A nurse is caring for a postpartum client who has a boggy uterus.

Which of the following actions should the nurse take?

Administer oxytocics as prescribed

Encourage the woman to empty her bladder regularly

Provide a peri-bottle with warm water for cleansing after each voiding or bowel movement

Advise the woman to avoid tampons.

Answer and Explanation

The Correct Answer is B

The correct answer is choice B. Encourage the woman to empty her bladder regularly. A boggy uterus is a condition that occurs when the uterus fails to contract properly after childbirth, leading to excessive bleeding and possible postpartum hemorrhage. One of the causes of a boggy uterus is bladder distension, which can prevent the uterus from contracting and returning to its normal position. Therefore, encouraging the woman to empty her bladder regularly can help reduce the risk of a boggy uterus and postpartum hemorrhage.

Choice A is wrong because administering oxytocics as prescribed is not an action that the nurse should take, but rather the physician or midwife. Oxytocics are medications that stimulate uterine contractions and are used to treat a boggy uterus when other methods fail.

Choice C is wrong because providing a peri-bottle with warm water for cleansing after each voiding or bowel movement is not an action that can prevent or treat a boggy uterus. It is a hygiene measure that can help prevent infection and promote healing of the perineal area after childbirth.

Choice D is wrong because advising the woman to avoid tampons is not an action that can prevent or treat a boggy uterus. It is a precautionary measure that can help prevent infection and irritation of the vaginal canal after childbirth. Tampons should be avoided for at least six weeks after delivery.

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Correct Answer is D

Explanation

The correct answer is choice D.“You should avoid straining during bowel movements.” This is because straining can cause pain and bleeding in the perineal area, especially if the client has an episiotomy or hemorrhoids.Straining can also worsen the damage to the pelvic floor muscles or the anal sphincter muscles that might have occurred during delivery.

Choice A is wrong because taking a laxative can cause diarrhea, dehydration, and electrolyte imbalance.Laxatives should only be used if prescribed by a health care provider.

Choice B is wrong because increasing fluid intake alone is not enough to prevent or treat constipation.Fluid intake should be combined with adequate fiber intake and physical activity.

Choice C is wrong because increasing fiber intake alone is not enough to prevent or treat constipation.Fiber intake should be combined with adequate fluid intake and physical activity.

Normal ranges for fluid intake are about 2 to 3 liters per day for a lactating woman and about 1.5 to 2 liters per day for a non-lactating woman.Normal ranges for fiber intake are about 25 to 35 grams per day for adults.Normal ranges for physical activity are about 150 minutes of moderate-intensity exercise per week for healthy adults.

A. “Apply heat to your perineum.” B. “Use an ice pack on your perineum.” C. “Take a warm sitz bath.” D. “Use a heating pad on your abdomen.”

Correct Answer is C

Explanation

The correct answer is choice C.“Take a warm sitz bath.” A sitz bath is a shallow bath that covers the perineum and can help relieve pain and swelling after a vaginal birth with an episiotomy.A sitz bath can also promote healing and prevent infection by keeping the area clean.

Choice A is wrong because applying heat to the perineum can increase inflammation and delay healing.Choice B is wrong because using an ice pack on the perineum is only recommended for the first 24 hours after delivery to reduce swelling.After that, ice can cause tissue damage and slow down blood flow to the area.Choice D is wrong because using a heating pad on the abdomen has no effect on the perineal pain and can also cause burns or overheating.

Normal ranges for postpartum perineal pain vary depending on the type and degree of injury, but generally it should improve within a few weeks.If the pain persists or worsens, or if there are signs of infection such as fever, foul-smelling discharge, or redness, it is important to seek medical attention.

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A nurse is caring for a postpartum client who has a boggy uterus. Which of the following actions should the nurse take?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is 5 days postpartum and has a vaginal birth with an episiotomy. The client reports that she has pain in her perineal area and asks the nurse what she can do to relieve the discomfort.

Correct Answer is D

Explanation

A nurse is caring for a client who is 1 week postpartum and has a vaginal birth with an episiotomy. The client reports that she has pain in her perineal area and asks the nurse what she can do to relieve the discomfort. Which of the following responses should the nurse make?

Correct Answer is C

Explanation

A nurse is caring for a client who is 5 days postpartum and has a vaginal birth with an episiotomy. The client reports that she has pain in her perineal area and asks the nurse what she can do to relieve the discomfort. Which of the following responses should the nurse make?

A nurse is caring for a postpartum client who has a boggy uterus. Which of the following actions should the nurse take?

A nurse is educating a postpartum client about resuming sexual intercourse after delivery. What information should the nurse provide to the client?

A nurse is caring for a client who is 4 days postpartum and has a vaginal birth with an episiotomy. The client reports that her perineal area is sore and asks the nurse what she can do to relieve the discomfort. Which of the following responses should the nurse make?

A nurse is teaching a postpartum client about lochia and when to report abnormal findings. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is assessing the amount, color, odor, consistency, and presence of clots or tissue in the lochia of a postpartum client. Which of the following findings should the nurse report as abnormal?

A nurse is assessing a postpartum client’s lochia and notes that it has an unpleasant odor. Which of the following actions should the nurse take?

A nurse is caring for a postpartum client who reports heavy bleeding and large clots in her lochia. Which of the following actions should the nurse take?

A nurse is caring for a postpartum client who has a boggy uterus.

Which of the following actions should the nurse take?