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?

Kernicterus

Uterine atony

Gestational diabetes

Retained placental fragments

Answer and Explanation

The Correct Answer is B

A. Kernicterus: Unrelated to postpartum complications; it is a bilirubin-related condition in newborns.

B. Uterine atony: Correct. A large infant increases the risk of uterine overstretching, leading to poor uterine contraction and postpartum hemorrhage.

C. Gestational diabetes: This is diagnosed during pregnancy, not as a postpartum complication.

D. Retained placental fragments: A possible concern but less likely than uterine atony in a client with a macrosomic infant.

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Correct Answer is C

Explanation

A. Prolonged bed rest increases the risk of thrombus formation. Pain management should not encourage inactivity.

B. While preventing excessive exertion is important, encouraging movement is essential for preventing thrombosis.

C. Correct. Early ambulation promotes circulation and reduces the risk of deep vein thrombosis (DVT).

D. Strict bed rest increases the risk of thromboembolism and is not recommended postpartum unless medically indicated.

A. The father physically counts all the infants toes. B. The father paces in the room during the delivery. C. The father states he is overwhelmed and does not want to hold the baby. D. The father remains with the mother during the delivery of the placenta.

Correct Answer is A

Explanation

A. Correct. Engrossment refers to the father's intense interest in the newborn, including focused attention, touching, and bonding behaviors such as counting the baby's fingers and toes.

B. Pacing during delivery may indicate anxiety but does not reflect engrossment.

C. Expressing feeling overwhelmed and avoiding holding the baby suggests difficulty adjusting rather than engrossment.

D. Being present during delivery is supportive but does not specifically indicate engrossment.

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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?

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Naxlex Comprehensive Predictor Exams

The nurse is preparing a care plan for her 12-hour postpartum patient which include prevention of thrombosis. During implementation, the nurse is expected to

Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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