A nurse is caring for a postpartum client in an outpatient setting.
Complete the following sentence by using the lists of options.
The client is at highest risk for developing
The Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"A"}
The client is at highest risk for developing mastitis as evidenced by the client'scracked nipple.
Rationale
The client has visible cracks on the left nipple, which is a key risk factor for mastitis. Cracked nipples can allow bacteria to enter the breast tissue during breastfeeding, leading to mastitis, especially if the nipples are not healing properly or the breastfeeding technique is suboptimal. The client also reports nipple discomfort throughout breastfeeding, which increases the likelihood of mastitis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Frequent nosebleeds are not typically associated with coarctation of the aorta.
B. Upper extremity hypotension is unlikely; the condition usually leads to higher blood pressure in the upper extremities.
C. Increased intracranial pressure is not a direct result of coarctation of the aorta.
D. Weak femoral pulses are a common finding due to the narrowing of the aorta, which limits blood flow to the lower extremities.
Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"B"}
Explanation
The nurse should recognize that the client is experiencing preterm labor due toprevious preterm birth.
Rationale
Option 1: Preterm labor
The client’s symptoms are most consistent with preterm labor. Preterm labor is characterized by regular
uterine contractions before 37 weeks of gestation, cervical dilation and effacement, and sometimes vaginal discharge. In this case, the client has lower back pain, uterine contractions every 8 minutes, cervical dilation of 2 cm, and 50% effacement—all indicative of preterm labor.
Option 2: Previous Preterm Birth
The client's history of a preterm spontaneous vaginal birth at 30 weeks gestation increases the risk of preterm labor in the current pregnancy. The previous preterm birth is a known risk factor for future preterm labor.
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