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 C

Explanation

The correct answer is choice C.“Take a warm sitz bath.” A sitz bath is a shallow bath that covers the perineal area 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 swelling and inflammation.Choice B is wrong because ice packs should only be applied for 10 to 20 minutes at a time and removed for at least 10 minutes before reapplying.Ice packs are most effective in the first 24 to 72 hours after birth.

Choice D is wrong because using a heating pad on the abdomen has no effect on the perineal pain.Heating pads can also cause burns if used for too long or at a high temperature.

A. Document the finding in the client’s chart B. Encourage the woman to empty her bladder regularly C. Palpate the fundus for firmness D. Administer oxytocics as prescribed

Correct Answer is C

Explanation

The correct answer is choice C. Palpate the fundus for firmness.This is because an unpleasant odor of lochia (postpartum vaginal discharge) can indicate an infection or retained placental fragments in the uterus.Palpating the fundus can help assess the uterine involution and detect any abnormalities.

Choice A is wrong because documenting the finding is not enough to address the potential problem.The nurse should also notify the provider and take further actions as ordered.

Choice B is wrong because encouraging the woman to empty her bladder regularly is not related to the odor of lochia.It is a general measure to prevent urinary tract infections and promote uterine contraction.

Choice D is wrong because administering oxytocics as prescribed is not a nursing action for lochia with an unpleasant odor.Oxytocics are drugs that stimulate uterine contractions and are used to prevent or treat postpartum hemorrhage.

They do not affect the infection or retention of placental fragments.

Normal ranges for lochia are:

• Lochia rubra: dark or bright red blood, lasts for 3 to 4 days, flows like a heavy period, small clots are normal.

• Lochia serosa: pinkish brown discharge, lasts for 4 to 12 days, thinner and more watery than lochia rubra, moderate flow, less or no clots.

• Lochia alba: yellowish white discharge, lasts from 12 days to 6 weeks, light flow or spotting, no clots.

Lochia should have a stale, musty or metallic odor like menstrual blood.It should not smell fishy or foul, which can indicate an infection.

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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?

Nursing Test Bank

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. Which of the following responses should the nurse make?

Correct Answer is C

Explanation

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?

Correct Answer is C

Explanation

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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?