A nurse is caring for a client who is 5 hours 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 of the following postpartum complications?

Uterine atony

Thrombophlebitis

Puerperal infection

Retained placental fragments

Answer and Explanation

The Correct Answer is A

A.   Uterine atony is the most common cause of postpartum hemorrhage and is more likely to occur after a delivery of a large infant or in cases of rapid or prolonged labor.
B.   Thrombophlebitis is a risk after childbirth, especially in clients who have undergone cesarean delivery or who have other risk factors such as prolonged immobility, but it is not directly related to the size of the newborn.
C.   Puerperal infection is a risk following childbirth, but it is not directly related to the size of the newborn.
D.   Retained placental fragments can lead to postpartum hemorrhage, but the size of the newborn is not a direct risk factor for this complication.

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Correct Answer is A

Explanation

A. Drying the newborn's skin thoroughly helps to reduce evaporative heat loss by removing moisture from the skin's surface, which decreases heat loss through evaporation.
B. Maintaining ambient room temperature at 24°C (75°F) helps to prevent hypothermia but does not directly address evaporative heat loss.
C. Preventing air drafts is important for reducing convective heat loss but does not specifically target evaporative heat loss.
D. Placing the newborn on a warm surface helps to prevent conductive heat loss but does not directly address evaporative heat loss.

A. A white patch on a nipple B. Cracked and bleeding nipples C. Swelling in both breasts D. Red and painful area in one breast

Correct Answer is D

Explanation

A. A white patch on a nipple may indicate a fungal infection such as thrush but is not typically associated with mastitis.

B. Cracked and bleeding nipples are common in breastfeeding but are not specific to mastitis.
C. Swelling in both breasts can occur with engorgement but is not indicative of mastitis, which typically presents with localized symptoms.
D. A red and painful area in one breast is a classic sign of mastitis. Mastitis is an infection of the breast tissue that often presents with localized redness, warmth, swelling, and pain in one breast. Other symptoms may include fever, chills, and flu-like symptoms.

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A nurse is caring for a client who is 5 hours 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 of the following postpartum complications?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse on the labor and delivery unit is caring for a newborn immediately following birth. Which of the following actions by the nurse reduces evaporative heat loss by the newborn?

Correct Answer is A

Explanation

A nurse is caring for a client who is 3 days postpartum and is attempting to breastfeed. Which of the following findings indicate mastitis?

Correct Answer is D

Explanation

A nurse receives report about assigned clients at the start of the shift. Which of the following clients should the nurse plan to see first?

A nurse on the obstetric unit is caring for a client who experienced abruptio placentae. The nurse observes petechiae and bleeding around the IV access site. The nurse should recognize that this client is at risk for which of the following complications?

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A nurse is caring for a client who is 12 hours postpartum. Which of the following findings should alert the nurse to the possibility of a postpartum complication?

A nurse is planning care for a newborn who is small for gestational age (SGA). Which of the following is the priority intervention the nurse should include in the newborn's plan of care?

A nurse is completing a newborn gestational age assessment. Which of the following findings should be recorded as part of this assessment on the newborn?

A nurse in the newborn nursery is caring for a group of newborns. Which of the following newborns requires immediate intervention?

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