A nurse is caring for a client who is postpartum and finds the fundus slightly boggy and displaced to the right. Based on these findings, which of the following actions should the nurse take?

Encourage the client to perform Kegel exercises.

Encourage the client to move to the left lateral position.

Ask the client to rate her pain.

Encourage the client to empty bladder by voiding

Answer and Explanation

The Correct Answer is D

A.   Kegel exercises are not indicated for addressing a boggy uterus; emptying the bladder is a more appropriate intervention.
B.   Moving to the left lateral position may help, but the primary concern is a full bladder contributing to uterine displacement.
C. Pain assessment is important but does not directly address the issue of a boggy uterus and displacement.
D.   Encouraging the client to empty the bladder by voiding is essential, as a full bladder can displace the uterus and contribute to uterine atony.

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Correct Answer is C

Explanation

A. Webbing typically refers to the presence of extra skin between body parts and is not associated with uneven skinfolds on the buttocks or a clunk during the Ortolani maneuver.
B. Clubfoot refers to a deformity of the foot and is not associated with uneven skinfolds on the buttocks or hip abnormalities.
C. Uneven skinfolds on the buttocks and a clunk during the Ortolani maneuver are indicative of hip dysplasia in a newborn.
D. Polydactyly refers to the presence of extra fingers or toes and is unrelated to the described findings.

A. Microwaving decreases vitamin C content B. Microwaving renders the milk tasteless C. Microwaving does not heat the milk evenly D. Microwaving decreases antiinfective properties E. Microwaving decreases the iron content in the milk

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

Explanation

A. Microwaving breast milk decreases vitamin C content.
B. Microwaving does not render the milk tasteless, but it may alter the taste slightly.
C. Microwaving does not heat breast milk evenly, creating hot spots that can burn the baby's mouth.
D. Microwaving can decrease the antiinfective properties of breast milk.
E. Microwaving breast milk does not decrease iron content.

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A nurse is caring for a client who is postpartum and finds the fundus slightly boggy and displaced to the right. Based on these findings, which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

While examining a newborn, the nurse notes uneven skinfolds on the buttocks and a clunk when performing the Ortolani maneuver. These findings are likely indicative of what?

Correct Answer is C

Explanation

A nurse is teaching a new mother the best method to store milk and use it later for feeding. She explains that the breast milk should never be thawed or heated in a microwave oven because of the following reasons. Please select all that apply

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

Explanation

A mother and her newborn have just been transferred to the postpartum unit from labor and delivery. Which infant safety education would be provided as soon as mom and baby are settled into their room? Select all that apply. One, some, or all responses may be correct.

A nurse is caring for a client who is 1 hr postpartum and observes a large amount of lochia rubra and several small clots on the client’s perineal pad. The fundus is midline and firm at the umbilicus. Which of the following actions should the nurse take?

A nurse places a newborn under a radiant heat warmer after birth. The purpose of this action is to prevent which of the following in the newborn?

The nurse is preparing to administer a hepatitis B virus (HBV) vaccine to a newborn. Which intervention by the nurse is correct?

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?

Which documentation on a woman's chart on postpartum day 14 indicates a normal involution process?