a woman about postpartum blues. Which of the following should be included in the discussion? Select two that Apply.)

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

Explanation

A client who is breastfeeding tells her nurse that she is concerned that her baby is not getting enough food since her milk has not come in. The best response from the nurse is which statement.

A nurse is assessing a client who is four hours postpartum. Her temperature is 39 C (102.2F), pulse 96 beats per minute, and respirations 18 breaths per minute. Based on this information, which of these orders is most appropriate for treating the client at this time?

On the fourth postpartum day, a client experiences breast engorgement. To relieve her discomfort, which of these nursing interventions is most effective to meet the expected outcome?

A nurse is conducting a teaching session for postpartum patients on the benefits of breastfeeding. The nurse concludes that the patient's have a good understanding of breastfeeding when they make the following statements: (Select All that Apply.)

A nurse is caring for a client who is 1 hr postpartum following a vaginal birth of a newborn weighing 9 lb 6 oz. (4252 g). The nurse should recognize that this client is at risk for which postpartum complication?

A client who gave birth 15 days ago has returned to the emergency room with reports of a gush of foul-smelling rubra lochia and a temperature of 39°C (102.2°F). The nurse suspects postpartum hemorrhage and understands that this is most likely caused by

Exhibits The nurse should recognize that the client is at risk of dropdown due to dropdown